中药熏洗治疗膝骨性关节炎70例

目的：探讨用中药熏洗治疗膝骨性关节病的临床疗效。方法：将膝骨性关节炎分为两组，以中药熏洗为治疗组，外敷扶他林乳胶剂为对照组，以临床症状为临床观察指标。结果：治疗组治愈率为70％，明显高于对照组40％，差异有明显的意义（p〈0．01）。结论：中药熏洗治疗细骨性关节炎患者症状明显改善。     

综合疗法治疗膝骨性关节炎疗效分析

通过膝关腔内注射复方培他米松、玻璃酸钠,自拟中药经验方熏洗,消肿止痛膏外敷,以及盐酸氨基葡萄糖片、双醋瑞因胶囊等综合疗法,治疗膝骨性关节炎56例,有效率达96.42%,疗效满意.中医辨证,中西药合用,标本兼治,疗效确切.     

运用中医肾主骨的理论治疗膝骨性关节炎临床研究

目的以刘柏龄教授"肾主骨"和"治肾亦即治骨"的理论为指导,治疗膝骨性关节炎。方法用补肾壮骨舒筋汤治疗膝骨性关节炎,观察疗效,并与服用壮骨关节丸对照。结果补肾壮骨舒筋汤治疗膝骨性关节炎,有效率86.7%,对照组有效率64.4%。结论以刘柏龄教授"肾主骨"和"治肾亦即治骨"的理论为指导,用补肾壮骨舒筋汤治疗膝骨性关节炎疗效确切。     

综合治疗膝骨性关节炎疗效观察

<正>膝骨性关节炎是因继发性骨质增生或软骨退行性改变引起的一种慢性关节疾病,临床主要表现为膝关节疼痛、僵硬、肿胀及活动障碍,严重者可导致膝关节畸形,影响患者的正常工作和生活。随着社会人口老龄化程度的加深,膝骨性关节炎已成为严重影响中老年人生活质量的常见病、多发病。在临床上,该病症治疗的基本原则是缓解疼痛,改善     

针刀配合中药熏洗治疗膝关节骨性关节炎

<正>膝关节骨性关节炎(OA)是临床常见病之一,以膝关节疼痛、僵硬、肿胀(积液)而致膝关节活动障碍为主要临床表现,不同程度地影响生活质量。治疗方法较多,如药物、理疗、手术等,但只能缓解症     

推拿配合中药熏洗治疗膝关节骨性关节炎38例

膝关节骨性关节炎是中老年人的常见病、多发病,不仅缠绵难愈,而且因膝关节疼痛、活动障碍而严重影响病人的生活质量,是目前骨伤科临床上一大难题.笔者于1998年3月-2003年6月,在我院骨科门诊采用推拿及中药熏洗治疗本病38例,收到一定效果.     

中药熏洗、外敷治疗老年性膝关节炎60例

老年性膝关节炎多属于骨性关节炎,是老年人常见的退行性病变,以膝关节的疼痛、活动障碍而影响老年人的工作和生活.1993年8月-2000年8月,笔者采用中药熏洗加中药外敷治疗本病60例,取得较好疗效,现总结如下.     

中药熏洗治疗膝关节骨性关节炎临床疗效观察

<正>膝关节骨性关节炎是临床常见病、多发病,负重关节发生疼痛、肿胀、活动受限,对患者的生活和工作影响较大,目前尚无统一的治疗方法。我院自2006年以来采用中药熏洗治疗膝骨性关节炎疗效满意,现报道如下:     

中药熏洗治疗膝关节骨性关节炎疗效观察

膝关节是骨性关节炎好发部位之一，是中老年人的常见疾病。笔者1998年～2004年，采用中药熏洗治疗膝关节骨性关节炎95例，取得满意的临床效果，现总结报告如下。     

膝骨性关节炎治疗及体会

目的分析应用关节镜治疗膝骨关节炎的疗效。方法对膝骨性关节炎患者实施关节镜清理术。结果经治疗，痊愈20例；显效33例；有效13例。结论关节镜清理术治疗膝骨性关节炎能使关节疼痛减轻，功能改善，疗效肯定。     

Treatment of knee osteoarthritis

Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease pain and improve function. Acetaminophen, glucosamine, ginger, S-adenosylmethionine (SAM-e), capsaicin cream, topical nonsteroidal anti-inflammatory drugs, acupuncture, and tai chi may offer some benefit. Tramadol has a poor trade-off between risks and benefits and is not routinely recommended. Opioids are being used more often in patients with moderate to severe pain or diminished quality of life, but patients receiving these drugs must be carefully selected and monitored because of the inherent adverse effects. Intra-articular corticosteroid injections are effective, but evidence for injection of hyaluronic acid is mixed. Arthroscopic surgery has been shown to have no benefit in knee osteoarthritis. Total joint arthroplasty of the knee should be considered when conservative symptomatic management is ineffective.     

Treatment options for patients with osteoarthritis of the knee

Knee osteoarthritis (OA) affects many older people and may result in pain and loss of function in the knee. The article explores the wide spectrum of treatments available, including education, exercise, pharmacological agents and surgery. The evidence for these treatments is examined so that nurses have a knowledge base on which to build their practice. The importance of individual patient characteristics and available resources when deciding on treatment options is emphasized. The article is intended to be of use for both acute and primary care nurses who care for patients with knee OA.     

膝关节骨性关节炎的运动疗法

目的：了解运动疗法在治疗膝关节骨性关节炎中的作用。方法：选取膝关节骨性关节炎患者40例,分成运动疗法组和对照组,每组各20例。使用日本整形外科学会的《膝关节功能评定表》进行评测,运动疗法组进行规范的肌力训练,对照组采用物理疗法。结果：训练后,运动疗法组患者膝关节功能比训练前明显改善,疗效优于对照组。结论：规范的运动疗法可减轻膝关节骨性关节炎的症状,改善其功能。     

蜡疗结合短波治疗膝骨性关节炎临床研究

目的观察蜡疗结合短波治疗膝骨性关节炎的疗效。方法将80例膝关节骨性关节炎患者随机分为两组,治疗组40例,给予蜡疗结合短波治疗,每日2次,常规治疗20 d;对照组40例,给予双氯芬酸钠口服治疗,50 mg,每日2次,治疗15～20 d。采用视觉模拟评分法（VAS）、西安大略和麦克马斯特大学骨性关节炎指数可视化量表（WOMAC）指数作为临床观察指标,观察两组治疗效果。结果两组治疗前后自身对照症状及关节功能得到明显改善,积分比较差异有统计学意义（P〈0.01）,两组间疗效比较差异有统计学意义（P〈0.05）。结论蜡疗结合短波治疗膝关节骨性关节炎疗效显著,不良反应发生率低,优于口服药物治疗。     

关节腔加压灌洗治疗重度膝骨关节炎临床效果观察

目的 探讨关节腔加压灌洗治疗重度膝骨关节炎炎性积液的疗效和安全性.方法 重度膝骨关节炎积液患者117例(137膝),按积液量分为治疗组61例(69膝),对照组56例(68膝).两组均第1周给以复方倍他米松,第2～6周注射玻璃酸钠,共6周为1疗程.治疗组在注射玻璃酸钠前加用关节腔加压灌洗.参照Lequesne骨关节炎评估法制定观察表,记录治疗前后积液量、疼痛、功能评分及不良反应.结果 117例患者均完成治疗,治疗组在关节积液量、疼痛和功能评定上明显优于对照组(P ＜ 0.05).结论 关节腔加压灌洗治疗重度膝骨关节炎炎性积液的疗效明显优于不进行加压灌洗治疗,无明显不良反应.     

Short-term effectiveness of ultrasound therapy in knee osteoarthritis

This randomized, placebo-controlled, double-blind study was designed to investigate the short-term efficacy of ultrasound therapy in 90 patients with knee osteoarthritis (OA). Patients were randomly assigned to three groups: group 1 received continuous ultrasound, group 2 received pulsed ultrasound, and group 3 received a 'sham' (placebo) ultrasound for 5 min each session. All treatments were applied once a day for 5 days a week for 2 weeks, i.e. a total treatment duration of 10 days. Compared with baseline, significant improvements were observed in the visual analogue scale pain scores and the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scores in all three groups. The reductions in pain and WOMAC scores were significantly higher in patients treated with pulsed ultrasound than in the placebo group. In conclusion, pulsed ultrasound therapy is a safe and effective treatment modality in patients with knee OA. Further research is required to investigate the long-term efficacy of pulsed ultrasound therapy in knee OA.     

Treatment of osteoarthritis of the knee with transcutaneous electrical nerve stimulation

Ten patients with pain due to osteoarthritis of the knee were treated in a double-blind cross-over study with two weeks of transcutaneous electrical nerve stimulation (TENS) and placebo. There was statistically significant pain relief by TENS and half of the patients chose to continue using TENS for pain control after the test month. However, at one year's follow-up, only two patients had sufficient benefit to continue using the device.