五皮汤治疗髌上滑囊炎的临床探究.pdfVIP

提 要 目的：观察五皮汤治疗髌上滑囊炎的临床疗效，初步探讨其作用机理，以期为临 床治疗髌上滑囊炎寻找更多的途径。 方法：应用随机对照试验，将符合纳入标准的60例髌上滑囊炎患者分为治疗组 和对照组。治疗组予以五皮汤口服，对照组予以洛索洛芬钠片（乐松）口服，两组患 者中髌上滑囊肿胀明显者配合穿刺抽液并加压包扎。对两组患者治疗前后膝关节功能 评分、疼痛视觉模拟评分（VAS）及髌骨上2cm下肢周径的变化予以分析比较。 结果：两组治疗方法在提高膝关节功能评分、降低VAS评分、减小髌上2cm下肢 周径方面均有效，与对照组相比，治疗组效果更好，且均具显著性差异。治疗组应用 五皮汤治疗的35膝中，治愈14膝，好转20膝，无效1膝，有效率97.14%，与对照 组比较具有极显著性差异(P＜0.01)。 结论：五皮汤对髌上滑囊炎具有较好的治疗作用，可明显减轻疼痛、髌上囊肿胀 症状，并且能够提高膝关节功能评分。 关键词 髌上滑囊炎；五皮汤；临床研究 TheClinicalStudyontheeffectofFivePiDecoctionintreating TheClinicalStudyontheeffectofFivePiDecoctionintreating TThheeCClliinniiccaallSSttuuddyyoonntthheeeeffffeeccttooffFFiivveePPiiDDeeccooccttiioonniinnttrreeaattiinngg Suprapatellarbursitis Suprapatellarbursitis SSuupprraappaatteellllaarrbbuurrssiittiiss Speciality: Speciality: SSppeecciiaalliittyy::OrthopedicsofTCM Author: Author: AAuutthhoorr::XuYongjiang Tutor: Tutor: TTuuttoorr::Pro.DongJianwen Abstract Abstract AAbbssttrraacctt Objective: Objective: OObbjjeeccttiivvee:: our purpose is to investigate the clinical therapeutical effect of Five Pi Decoction in treating suprapatellar bursitis ,then explore its mechanism, and to search for newmethodtosolvesuprapatellarbursitis. Methods: Methods: MMeetthhooddss:: By using randomized control trial, 60 cases of suprapatellar bursitis patients meeting the inclusion criteria were divided into two groups: one was the treatment group, which included 30 cases that treated with Five Pi decoction. Another was the control group, which included 30 cases that treated with Loxoprofen sodium tablets. In both groups, patients with significant swelling in suprapatellar bursa were also treated with extractin