经络段“放线”法治疗膝关节骨关节炎的临床探究.pdfVIP

提 要 目的：本论文从基础理论、临床研究两个方面初步分析探讨采用经络段注射玻璃 酸钠治疗膝关节骨关节炎的新方法。方法：根据随机数字表法将 52 例患者随机分为 2组，分别是试验组（沿经络段5公分长向注射玻璃酸钠注射液—经络段“放长线” 组) 25 例和对照组（中药自拟膝痹汤加减组)27例，5周为1疗程，对照观察治疗前 后 VAS 评分、Lequesne 指数评分的变化。结果：试验组与对照组在治疗后的 VAS 评 分上不存在显著差异（P0.05），但试验组的均值低于对照组；两组治疗后的Lequesne 指数总分及运动痛、肿胀评分均存在显著性差异（P0.05），说明在改善 Lequesne 指数评分上试验组优于对照组。结论：经过1个疗程的治疗，两组患者在疼痛、肿胀、 晨僵、行走能力等方面均有明显改善，试验组优于对照组，尤其对关节肿痛的疗效明 显优于对照组。 关键词 膝关节骨关节炎；经络段；玻璃酸钠； Clinical observation of the treatment of KOA with the meridian segment actinobacillus Speciality: Internal Medicine of T.C.M Rheumatic Disease Author: Zhao Zhenhua Tutor: Professor Zhang Liting Abstract Purpose: This papers analysis preliminary the new way to treat osteoarthritis of the knee from two aspects which are the basic theory and clinical study, and the new way is injecting sodium hyaluronate in the meridian segment. Methods: According to the random number table, 44 patients were divided into two groups randomly, respectively,the experimental group (meridian segment Actinobacillus group) which had 25 cases and the control group (drink traditional Chinese medicine which is the knee Bi Decoction group) which had 27 cases. A course of treatment was five weeks, to observed the symptoms and signs before and after the treatment. Results: The treatment group and control group were no significant differences (P 0.05) in VAS score after treatment, but the treatment group mean was lower than the control group; After the treatment, the Lequesne index score and the pain of movement, swelling scores were significant differences (P 0.05), and this certificates that the treatment group was better than the control group in improving the Lequesne index score. Conclusion: After a course of treatment, patients wer