[1]李娟,习振文,郭应强,等.三联疗法治疗阳虚寒凝证膝骨性关节炎的临床疗效[J].西部中医药,2018,31(07):92-95.
　LI Juan,XI Zhenwen,GUO Yingqiang,et al.Clinical Effects of Triple Therapy in Treating Knee Osteoarthritis of Yang Deficiency and Cold Coagulation Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(07):92-95.
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三联疗法治疗阳虚寒凝证膝骨性关节炎的临床疗效()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年07期
页码:
92-95
栏目:
出版日期:
2018-07-15

文章信息/Info

Title:
Clinical Effects of Triple Therapy in Treating Knee Osteoarthritis of Yang Deficiency and Cold Coagulation Pattern
文章编号:
1004-6852(2018)07-0092-04
作者:
李娟1，习振文1，郭应强1，张跃萍1，吴锦秋2，3△
1 甘肃省人民医院，甘肃 兰州 730000； 2 甘肃省中医院； 3 甘肃省中医药研究院
Author(s):
LI Juan1, XI Zhenwen1,GUO Yingqiang1, ZHANG Yueping1, WU Jinqiu2,3△
1 Gansu Provincial Hospital, Lanzhou 730000, China; 2 Gansu Provincial Hospital of Traditional Chinese Medicine; 3 Gansu Provincial Academy of Chinese Medicine
关键词:
骨性关节炎; 膝; 阳虚寒凝证; 针刺; 关节腔注射; 威伐光
Keywords:
knee osteoarhritis;  Yang deficiency and cold coagulation pattern;  needling;  articular injection;  hydrosun
分类号:
R684
文献标志码:
B
摘要:
目的：评价常规疗法、二联疗法和三联疗法治疗阳虚寒凝证膝骨性关节炎(KOA)的临床疗效。方法：将KOA阳虚寒凝证患者90例随机分为3组：常规(透明质酸钠关节腔注射)治疗组、二联(针刺+透明质酸钠关节腔注射)治疗组和三联(针刺+威伐光+透明质酸钠关节腔注射)治疗组，每组30例，疗程5周。比较3组总有效率及西安大略麦克马斯特大学骨性关节炎指数(WOMAC)变化情况。结果：总有效率三联治疗组为93.3%，优于常规治疗组的76.7%和二联治疗组的83.3%(P＜0.05)；常规治疗与二联治疗组比较差异无统计学意义(P＞0.05)。WOMAC指数：治疗5周时，常规治疗组为（24.44±6.68）分、二联治疗组为（22.74±7.65）分和三联治疗组为（16.12±3.93）分，三联治疗组疗效优于常规治疗组和二联治疗组(P＜0.05)，常规治疗组与二联治疗组比较差异无统计学意义(P＞0.05)；治疗后6个月时，三联治疗组为（18.35±3.57）分，优于常规治疗组的（46.26±3.95）分和二联治疗组的（35.54±4.21）分(P＜0.01)，二联治疗组疗效优于常规治疗组(P＜0.05)。结论：应用三联疗法治疗KOA(阳虚寒凝证)的近期(5周)和远期(治疗后6个月)疗效优于常规疗法和二联疗法，可有效改善患者膝关节功能，提高患者生活质量。
Abstract:
Objective: To assess clinical effects of conventional therapy, bigeminal therapy and triple therapy in treating knee osteoarhritis (KOA) of Yang deficiency and cold coagulation pattern. Methods: All 90 patients were randomized into three groups: conventional therapy group (articular injection of sodium hyaluronate), bigeminal therapy group (needling+articular injection of sodium hyaluronate) and triple therapy group (needling+hydrosun+articular injection of sodium hyaluronate), 30 cases each group, the course was five weeks. The changes of WOMAC index and total effective rates of three groups were compared. Results: Total effective rates of triple therapy group was 93.3%, superior to 76.7% of conventional therapy group and 83.3% of bigeminal therapy group (P＜0.05); the difference had no statistical meaning in the comparisons beween conventional therapy group and bigeminal therapy group (P＞0.05). WOMAC indexes of conventional therapy group, bigeminal therapy group and triple therapy group were (24.44±6.68), (22.74±7.65) and (16.12±3.93) after treating for five weeks, triple therapy group was better than conventional therapy group and bigeminal therapy group (P＜0.05), the difference had no statistical meaning when conventional therapy group was compared with bigeminal therapy group (P＞0.05); after treating for six months, WOMAC index of triple therapy group was (18.35±3.57), higher than (46.26±3.95) of conventional therapy group and (35.54±4.21) of bigeminal therapy group (P＜0.01), bigeminal therapy group was superior to conventional therapy group in clinical effects (P＜0.05). Conclusion: Short-term (five weeks) and long-term (in six months after treating) effects of triple therapy in the treatment for KOA of Yang deficiency and cold coagulation pattern are superior to these of conventional therapy and bigeminal therapy, which could effectively improve knee joint function and life quality of the patients.

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备注/Memo

备注/Memo:
收稿日期：2017-11-09 *基金项目：中医药行业科研专项(编号201507001-06)。 作者简介：李娟(1981—)，女，硕士学位，主治医师。研究方向：慢性病的传统和物理康复治疗。 △通讯作者：吴锦秋(1976—)，男，博士学位，副主任医师。研究方向：关节与运动损伤疾病的诊治。
更新日期/Last Update: 2018-07-15