摘要
为观察中药舒筋汤熏洗治疗膝关节骨关节病的疗效 ,随机将 114例病人分为两组。观察组 (A组 ) 6 1例采用中药舒筋汤熏洗患膝部 ;对照组 (B组 ) 5 3例采用骨友灵外搽患膝部加热水熏洗。治疗时间均为 4周。结果显示两组治疗后的近期HSS均较治疗前有非常明显的提高 (P <0 .0 1) ;远期HSSA组仍较治疗前有明显提高 (P <0 .0 5 ) ,而B组与治疗前相比无改善 (P >0 .0 5 )。两种治疗方法总疗效比较 ,近期疗效A组明显优于B组 (P <0 .0 5 ) ;远期疗效A组非常明显优于B组 (P <0 .0 1)。另外 ,两组治疗后HSS评分差比较A组明显高于B组 (P <0 .0 5 )。临床统计结果提示中药外用是治疗膝关节骨关节病一种较好的方法 ,但舒筋汤熏洗较传统药物疗效更好 ,症状复发率更低。
In order to observe the therapeutic effect of 'SHUJIN TANG' (SJT, a TCD decoction for relaxing soft tissues) steaming and washing (SW) on knee osteoarthritis (KO), 114 cases of KO were randomly divided into two groups: Group A (n=61 cases) and Group B (n=53 cases), which were treated for four weeks by SJT SW and by externally applied 'GUYOULING' (anhydride) and hot-water steaming and washing, respectively. The results showed: (1) the post-treatment short-term HSS of both groups obtained a very significant improvement (P < 0.01); (2) the long-term HSS of Group A had a significant improvement (P < 0.05) but that of Group B did not compared with the pre-treatment one (P > 0.05). The comparison of the total therapeutic effects of the two groups showed that Group A had a significant advantage over Group B in the short-term therapeutic effect (P > 0.05), especially in the long-term therapeutic effect (P > 0.01). Moreover, the comparison of the post-treatment HSS scoring differences of the two groups showed a significant advantage of Group A over Group B (P > 0.05). The results of the clinical statistics suggests that the external application of TCD is a good therapy for knee osteoarthritis and SJT SW could produce a better result with a lower incidence of the symptoms.
出处
《中医正骨》
2004年第1期3-3,5,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
膝关节骨关节病/中医药疗法
舒筋汤/治疗应用
外治法
熏洗法
临床研究
knee osteoarthritis/TCM therapy, 'SHUJIN TANG' /therapeutic application, external therapy, steaming and washing, clinical study
