【2017年整理】三痹汤加减内服配合中药外用治疗膝骨关节炎45例.docVIP

三痹汤加减内服配合中药熏蒸治疗膝骨关节炎90例 林涌泉1 余成浩2△ 1． 广元市中医院 （ 四川 广元 628002） 2． 成都中医药大学 （ 四川 成都 610075） 摘要：目的 观察应用三痹汤加减配合中药熏蒸治疗膝骨关节炎的疗效。方法：将90例膝骨关节炎患者随机分组为治疗组和对照组各45例，对照组采用西药内服，关节腔注射玻璃酸钠。治疗组采用三痹汤加减内服，中药熏蒸治疗，15天为一个疗程，共治疗2个疗程。结果：治疗组有效率为93.33%，对照组有效率82.22%，高于对照组，差异有显著性（P0.05）。结论：三痹汤加减配合中药熏蒸治疗膝骨关节炎，可以更好的减轻膝骨关节炎症，减轻疼痛，改善症状。 关键词 膝骨性关节炎 中医药疗法 三痹汤加减 中药外用熏蒸 45 cases of traditional Chinese medicine fumigation treatment of osteoarthritis of the knee with Sanbi Decoction Lin Yongquan1 and Yu Chenghao 2 △ Guangyuan Hospital of Traditional Chinese Medicine in 1 (Sichuan Guangyuan 628002) 2 Chengdu University of Traditional Chinese Medicine (Sichuan Chengdu 610075) Abstract: Objective To observe the application of Sanbi decoction combined with the effect of Chinese herbal fumigation in treating knee osteoarthritis. Methods: 90 cases of knee osteoarthritis were randomly divided into treatment group and control group with 45 cases in each group, the control group treated with western medicine orally, intra-articular injection of sodium hyaluronate. The treatment group received Sanbi Decoction, traditional Chinese medicine fumigation treatment, 15 days for a course of treatment, a total of 2 courses of treatment. Results: the effective rate of the treatment group was 93.33%, the effective rate of control group was 82.22%, higher than that of the control group, there was significant difference (P0.05). Conclusion: Sanbi Decoction Combined with traditional Chinese medicine fumigation in treating knee osteoarthritis, can reduce the knee joint inflammation, better pain relief, improvement of symptoms. Keywords knee osteoarthritis therapy of traditional Chinese medicine Sanbi Decoction of Chinese medicine fumigation 骨关节炎是以关节软骨退行性病变和继发性骨质增生为特征的慢性关节疾病，其病情发展缓慢且最终破坏整个关节，导致关节功能障碍。膝关节是骨性关节炎的好发部位之一，多见于老年人【1】，以关节肿胀疼痛变形，屈伸活动不利，活动时有摩擦声，步行时膝关节疼痛加重为主要临床表现。笔者自2010年8月至2013年6月采用内服三痹汤外用中药熏蒸与口服西药硫酸氨基葡萄糖片及关节腔内注射玻璃酸钠，进行对比治疗，现在报道如下： 1资料与方法 1.1一般资料 两组90例病人，为本院2010年8月至2013年6月在我院住院的患者。治疗组45例，男性18例，女性27例，年龄45-78岁，病程2-12年