中西医结合法治疗膝关节骨性关节炎的临床效果观察
 |
| 第1页 |
参见附件(2574KB，2页)。
【摘要】目的 观察中西医结合法治疗膝关节骨性关节炎的临床效果。方法 选择2008年7月～2010年6月我院骨科收治的膝关节骨性关节炎患者166例，随机分为对照组和观察组各83例。对照组患者给予口服盐酸氨基葡萄糖片，观察组患者在对照组治疗基础上加服自拟中药汤剂内服和外用，7d为一个疗程。结果 经过4个疗程的治疗后，对照组患者中显效22例，有效42例，无效19例，总有效率77.11%；观察组患者中显效26例，有效51例，无效6例，总有效率92.77%。两组患者治疗后的总有效率比较，差异有统计学意义(p<0.05)。结论 口服盐酸氨基葡萄糖结合中药汤剂内服和外用治疗膝关节骨性关节炎，可以取得明显优于单纯西药治疗的临床疗效，值得临床推广。
【关键词】中西医结合；膝关节；骨性关节炎；临床疗效
Integrative Medicine Treatment of knee osteoarthritis clinical observation
Wang xiyiChen Peilong
Puning Chinese Medicine Hospital of bone ONE (Guangdong Puning 515300)
【Abstract】Objective To observe the Integrative Treatment of knee osteoarthritis clinical effects. Methods July 2008 ~ June 2010 admitted to our hospital orthopedic patients with knee osteoarthritis 166 cases were randomly divided into control group and 83 observation group. The control group were treated with oral glucosamine hydrochloride tablets, observed in the control group patients based on the decoction of Chinese medicine plus self service Oral and topical, 7d for a course of treatment. Results After 4 courses of treatment, patients in the control group, 22 cases markedly effective, effective 42 cases, 19 cases ineffective, the total efficiency of 77.11%; The patients in the 26 cases markedly effective in 51 cases, 6 cases, the total effective 92.77%. Two groups of patients the overall response rate after treatment, the difference was statistically significant (p <0.05). Conclusion The combination of glucosamine hydrochloride oral decoction of Chinese medicine Oral and topical treatment of knee osteoarthritis can achieve significantly better than western medicine's clinical efficacy and is worthy of promotion.
【Keywords】 Integrative Medicine; knee; osteoarthritis; clinical efficacy
骨性关节炎(osteoarthritis，OA)又称增生性关节炎、退行性关节炎等，是中老年人常见的一种慢性关节炎症。骨性关节炎多发于膝关节，表现为不同程度的关节功能减退，影响患者的生活质量。我院采用中西医结合法对166例膝关节骨性关节炎患者进行治疗，取得了较满意的疗效，现将结果报告如下。
1资料与方法
1.1一般资料
选择2008年7月～2010年6月我院骨科收治的膝关节骨性关节炎患者166例，年龄56～81岁，平均年龄(63.7±25.1)岁。其中男性102例，女性64例，病程3个月～10年。将患者随机分为对照组和观察组，每组各83例。全部患者均符合中华医学会风湿病学分会2003年制订的《骨性关节炎诊治指南》中骨性关节炎的诊断标准。中医辨证分型属于风湿热痹证。同时排除血液、内分泌系统病变者、严重心、肝、肾等重要脏器病变者、有药物过敏史者。两组患者从性别、年龄、病情、病程等方面比较，差异无统计学意义(p>0.05)，具有可比性。
1 ......
您现在查看是摘要介绍页，详见PDF附件(2574KB，2页)。