中医治疗骨关节炎120例临床观察.doc

中医治疗骨关节炎120例临床观察 摘 要 目的：探讨中医治疗骨关节炎的临床疗效。方法：收治骨关节炎患者120例，随机分成对照组和观察组各60例，对照组应用先行抽液后再注入玻璃酸钠2ml，每周注射1次，一般注射5次。观察组治疗采用中药治疗其原则是以滋补肝肾、祛风通络化瘀。结果：观察组显效29例，显效率483%，有效30例，有效率500%，无效1例，总有效率983%；对照组显效21例，显效率350%，有效32例，有效率533%，无效7例，总有效率883%，两组比较差异有显著性（P005）。结论：中医治疗骨关节炎的疗效显著。 关键词 骨关节炎 中医治疗 玻璃酸钠 疗效 doi：10.3969/j.issn.1007—614x.2012.29.151 Abstract Objective：To investigate the clinical efficacy of TCM treatment of osteoarthritis.Methods：from February 2011 to March 2012，the treatment of 120 cases of patients with osteoarthritis，were randomly divided into control group and observation group，60 cases，the control group were first pumping fluid and then injected into the glass sodium 2ml，weekly injection of a general injection of 5 times.Observation group treatment using traditional Chinese medicine treatment of its principles is nourishing liver and kidney，Qufeng network circulation.Results：Observer Group of 29 cases markedly，markedly effective rate was 483%，effective 30 cases，the effective rate of 500%，and 1 case，the total effective rate was 983%；the control group，21 cases markedly，markedly effective rate was 350%，effective 32 cases the effective rate was 533%，and 7 cases，the total effective rate was 883% respectively，there were significant differences （P005）.Conclusion：The efficacy of Chinese medicine in treating osteoarthritis，worthy of promotion. Key words osteoarthritis；Chinese medicine treatment；sodium hyaluronate；efficacy 骨关节炎临床上比较常见，主要表现为关节疼痛、肿胀和功能障碍1，多见于老年人，近年来，发病率呈逐年上升的趋势，影响了患者的生活质量，目前没有特效的药物。近年来采用中医治疗取得良好的临床效果，现报告如下。 资料与方法 2011年2月～2012年3月收治骨关节炎患者120例，男44例，女76例，年龄46～73岁，平均625岁；病程3～24年，平均156年；临床表现：所有患者均有不同程度的疼痛、肿胀、晨僵、功能障碍等。随机分成对照组和观察组各60例，两组在年龄、性别、临床表现、病程等方面无显著性差异。 方法：对照组用05%碘伏常规消毒膝关节皮肤后，取髌前外上穿刺点按无菌操作行膝关节穿刺，确认穿刺针进入关节腔后，注入玻璃酸钠2ml，若有关节积液，则应先行抽液后再注入玻璃酸钠。拔出穿刺针后，轻柔缓慢被动活动膝关节。每周注射1次，一般注射5次。观察组治疗原则是以滋补肝肾、祛风通络化瘀。方药组成：木瓜30g，鹿衔草30g，远志20g，石斛20g，茯苓20g，防己15g，白芍15g，红花15g，桃仁15g，地龙15g，牛膝15g，山茱萸肉15g，甘草10g，补骨脂10g，独活10g，苏木10g，石营蒲10g，熟地10g。手足冷加炮姜、细辛