独活寄生汤联合艾灸治疗膝骨关节炎30例.docVIP

独活寄生汤联合艾灸治疗膝骨关节炎30例 　　【摘 要】目的：观察独活寄生汤联合艾灸治疗膝骨关节炎的疗效。方法：将60例膝骨关节炎患者随机分为治疗组和对照组，每组30例。治疗组给予独活寄生汤口服联合艾灸治疗，对照组给予塞来昔布胶囊口服治疗，两组疗程均为20 d。采用视觉模拟评分法（VAS）和骨关节炎指数评分法（WOMAC）作为观察指标。结果：治疗组临床痊愈5例，显效17例，有效5例，无效3例，有效率占90.00%；对照组临床痊愈6例，显效13例，有效9例，无效2例，有效率占93.30%。两组比较，差异无统计学意义（P 0.05）。治疗后两组VAS评分和WOMAC评分均显著降低，治疗前后比较，差异有统计学意义（P 0.01）；且治疗组WOMAC评分的降低优于对照组（P 0.05）。结论：独活寄生汤联合艾灸治疗膝骨关节炎疗效优于塞来昔布胶囊，且具有更好的安全性。 　　【关键词】 骨关节炎，膝；独活寄生汤；艾灸；痹证；临床观察 　　doi：10.3969/j.issn.2095-4174.2014.05.003 　　On 30 Cases of Knee Osteoarthritis Treated with Duhuo Jisheng Decoction Combined with Moxibustion 　　ZHANG Mei-ling，CHEN Qian-yan 　　【ABSTRACT】 Objective：To observe the curative effects of Duhuo Jisheng Decoction combined with moxibustion in the treatment of knee osteoarthritis.Methods：60 cases of knee osteoarthritis were randomly and equally divided into the treatment group and the control group.The treatment group were given orally Duhuo Jisheng Decoction combined with moxibustion treatment，and the control group were given orally Celecoxib Capsules，two groups being treated for 20 days.The Visual Analogue Scale （VAS） and the Western Ontario and McMaster Universities Arthritis Index （WOMAC） were used as the observation index.Results：5 cases of the treatment group were clinically cured，17 cases being markedly effective，5 cases effective，and 3 cases invalid，and the effective rate being 90%； 6 cases of the control group were cured clinically，13 cases being markedly effective，9 cases effective，2 cases invalid，and the effective rate being 93.30%.The difference between the two groups was not statistically significant（P 0.05）.After treatment，the VAS score and WOMAC score of the two groups were significantly decreased compared with those before treatment，the difference being statistically significant（P 0.01）， 　　and the decrease of the WOMAC score of the treatment group was better than that of the control group （P 0.05）.Conclusion：Duhuo Jisheng Decoction combined with moxibustion has a better curative effect on