本文選題：中醫(yī)綜合外治法 + 臨床療效��； 參考：《西南醫(yī)科大學》2016年碩士論文

【摘要】：目的:系統觀察中醫(yī)綜合外治法即穴位麝香祛痛搽劑離子導入療法+祛風骨痛巴布膏貼敷療法治療膝骨性關節(jié)炎的臨床療效,以期探索療效肯定、行業(yè)公認、操作簡便、易于推廣的治療膝骨性關節(jié)炎的中醫(yī)外治綜合方案。方法:本試驗采用單中心隨機對照研究方法,所有病例均來自四川省骨科醫(yī)院康復科。按照隨機分組原則,將其所收集的102例相關患者分為兩組,即治療組52例,對照組50例。治療組采用由“穴位麝香祛痛搽劑離子導入療法+祛風骨痛巴布膏貼敷療法”組成的中醫(yī)外治綜合方案治療,對照組采用由“扶他林乳膠劑導入療法+酮洛芬貼膜劑貼敷療法”組成的標準西醫(yī)外治方案治療,兩組受試者每日治療一次,連續(xù)7天為一個療程,共治療2個療程(2周)。觀察兩組患者治療前后疼痛(視覺模擬評分即VAS)評分及加拿大骨性關節(jié)炎指數(WOMAC)各項評分的變化情況,系統評價中醫(yī)綜合外治法治療膝骨性關節(jié)炎的臨床療效。結果:1.兩組基線比較:治療前對兩組患者性別、年齡、病情、疼痛程度、病程等基線情況進行組間比較,結果均無統計學意義(P0.05),提示組間具有可比性。2.兩組疼痛(VAS)評分比較:兩組治療方法均能明顯降低患者的VAS疼痛評分(P0.05),且治療組優(yōu)于對照組(P0.05)。3.兩組加拿大骨性關節(jié)炎指數(WOMAC)各項評分比較:(1)兩組關節(jié)功能評分比較:兩組關節(jié)功能評分較治療前均有降低(P0.05),治療組略優(yōu)于對照組但無統計學意義(P0.05)。(2)兩組僵硬評分比較:兩組僵硬評分較治療前均有降低(P0.05),治療組略優(yōu)于對照組但無統計學意義P0.05)。(3)兩組疼痛評分比較:兩組疼痛評分較治療前均有降低(P0.05),治療組明顯優(yōu)于對照組且具有統計學意義(P0.05)。4.兩組總體療效比較:治療組有效率為100%,而對照組有效率為98%,兩組無顯著差異(P0.05)。進一步分析兩組顯效率,治療組顯效率為96%明顯高于對照組的80%,且差異具有統計學意義(P0.05)。5.整個治療過程中,兩組均無不良反應發(fā)生。結論:1.中醫(yī)綜合外治法即穴位麝香祛痛搽劑離子導入療法+祛風骨痛巴布膏貼敷療法治療膝骨性關節(jié)炎有效,尤其在改善關節(jié)疼痛方面療效顯著。2.中醫(yī)綜合外治法即穴位麝香祛痛搽劑離子導入療法+祛風骨痛巴布膏貼敷療法操作簡便、安全有效,具有推廣應用的前景。
[Abstract]:Objective: to observe the clinical effect of treating knee osteoarthritis with comprehensive external treatment of traditional Chinese medicine (TCM), I. e., ion-introduction therapy of acupoint musk dispelling pain liniment, expelling wind and bone pain, and applying patina ointment to treat knee osteoarthritis, in order to explore the definite curative effect, trade recognition and simple operation. Easy to promote the treatment of knee osteoarthritis external treatment of Chinese medicine comprehensive plan. Methods: a single-center randomized controlled study was conducted. All cases were from the Rehabilitation Department of Sichuan Orthopaedics Hospital. According to the principle of random grouping, 102 patients were divided into two groups: treatment group (52 cases) and control group (50 cases). The treatment group was treated by external therapy of traditional Chinese medicine, which was composed of "point musk dispel pain liniment iontophoresis therapy, expelling wind and bone pain and patina plaster". The control group was treated with the standard western medicine external treatment regimen composed of "Fu Thalin Latex Introduction Therapy, ketoprofen Patch membrane Application Therapy". The two groups were treated once a day for 7 days as a course of treatment, and 2 courses of treatment were given for 2 weeks. To observe the changes of pain (visual analogue score (VAS) score) and Canadian osteoarthritis index (WOMAC) before and after treatment in two groups, and to evaluate systematically the clinical effect of comprehensive external treatment of traditional Chinese medicine on knee osteoarthritis. The result is 1: 1. Baseline comparison between the two groups: before treatment, the baseline data of gender, age, condition, pain and course of disease were compared between the two groups. The results showed that there was no significant difference between the two groups (P 0.05), indicating that there was comparability between the two groups. 2. Comparison of pain score between the two groups: the VAS pain score was significantly decreased in both groups, and the treatment group was superior to the control group. Comparison of the scores of two groups of Canadian Osteoarthritis Index (WOMAC1): the scores of joint function in both groups were lower than those before treatment (P 0.05), the treatment group was a little better than the control group, but there was no significant difference between the two groups (P 0.05). Comparison: the scores of stiffness in both groups were lower than those before treatment, and the scores in the treatment group were slightly better than those in the control group, but there was no significant difference between the two groups in terms of pain score (P 0.05): the pain score of the two groups was lower than that of the control group (P 0.05), and the treatment group was obviously better than the control group. And it has statistical significance (P 0.05. 4). Comparison of the overall curative effect between the two groups: the effective rate in the treatment group was 100 and the effective rate in the control group was 98. There was no significant difference between the two groups (P 0.05). Further analysis showed that the effective rate of the treatment group was 96% higher than that of the control group (80%), and the difference was statistically significant (P 0.05). There were no adverse reactions in both groups during the whole course of treatment. Conclusion 1. The comprehensive external treatment of traditional Chinese medicine (TCM) is effective in the treatment of knee osteoarthritis, especially in the improvement of joint pain, especially in the treatment of knee osteoarthritis, especially in the treatment of knee osteoarthritis by ion-introduction therapy of acupoint musk dispelling pain liniment. The comprehensive external treatment of traditional Chinese medicine (TCM) is the ion-introduction therapy of acupoint musk dispel pain liniment, which is simple, safe and effective, and has the prospect of popularization and application.
【學位授予單位】：西南醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R274.9

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