摘要
目的:观察洗腿又方熏洗治疗风寒湿痹型膝骨性关节炎的临床疗效,探讨其对膝关节腔内积液的影响。方法:将64例风寒湿痹型膝骨性关节炎患者按照随机数字表法分为治疗组和对照组,每组各32例。治疗组采用洗腿又方熏洗膝关节,每次30 min,每天1次;对照组给予扶他林乳剂涂抹于膝关节外部皮肤,每天3次。2组均以15 d为1个疗程,连续治疗2个疗程。治疗前后采用症状积分、简化Mc Gill疼痛评分、病情评估及临床疗效评定等评价疗效,采用彩色多普勒超声诊断仪检测膝关节腔内积液含量。结果:2组治疗后症状积分、简化Mc Gill疼痛评分较治疗前明显降低(P<0.05),病情程度改善方面较治疗前明显好转(P<0.05);治疗后治疗组症状积分和疼痛评分下降程度、临床总有效率及病情程度改善均明显大于对照组(P<0.05)。2组治疗后膝关节腔内积液含量较治疗前有明显下降(P<0.05),治疗后治疗组积液含量下降程度明显大于对照组(P<0.05)。结论:洗腿又方熏洗治疗风寒湿痹型膝骨性关节炎有较好的临床疗效,能有效促进膝关节腔内积液的吸收。
Objective：To observe the clinical effect of Xituiyou decoction steam-wash therapy on knee osteoarthritis patients with wind-cold-dampness arthralgia syndrome, and explore the decoction effect on articular cavity hydrops. Methods：A total of 64 knee osteoarthritis patients with wind-cold-dampness arthralgia syndrome were randomly assigned to the treatment group and control group with32 patients in each group. The treatment group received Xituiyou decoction steam-wash therapy 30 minutes each time, once a day, and the control group received external application with diclofenac diethylamine emulgel（Voltaren） three times a day, fifteen days as a course of treatment, and all patients lasted for a total of two courses of treatment. Symptom score, Mc Gill pain score, and improvement of pathogenetic condition before and after treatment were used to evaluate the clinical effect of the decoction, and joint effusion content was detected. Results：Symptom score, pain score and joint effusion content of both groups were decreased after treatment compared with those before treatment（P〈0.05）, and the improvement of pathogenetic condition was better than that of before treatment（P〈0.05）.The decreasing amplitude of symptom score, pain score and joint effusion content in the treatment group after treatment were higher than those of the control group（P〈0.05）, the clinical effective rate and improvement of pathogenetic condition in treatment group were better than those of the control group（P〈0.05）. Conclusion：Xituiyou decoction steam-wash therapy has a positive effect on knee osteoarthritis patients with wind-cold-dampness arthralgia syndrome, and the decoction can promote the absorption of joint effusion.
作者
朱定钰
吴广文
叶国平
林银英
吴明霞
ZHU Dingyu;WU Guangwen;YE Guoping;LIN Yinying;WU Mingxia(The Second Affiliated Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350003,China;Academy of Integrative Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China;Fujian Key Laboratory oflntegrative Medicine on Geriatrics,Fuzhou,Fujian 350122,China;College of Acupuncture and Moxibustion,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China)
出处
《康复学报》
2018年第4期18-21,共4页
Rehabilitation Medicine
基金
国家自然科学基金项目(81202712)
陈可冀中西医结合发展基金项目(CKJ2017002)
关键词
膝骨性关节炎
风寒湿痹型
洗腿又方
关节积液
knee osteoarthritis
wind-cold-dampness arthralgia syndrome
Xituiyou decoction
articular cavity hydrops
