中药熏洗治疗膝关节骨关节病疗效观察

为观察中药舒筋汤熏洗治疗膝关节骨关节病的疗效,随机将114例病人分为两组.观察组(A组)61例采用中药舒筋汤熏洗患膝部;对照组(B组)53例采用骨友灵外搽患膝部加热水熏洗.治疗时间均为4周.结果显示两组治疗后的近期HSS均较治疗前有非常明显的提高(P＜0.01);远期HSS A组仍较治疗前有明显提高(P＜0.05),而B组与治疗前相比无改善(P＞0.05).两种治疗方法总疗效比较,近期疗效A组明显优于B组(P＜0.05);远期疗效A组非常明显优于B组(P＜0.01).另外,两组治疗后HSS评分差比较A组明显高于B组(P＜0.05).临床统计结果提示中药外用是治疗膝关节骨关节病一种较好的方法,但舒筋汤熏洗较传统药物疗效更好,症状复发率更低.

THE TREATMENT OF KNEE OSTEOARTHRITIS BY TCD STEAMING AND WASHING:A Therapeutic-effect Observation

In order to observe the therapeutic effect of "SHUJIN TANG" (SJT, a TCD decoction for relaxing soft tissues) steaming and washing (SW) on knee osteoarthritis (KO), 114 cases of KO were randomly divided into two groups: Group A (n=61 cases) and Group B (n=53 cases), which were treated for four weeks by SJT SW and by externally applied "GUYOULING" (anhydride) and hot-water steaming and washing, respectively. The results showed: (1) the post-treatment short-term HSS of both groups obtained a very significant improvement (P < 0.01); (2) the long-term HSS of Group A had a significant improvement (P < 0.05) but that of Group B did not compared with the pre-treatment one (P > 0.05). The comparison of the total therapeutic effects of the two groups showed that Group A had a significant advantage over Group B in the short-term therapeutic effect (P > 0.05), especially in the long-term therapeutic effect (P > 0.01). Moreover, the comparison of the post-treatment HSS scoring differences of the two groups showed a significant advantage of Group A over Group B (P > 0.05). The results of the clinical statistics suggests that the external application of TCD is a good therapy for knee osteoarthritis and SJT SW could produce a better result with a lower incidence of the symptoms.