通痹胶囊治疗膝骨性关节炎的临床观察.pdfVIP

通痹胶囊治疗膝骨性关节炎的临床观察 摘 要 本论文主要分为文献综述与临床观察两个部分： 第一部分文献综述：系统性回顾膝骨性关节炎的发病机制、临床表现及诊 断；膝关节的解剖、生理及关节面的退变，膝关节退变的致痛机理及其研究进展； 祖国医学对膝骨性关节炎的病因、病机、辩证论治等方面研究进展，探讨目前中 医药治疗膝骨性关节炎存在的不足和优势，以及未来的发展前景。 第二部分临床观察：目的：通过临床观察分析、探讨通痹胶囊对膝骨性关 节炎治疗效果及作用机理；方法：选取2011 年5 月至2012 年5 月于宝鸡市中医 医院60 例门诊的膝骨性关节炎随机平均分成治疗组和对照组，每组30 例，治疗 组予通痹胶囊，对照组予骨仙片，配合膝部理疗，禁止爬山、上下楼等运动，停 用其他药物治疗；2 周后统计结果，进行疗效观察；结果：治疗组：临床控制13 例，显效5 例，好转8 例，无效4 例，总有效率86.67%；对照组：临床控制14 例，显效3 例，好转7 例，无效6 例，总有效率80.00% 。两者比较在统计学上 具有显著差异(P0.05) ；说明通痹胶囊具有良好的镇痛效果，能够改善患者的临 床症状，从而提高患者的生活质量；结论：通痹胶囊对早期膝骨性关节炎疗效确 切，具有价格实惠，副作用少等优点，值得进一步的推广应用 关键词 通痹胶囊；膝骨性关节炎；临床观察 3 陕西中医学院2013 届硕士学位论文 Abstract This paper consists of two parts ： The first part is review the research of Knee Osteo Arthritis ，including the pathogenesis 、diagnose 、treatment 、research progress and so on;specially presented a deep discussion about the Chinese-traditional medicine therapeutics and the traditional therapeutics.Research of non-surgical operation ways and operation method to cure KOA.Inquiring into the shortage and advantage of the TCM treatment to cure KOA at present,and the vast development prospect. The other part is clinical observation ；Objective ：to investigate curative effect of the Tong bi capsules ；Methods ：60 patients of KOA were divided into two different groups by rat ，each group has 30 ，the treatment group were treated by Tong bi capsules,the other group were cure by The bone immortal piece :both group need to treat under have a rest ,Mountain climbing with up and down floor is prohibited,Stop other drugs,statistical result after two weeks,Curative effect analysis;Result:the treatment group :clinical control has 13 peop