首页|着痹方联合中药溻渍治疗痰饮流注型膝关节滑膜炎临床观察

着痹方联合中药溻渍治疗痰饮流注型膝关节滑膜炎临床观察

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目的 观察着痹方联合中药溻渍治疗痰饮流注型膝关节滑膜炎的临床疗效.方法 将 92 例痰饮流注型膝关节滑膜炎患者按照随机数字表法分为2 组,对照组46 例予依托考昔片治疗,治疗组46 例在对照组治疗基础上予着痹方联合中药溻渍治疗,2 组均治疗2 周.比较2 组疗效;比较2 组治疗前后疼痛视觉模拟评分(VAS)、Lysholm膝关节评分;比较2 组治疗前后C反应蛋白(CRP)、红细胞沉降率(ESR)水平;比较2 组治疗前后膝关节周径.结果 治疗组总有效率91.30%(42/46),对照组总有效率73.91%(34/46),治疗组疗效优于对照组(P<0.05).2 组治疗后疼痛VAS均较本组治疗前降低(P<0.05),Lysholm膝关节评分较本组治疗前升高(P<0.05);治疗后治疗组疼痛VAS低于对照组(P<0.05),Lysholm膝关节评分高于对照组(P<0.05).2 组治疗后CRP、ESR均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组治疗后膝关节周径均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).结论 着痹方联合中药溻渍治疗痰饮流注型膝关节滑膜炎,可有效减轻患者疼痛程度,改善膝关节活动功能,缓解膝关节肿胀,降低炎症因子水平,有利于膝关节滑膜炎患者康复.
Clinical effect on the combination of Zhuobi Formula and Chinese medicine drench-soak therapy on gonarthromeningi-tis of phlegm dampness and collateral abstruction
Objective To observe the clinical effect of the combination of Zhuobi Formula and Chinese medicine drench-soak therapy on gonarthromeningitis of phlegm dampness and collateral abstruction.Methods Totally 92 patients with gonarthromeningitis of phlegm dampness and collateral abstruction were randomly assinged into control group(n =46)and treat-ment group(n =46).All patients were given Etoricoxib Tablets,the patients of treatment group were additionally given Zhuobi Formula and Chinese medicine drench-soak therapy.The treatment was performed for two weeks,aiming to compare the cura-tive effect,the scores of visual analogue scale(VAS)and Lysholm knee,and the levels of C-reactive protein(CRP)and e-rythrocyte sedimentation rate(ESR)between groups before and after treatment.The circumference of knee joint was assessed.Results The total effective rate in the treatment group was better than that of the control group(91.30%[42/46]vs 73.91%[34/46],P<0.05).Significantly reduced VAS pain scores(P<0.05)and significantly increased Lysholm knee scores(P<0.05)were detected in both groups,and the treatment group was superior to the control group for pain VAS and Lysholm knee score(both P<0.05).After treatment,the levels of CRP and ESR in the two groups were significantly lower(P<0.05),and the decrease in the treatment group was more significant(P<0.05).After treatment,the circumference of knee joint was sig-nificantly shorter(P<0.05),and which in the treatment group was more common(P<0.05).Conclusion For gonarthromeningitis of phlegm dampness and collateral abstruction,the combination of Zhuobi Formula and and Chinese medicine drench-soak therapy can effectively reduce the degree of pain,improve the function of knee joint movement,relieve knee joint swelling,and reduce the level of inflammatory factors,which is a therapeutic means conducive to their rehabilitation.

Joint diseaseSynovitisKnee injuryTraditional Chinese medicine therapy

李明、曹玉净、吕秋霞、李光辉、王文庆、李家乐、钱亚男

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河南中医药大学骨伤学院,河南 郑州 450003

河南省中医院创伤骨科,河南 郑州 450003

河南省中医院肛肠外科,河南 郑州 450003

关节疾病 滑膜炎 膝损伤 中药疗法

河南省中医药拔尖人才培养项目(2019)

2019ZYBJ15

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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