[1]高文香,郝军.筋病理论指导下中医综合疗法治疗膝骨关节炎[J].中医正骨,2014,26(01):60-62.
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筋病理论指导下中医综合疗法治疗膝骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年01期
页码:
60-62
栏目:
骨关节炎
出版日期:
2014-01-28

文章信息/Info

作者:
高文香郝军
河南省洛阳正骨医院,河南 洛阳 471002
关键词:
骨关节炎膝 中医疗法 中药疗法 筋病理论
摘要:
目的:探讨筋病理论指导下中医综合疗法治疗膝骨关节炎的临床疗效。方法:2008年3月至2011年3月,在“筋为骨用”筋病理论指导下,采用中医综合疗法治疗膝骨关节炎患者100例,男24例,女76例; 年龄40~80岁,中位数58.5岁; 髌股关节骨关节炎26例,内侧胫股关节骨关节炎35例,外侧胫股关节骨关节炎15例,全膝骨关节炎24例; 病程3~248个月,中位数33个月。分别在治疗前、治疗4周后及治疗后2年采用西安大略和麦克马斯特大学骨关节炎指数对患膝疼痛、僵硬及关节功能情况进行评价。结果:本组100例患者,96例获得2年随访; 治疗后患膝疼痛缓解,关节僵硬减轻,关节功能改善。96例患者骨关节炎指数总评分治疗前(59.38±15.19)分,治疗4周后(13.30±17.42)分,治疗后2年(12.09±13.99)分。膝关节不同部位骨关节炎指数总评分,髌股关节骨关节炎治疗前(53.08±15.49)分,治疗4周后(8.69±11.30)分,治疗后2年(10.08±7.90)分; 内侧胫股关节骨关节炎治疗前(65.57±12.61)分,治疗4周后(13.65±10.48)分,治疗后2年(15.11±18.58)分; 外侧胫股关节骨关节炎治疗前(49.00±11.78)分,治疗4周后(8.13±8.07)分,治疗后2年(14.93±15.39)分; 全膝骨关节炎治疗前(64.50±14.60)分,治疗4周后(12.05±7.56)分,治疗后2年(7.30±7.19)分。4例晚期重度全膝骨关节炎患者,治疗后症状无明显缓解,改行全膝关节置换术。结论:在筋病理论指导下采用中医综合疗法治疗膝骨关节炎,可有效缓解患膝疼痛和僵硬,改善关节功能。

参考文献/References:

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更新日期/Last Update: 2014-01-20