消痛散热敷结合电针对膝骨性关节炎ISOA的影响.docVIP

消痛散热敷结合电针对膝骨性关节炎ISOA的影响 邹胜祥 张泽松 陈传杰 （广东省东莞市清溪医院康复中医科，广东东莞 523660） [摘要] 目的：观察消痛散热敷结合电针治疗膝骨性关节炎的效果。方法：选择60例膝骨性关节炎患者，随机分为对照组和治疗组（每组30例）。对照组采用电针配合TDP灯照射治疗，治疗组在对照组治疗的基础上再配合消痛散热敷治疗。在治疗前及每个疗程结束后进行ISOA膝骨关节严重性指数的评估。结果：对照组能在第二、三疗程有效改善ISOA膝骨关节严重性指数，而治疗组在第一疗程即显示改善作用，并在第二、三疗程显示其改善ISOA膝骨关节炎严重性指数的效果优于对照组。结论：消痛散热敷结合电针是治疗膝骨性关节炎的有效方法，能够缓解关节疼痛和僵硬，由此提高患者日常生活质量水平。 [关键词] 消痛散 热敷 电针 膝骨性关节炎 ISOA膝骨性关节炎严重性指数 Effect of hot compress of Xiaotongsan plus electroacupuncture on ISOA in patients with knee osteoarthritis ZOU Shengxiang, ZHANG Zesong, CHEN Chuanwang (Guangdong Province Dongguan Qingxi Hospital, Guangdong Dongguan, 523660) Abstract: Objective To observe the efficacy of combination therapy of Xiaotongsan hot compress with electroacupuncture on knee osteoarthritis. Methods 60 cases of patients with knee osteoarthritis were divided into control group and treatment group randomly (30 patients in each group). Both of two groups were given electroacupuncture plus TDP irradiation but the treatment group was given a hot compress of traditional medicine Xiaotongsan additionally. Evaluate index of severity for osteoarthritis (ISOA) before treatment and at the end of each course. Results The control group can lower ISOA in second and third course while the treatment group show therapeutic effect in first course, and even better than control group in second and third course. Conclusion Hot compress of Xiaotongsan plus electroacupuncture are effective for the knee osteoarthritis. They can reduce the pain and stiffness of patients and ultimately improve their ability of daily life. Key words: Xiaotongsan; Hot compress; electroacupuncture; knee osteoarthritis; ISOA 骨关节炎（Ostcoarthritis OA）是以关节软骨的变性、硬化及骨质增生为特征的慢性关节病，其中膝关节受累为临床最为常见。如何减轻消除膝骨关节疼痛、矫正畸形、改善或恢复关节功能、改善生活质量是临床治疗目的。近年来我们采用消痛散热敷结合电针治疗膝骨性关节炎30例，取得良好的疗效，现报道如下。 1 资料与方法 1.1 一般资料 选取我院康复中医科2012年12月至2013年12月门诊和住院部膝骨性关节炎患者60例，其中男23例，女37例，年龄最大81岁，最小45岁，平均66.08±7.22岁,病程最长15年,最短2个月.随机分为治疗组和对照组各30例,两组病例的性别、年龄、病程、疼痛程度、患膝分布等比较均无显著性差异