| 针刀联合消瘀散外敷治疗膝骨关节炎的临床观察 |
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| 引用本文： | 冯文昌,王庆,马碧涛,滕蔚然,金立伦.针刀联合消瘀散外敷治疗膝骨关节炎的临床观察[J].上海中医药杂志,2018,52(8):54-57. |
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| 作者姓名： | 冯文昌 王庆 马碧涛 滕蔚然 金立伦 |
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| 作者单位： | 上海交通大学医学院附属新华医院中医骨伤科 |
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| 基金项目： | 上海市科委资助项目(154019700500) |
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| 摘 要： | 目的观察针刀联合消瘀散外敷治疗膝骨关节炎的临床疗效。方法将111例膝骨关节炎患者随机分为治疗组(55例)与对照组(56例)。治疗组予针刀联合消瘀散外敷,对照组予扶他林乳胶剂外涂。两组疗程均为2周,比较膝关节功能相关评分(Lysholm评分、WOMAC评分)、膝关节疼痛评分(VAS评分)、膝关节肿胀程度及活动度,观察用药安全性。结果 (1)最终完成试验者,治疗组与对照组各50例。(2)治疗前与治疗后1个月、治疗后3个月分别组内比较,两组Lysholm评分均明显升高(P0.05),而WOMAC、VAS评分均明显降低(P0.05)。组间治疗后1个月、治疗后3个月比较,治疗组Lysholm评分均明显高于对照组(P0.05),而WOMAC、VAS评分均明显低于对照组(P0.05)。(3)治疗前与治疗后1个月、治疗后3个月分别组内比较,治疗组膝关节肿胀程度明显减轻(P0.05),而屈曲度明显增加(P0.05)。组间治疗后1个月、治疗后3个月比较,治疗组膝关节肿胀程度明显轻于对照组(P0.05),而屈曲度明显大于对照组(P0.05)。(4)两组不良反应发生率比较,差异无统计学意义(P0.05)。结论针刀联合消瘀散外敷治疗膝骨关节炎,可明显减轻膝关节疼痛及肿胀,改善其活动度。
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| 关 键 词： | 膝骨关节炎 针刀 消瘀散 扶他林乳胶剂 魏氏伤科 |
| 收稿时间： | 2018/3/6 0:00:00 |
Clinical observation on acupotomy combined with external application of Xiaoyu Powder in treating knee osteoarthritis |
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| FENG Wenchang,WANG Qing,MA Bitao,TENG Weiran and JIN Lilun.Clinical observation on acupotomy combined with external application of Xiaoyu Powder in treating knee osteoarthritis[J].Shanghai Journal of Traditional Chinese Medicine,2018,52(8):54-57. |
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| Authors: | FENG Wenchang WANG Qing MA Bitao TENG Weiran and JIN Lilun |
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| Institution: | Department of Chinese Medical Orthopedics and Traumatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200093, China,Department of Chinese Medical Orthopedics and Traumatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200093, China,Department of Chinese Medical Orthopedics and Traumatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200093, China,Department of Chinese Medical Orthopedics and Traumatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200093, China and Department of Chinese Medical Orthopedics and Traumatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200093, China |
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