四肢洗方熏蒸膝足法治疗膝骨关节炎的临床研究
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摘要
目的:探讨四肢洗方熏蒸膝足法治疗膝骨关节炎的疗效。方法:将膝骨关节炎患者分为治疗组、对照组Ⅰ、对照组Ⅱ,各40例。治疗组采用中药四肢洗方借助中药熏蒸桶同时熏蒸膝关节与足部;对照组Ⅰ采用与治疗组相同组成的外洗方,剂量为治疗组药物的10%;对照组Ⅱ采用中药四肢洗方借助中药熏蒸治疗器仅熏蒸膝关节。结果:治疗组与对照组Ⅰ、Ⅱ在疼痛、僵硬、功能、三项(疼痛、僵硬、功能)总分、肿胀等方面都较治疗前都有明显改善(P<0.05);治疗组各指标改善均优于对照组Ⅰ和对照组Ⅱ(P<0.05)。结论:使用正常剂量四肢洗方组优于低剂量组,采用膝足同治法优于局部熏蒸法,具有简、便、廉、验的效果,且安全可靠,无不良反应。
Objective:To investigate the curative effect of treating knee osteoarthritis by washing limbs and fumigating knee and foot.Methods:Patients with knee osteoarthritis were divided into the treatment group,the Ⅰ control group,and the Ⅱ control group,with 40 cases in each.The treatment group were used to fumigate the knee and foot with traditional Chinese medicine fumigation barrel at the same time.The Ⅰ control group used the same external washing prescription as the treatment group,and the dosage was 10% of the treatment group.The Ⅱ control group used the traditional Chinese medicine fumigation treatment device to fumigate the knee joint only with the aid of Chinese medicine fumigation treatment device.Results:The treatment group and the Ⅰand Ⅱ control group in pain,stiffness,function,(pain,stiffness,function) three total scores,swelling and other aspects before the treatment were significantly improved(P<0.05),and the improvement of the treatment group was better than the Ⅰ control group and the Ⅱ control group(P<0.05).Conclusion:Using of normal dose in the extremities washing group is better than the low dose group,and the method of the same treatment with the knee foot is superior to the local fumigation.It is simple,convenient,cheap and prove,and it is safe and reliable,and has no adverse reaction.
Objective:To investigate the curative effect of treating knee osteoarthritis by washing limbs and fumigating knee and foot.Methods:Patients with knee osteoarthritis were divided into the treatment group,the Ⅰ control group,and the Ⅱ control group,with 40 cases in each.The treatment group were used to fumigate the knee and foot with traditional Chinese medicine fumigation barrel at the same time.The Ⅰ control group used the same external washing prescription as the treatment group,and the dosage was 10% of the treatment group.The Ⅱ control group used the traditional Chinese medicine fumigation treatment device to fumigate the knee joint only with the aid of Chinese medicine fumigation treatment device.Results:The treatment group and the Ⅰand Ⅱ control group in pain,stiffness,function,(pain,stiffness,function) three total scores,swelling and other aspects before the treatment were significantly improved(P<0.05),and the improvement of the treatment group was better than the Ⅰ control group and the Ⅱ control group(P<0.05).Conclusion:Using of normal dose in the extremities washing group is better than the low dose group,and the method of the same treatment with the knee foot is superior to the local fumigation.It is simple,convenient,cheap and prove,and it is safe and reliable,and has no adverse reaction.
引文
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[10]宋鹏进.中药离子导人法治疗膝关节骨性关节炎的临床观察[J].湖北中医药大学学报,2014,16(1):95-97.
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[12]庞坚,罗明江,曹月龙,等.刍论膝骨关节灭炎“本痿标痹,痹痿并存”[J].上海中医药杂志,2013,47(3):25-26.
[2]李宁华.中老年人群骨关节炎的流行病学特征[J].中国临床康复,2005,9(38):133-135.
[3]陈卫衡,刘献祥,童培建,等.膝骨关节炎中医诊疗专家共识(2015年版)[J].中医正骨,2015,27(7):4-5.
[4]赵伟.加味独活寄生汤治疗肝肾亏虚型膝骨关节炎56例临床观察[J].四川中医,2016,34(8):191-193.
[5]林栋栋,彭力平,肖伟,等.消瘀散软膏外敷联合臭氧关节腔注射治疗膝骨关节炎[J].中医正骨,2015,27(3):17-26.
[6]张旺琼,钟志年,周首邦.中药熏洗和中医护理配合治疗膝骨性关节炎的临床研究[J].中医临床研究,2012,4(24):106-109.
[7]柯晖,王小云,邹季.电针加温针灸治疗膝骨关节炎疗效观察[J].现代中西医结合杂志,2013,22(1):55-56.
[8]金成辉.夹胫推肘牵膝推拿法治疗膝骨关节炎临床研究[J].辽宁中医药大学学报,2015,12(2):170-171.
[9]牛时季,孟庆才,刘颖.小针刀治疗膝骨关节炎的临床疗效观察[J].成都中医药大学学报,2013,36(2):45-50.
[10]宋鹏进.中药离子导人法治疗膝关节骨性关节炎的临床观察[J].湖北中医药大学学报,2014,16(1):95-97.
[11]葛伟韬,高云,刘珍珠,等.膝骨关节炎中医病名辨识[J].中医杂志,2016,57(23):1989-1992.
[12]庞坚,罗明江,曹月龙,等.刍论膝骨关节灭炎“本痿标痹,痹痿并存”[J].上海中医药杂志,2013,47(3):25-26.