補正續(xù)骨丸聯(lián)合電針透穴治療肝腎虧虛型膝骨關(guān)節(jié)炎的臨床觀察
本文選題:補正續(xù)骨丸 切入點:電針透穴 出處:《遼寧中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】:目的:本課題針對膝骨關(guān)節(jié)炎的病因病機特點,采用補正續(xù)骨丸聯(lián)合電針透穴治療方法,通過觀察膝關(guān)節(jié)WOMAC、Lequesne評分的改變,探討本療法治療膝骨關(guān)節(jié)炎的臨床療效及安全性。材料與方法:選取住院和門診患者共60例,采用計算機隨機數(shù)字法將其隨機分為治療組、對照組各30例。對照組應(yīng)用電針透穴+扶他林外用進行治療,治療組應(yīng)用補正續(xù)骨丸+電針透穴+扶他林外用進行治療。治療15日后統(tǒng)計療效,以膝關(guān)節(jié)WOMAC評分量表、Lequesne膝骨性關(guān)節(jié)炎積分作為療效評價指標,應(yīng)用統(tǒng)計軟件SPSS17.0對數(shù)據(jù)進行統(tǒng)計分析。結(jié)果:1.治療15日后,兩組患者均有改善,WOMAC評分綜合療效顯示:治療組總有效率為96.67%,對照組總有效率為76.67%;Lequesne評分綜合療效顯示:治療組總有效率為100%,對照組總有效率為96.67%。2.兩組療后的疼痛、僵硬、日;顒釉u分及WOMAC總評分較治療前均明顯下降,有顯著性差異(P0.05),且治療組的疼痛、僵硬、日;顒釉u分及WOMAC總評分均低于對照組,有顯著性差異(P0.05)。3.兩組治療后Lequesne評分較治療前均有所下降,且組內(nèi)前后比較均有統(tǒng)計學(xué)意義(P0.05);兩組的(療前—療后)Lequesne評分比較,有顯著性差異(P=0.0020.01)。說明兩組治療均有效,且治療組療效優(yōu)于對照組。結(jié)論:補正續(xù)骨丸聯(lián)合電針透穴療法治療肝腎虧虛型膝骨關(guān)節(jié)能取得較好療效,具有療效確切,簡單易行,副作用小,經(jīng)濟等特點,值得臨床進一步推廣。
[Abstract]:Objective: according to the etiology and pathogenesis of knee osteoarthritis, the clinical efficacy and safety of this therapy for knee osteoarthritis were studied by observing the changes of WOMA Che Lequesne score.Materials and methods: 60 inpatients and outpatients were randomly divided into treatment group (n = 30) and control group (n = 30).The control group was treated with electroacupuncture and Futalin for external use, while the treatment group was treated with the external application of Buzheng Xuegu pills.After 15 days of treatment, the WOMAC score of knee joint and the score of knee osteoarthritis were used as the evaluation index, and the statistical software SPSS17.0 was used to analyze the data.The result is 1: 1.The scores of pain, stiffness, daily activity and WOMAC in the two groups were significantly lower than those before treatment (P 0.05), and the scores of pain, stiffness, daily activity and WOMAC in the treatment group were lower than those in the control group (P 0.05).After treatment, the Lequesne scores of the two groups were lower than those before and after treatment, and there was a significant difference between the two groups (P0. 0020. 01%, P < 0. 05), and there was a significant difference between the two groups (P0. 0020. 01%, P 0. 0020. 01, P < 0. 05).It showed that both groups were effective, and the curative effect of the treatment group was better than that of the control group.Conclusion: Buzheng Xiegu Pill combined with electroacupuncture through acupoint therapy can obtain better curative effect on knee bone and joint with deficiency of liver and kidney, which has the characteristics of definite curative effect, simple operation, small side effect, economical and so on, which is worthy of further clinical promotion.
【學(xué)位授予單位】:遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2016
【分類號】:R274.9
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