| 引用本文: |
罗海恩,汤英,何灿宇,苏新平.自拟通络消积汤辨证加味联合微波治疗膝骨关节炎并关节积液的临床观察[J].湖南中医药大学学报,2019,39(11):1386-1390[点击复制] |
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| 自拟通络消积汤辨证加味联合微波治疗膝骨关节炎并关节积液的临床观察 |
| 罗海恩,汤英,何灿宇,苏新平 |
| (湖南省中医药研究院附属医院骨伤科, 湖南 长沙 410006) |
| 摘要: |
| 目的 探讨自拟通络消积汤辨证加味联合微波治疗膝骨关节炎并关节积液的临床疗效。方法 选自2016年4月至2017年4月本院收治的膝骨关节炎并关节积液患者114例，随机分为两组各57例。对照组患者采用微波治疗，研究组患者采用自拟通络消积汤辨证加味联合微波治疗，观察比较两组的临床疗效。结果 研究组患者治疗有效率98.2%高于对照组86.0%（P<0.05）；治疗后研究组患者的活动障碍、关节肿胀、局部压痛、关节疼痛评分均低于对照组（P<0.05），双支撑相、步频、步速、步长改善情况优于对照组（P<0.05），白细胞介素1β（Interleukin1 β，IL-1β）、白细胞介素-6（interleukin-6，IL-6）和肿瘤坏死因子-α（Tumor Necrosis Factor，TNF-α）水平均低于对照组（P<0.05）。结论 自拟通络消积汤辨证加味联合微波治疗膝骨关节炎并关节积液患者，镇痛效果显著，且能明显缓解关节肿胀，较好地改善患者的下肢关节功能，避免患者病情的进一步恶化，值得临床推广应用。 |
| 关键词: 膝骨关节炎 关节积液 自拟通络消积汤 微波治疗 |
| DOI：10.3969/j.issn.1674-070X.2019.11.021 |
| 投稿时间：2019-05-30 |
| 基金项目:湖南省自然科学基金（2014SK3054）；湖南省中医药研究院院级项目（2015JJ6057）。 |
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| Clinical Observation on Self-made Tongluo Xiaoji Decoction Based on Syndrome Differentiation Combined with Microwave in Treating Knee Osteoarthritis and Joint Effusion |
| LUO Haien,TANG Ying,HE Canyu,SU Xinping |
| (Department of Orthopedics, The Affiliated Hospital of Hunan Institute of Traditional Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| Objective To investigate the effect of self-designed Tongluo Xiaoji Decoction on syndrome differentiation combined with microwave in the treatment of knee osteoarthritis and joint effusion. Methods A total of 114 patients with knee osteoarthritis and joint effusion admitted to our hospital from April 2016 to April 2017 were selected and randomly divided into 2 groups, with 57 cases in each group. Patients in the control group were treated with microwave, while those in the study group were treated with the combination of self-designed modified Tongluo Xiaoji Decoction based on syndrome differentiation and microwave. The clinical effect of both groups was observed. Results The effective rate of treatment was 98.2% in the study group, which was higher than 86.0% in the control group (P<0.05). The scores of dyskinesia, joint swelling, local tenderness and joint pain in the study group were all lower than those in the control group (P<0.05). The improvement of double-support time, walking frequency, walking speed and walking distance in the study group was better than that in the control group (P<0.05). The levels of Interleukin 1β (IL-1β), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-N) in the study group after treatment were lower than those in the control group (P<0.05). Conclusion Self-designed modified Tongluo Xiaoji Decoction based on syndrome differentiation and microwave in the treatment of patients with knee osteoarthritis and joint effusion has significant analgesic effect, and it can obviously alleviate joint swelling, better improve the lower limb joint function of the patient, and avoid further deterioration of the patient's condition, which is worthy of clinical popularization and application. |
| Key words: knee osteoarthritis joint effusion self-made Tongluo Xiaoji Decoction microwave therapy |
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