本文關(guān)鍵詞： 平樂(lè)正骨 平衡理論 膝骨性關(guān)節(jié)炎 痰瘀閉阻 量表　出處：《安徽中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的在平樂(lè)正骨“平衡理論”指導(dǎo)下,運(yùn)用平衡綜合療法診療痰瘀痹阻型膝骨性關(guān)節(jié)炎,探討平衡綜合療法的療效;評(píng)析膝骨性關(guān)節(jié)炎平衡量表的合理性。方法基于平樂(lè)正骨“平衡理論”、相關(guān)文獻(xiàn)、書籍、病歷資料,探討平樂(lè)正骨“平衡理論”在痰瘀閉阻型膝骨性關(guān)節(jié)炎中的具體運(yùn)用,并以此制定平衡綜合療法,自擬膝骨性關(guān)節(jié)炎平衡量表;將75例痰瘀痹阻型膝骨性關(guān)節(jié)炎隨機(jī)分成兩組,治療組37例,對(duì)照組38例,治療組患者予以平衡綜合療法治療,對(duì)照組患者予以塞來(lái)昔布聯(lián)合鹽酸氨基葡萄糖膠囊,治療4周,觀察并記錄兩組患者一般資料、VAS評(píng)分、KOOS評(píng)分、膝關(guān)節(jié)周徑、膝骨性關(guān)節(jié)炎平衡量表、安全性等相關(guān)資料,分析兩組治療的療效,進(jìn)行綜合評(píng)價(jià)分析。結(jié)果75例患者,治療組和對(duì)照組分別脫落2例、3例,治療組和對(duì)照組完成整個(gè)觀察療程的各35例,具體如下:(1)兩組在性別、年齡、體重、身高、病程、X線分級(jí),差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性;(2)療效治療組臨床治愈4例,顯效18例,有效8例,無(wú)效5例,總有效率85.71%;對(duì)照組臨床治愈2例,顯效10例,有效16例,無(wú)效7例,總有效率80%;治療組療效分布優(yōu)于對(duì)照組,且有統(tǒng)計(jì)學(xué)差異(Z=-2.054,P=0.0400.05),說(shuō)明平衡綜合療法治療痰瘀痹阻型膝骨性關(guān)節(jié)炎療效肯定;(3)治療前VAS評(píng)分、KOOS評(píng)分、KOOS-癥狀評(píng)分、KOOS-疼痛評(píng)分、KOOS-日�；顒�(dòng)評(píng)分、KOOS-運(yùn)動(dòng)和娛樂(lè)功能評(píng)分、KOOS-生活質(zhì)量評(píng)分、膝關(guān)節(jié)周徑、膝骨性關(guān)節(jié)炎平衡量表評(píng)分組間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性;(4)兩組治療后VAS評(píng)分、KOOS評(píng)分、KOOS-癥狀評(píng)分、KOOS-疼痛評(píng)分、KOOS-日�；顒�(dòng)評(píng)分、KOOS-運(yùn)動(dòng)和娛樂(lè)功能評(píng)分、KOOS-生活質(zhì)量評(píng)分、膝關(guān)節(jié)周徑、膝骨性關(guān)節(jié)炎平衡量表評(píng)分分別與治療前組內(nèi)比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);(5)兩組治療后KOOS評(píng)分、KOOS-癥狀評(píng)分、KOOS-日�；顒�(dòng)評(píng)分、KOOS-生活質(zhì)量評(píng)分、膝關(guān)節(jié)周徑、膝骨性關(guān)節(jié)炎平衡量表評(píng)分比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),且所有指標(biāo)治療組改善優(yōu)于對(duì)照組;(6)兩組治療后VAS評(píng)分、KOOS-疼痛評(píng)分、KOOS-運(yùn)動(dòng)和娛樂(lè)功能評(píng)分,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);(7)KOOS評(píng)分變化與膝骨性關(guān)節(jié)炎平衡量表評(píng)分變化,相關(guān)系數(shù)r=0.919,P=0.0000.05,差異有統(tǒng)計(jì)學(xué)意義。結(jié)論(1)基于平樂(lè)正骨“平衡理論”的平衡綜合療法治療痰瘀痹阻型膝骨性關(guān)節(jié)炎療效肯定;(2)平衡綜合療法治療痰瘀痹阻型膝骨性關(guān)節(jié)炎在改善患者KOOS評(píng)分、KOOS-癥狀評(píng)分、KOOS-日�；顒�(dòng)評(píng)分、KOOS-生活質(zhì)量評(píng)分、膝關(guān)節(jié)周徑、膝骨性關(guān)節(jié)炎平衡量表評(píng)分上優(yōu)于塞來(lái)昔布聯(lián)合鹽酸氨基葡萄糖膠囊;(3)平樂(lè)正骨“平衡理論”運(yùn)用于疾病的診斷、治療、預(yù)防等方面值得進(jìn)一步研究與推廣;(4)膝骨性關(guān)節(jié)炎平衡量表值得進(jìn)一步修訂、研究、驗(yàn)證。
[Abstract]:Objective under the guidance of "balance theory" of Pingle Zhenggu, to explore the curative effect of balanced comprehensive therapy in diagnosis and treatment of knee osteoarthritis caused by phlegm and stasis obstruction. Methods to evaluate the rationality of the knee osteoarthritis balance scale. Methods based on the "balance theory", relevant literature, books and medical records. To discuss the application of the "balance theory" of Pingle Zhenggu in the knee osteoarthritis of phlegm and blood stasis blocking type, and to formulate the balance comprehensive therapy, and to draw up the balance scale of knee osteoarthritis. 75 cases of knee osteoarthritis caused by phlegm and stasis obstruction were randomly divided into two groups: treatment group (n = 37) and control group (n = 38). The patients in the control group were treated with celecoxib combined with glucosamine hydrochloride capsule for 4 weeks. The general data of the two groups were observed and recorded. Results 75 cases of patients, 2 cases of treatment group and 3 cases of control group were dropped off. Treatment group and control group completed the whole course of treatment of 35 cases, as follows: 1) the two groups in sex, age, weight, height, course of disease X ray grading, there was no significant difference (P 0.05). Comparability; 2) in the treatment group, 4 cases were clinically cured, 18 cases were markedly effective, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 85.71%; In the control group, 2 cases were clinically cured, 10 cases were markedly effective, 16 cases were effective, 7 cases were ineffective, and the total effective rate was 80%. The distribution of therapeutic effect in the treatment group was better than that in the control group, and there was statistical difference between the two groups. (3) before treatment, VAS score / Koos score / symptom score / Kos pain score / daily activity score / motor and entertainment function score. There was no significant difference in quality of life score, knee circumference and knee osteoarthritis balance scale between the two groups (P 0.05). (4) after treatment, the VAS score and the Kos symptom score of the two groups were compared with the KOOS-pain score and the daily activity score and the motor and entertainment function score. The scores of quality of life, knee circumference and knee osteoarthritis balance scale were significantly different from those before treatment (P 0.05). (5) after treatment, the KOOS score and the symptom score were compared between the two groups. The scores of quality of life, knee circumference and knee osteoarthritis balance scale were compared between the two groups. The difference was statistically significant (P 0.05), and the improvement of all indexes in the treatment group was better than that in the control group. (6) there was no significant difference between the two groups in VAS score and KOOS-pain score (P 0.05). The change of KOOS score and the score of knee osteoarthritis balance scale were correlated with the correlation coefficient (r = 0.919) P = 0.0000.05. Conclusion the balance therapy based on the "balance theory" of Pingle Zhenggu is effective in the treatment of knee osteoarthritis with phlegm and stasis obstruction. (2) balance therapy in the treatment of knee osteoarthritis with phlegm and stasis obstruction was used to improve the KOOS score and the symptom score and the daily activity score and the quality of life score (QOL) in patients with osteoarthritis of knee caused by phlegm and stasis obstruction. The knee joint circumference and knee osteoarthritis balance scale score were better than celecoxib combined with glucosamine hydrochloride capsule. (3) the "balance theory" of Pingle and Zhenggu is worth studying and popularizing in the diagnosis, treatment and prevention of disease. The knee osteoarthritis balance scale deserves further revision, study and verification.
【學(xué)位授予單位】：安徽中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R274.9

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張立國(guó),王爽一;膝骨性關(guān)節(jié)炎的綜合治療[J];青島醫(yī)藥衛(wèi)生;2005年05期

2 羅輝;姜韞霞;;防治膝骨性關(guān)節(jié)炎:從身邊做起[J];中國(guó)醫(yī)藥指南;2005年12期

3 洋崇軍;徐志明;曾凡;彭建;;活絡(luò)膏護(hù)膝治療膝骨性關(guān)節(jié)炎80例[J];中醫(yī)雜志;2007年02期

4 史忠和;;推拿結(jié)合中藥治療膝骨性關(guān)節(jié)炎50例臨床報(bào)道[J];四川中醫(yī);2007年10期

5 吳信玉;;康膝湯結(jié)合西藥治療膝骨性關(guān)節(jié)炎療效觀察[J];中國(guó)社區(qū)醫(yī)師;2008年02期

6 林棟;肖林榕;;膝骨性關(guān)節(jié)炎治療現(xiàn)狀[J];山東中醫(yī)藥大學(xué)學(xué)報(bào);2009年05期

7 范艷華;;中西醫(yī)治療膝骨性關(guān)節(jié)炎臨床體會(huì)[J];中國(guó)現(xiàn)代藥物應(yīng)用;2009年24期

8 王晶石;劉良軍;;手法配合中藥塌漬治療膝骨性關(guān)節(jié)炎[J];當(dāng)代醫(yī)學(xué);2010年12期

9 袁普衛(wèi);劉德玉;;膝骨性關(guān)節(jié)炎的中醫(yī)預(yù)防思路[J];遼寧中醫(yī)雜志;2010年08期

10 曲安龍;李雅楠;;電針配合中藥治療膝骨性關(guān)節(jié)炎62例[J];吉林中醫(yī)藥;2010年08期

相關(guān)會(huì)議論文 前10條

1 熊越海;熊暑霖;;從肝腎辨證治療膝骨性關(guān)節(jié)炎60例[A];第十四屆全國(guó)中西醫(yī)結(jié)合骨傷科學(xué)術(shù)研討會(huì)論文集[C];2006年

2 張紅林;;消痛散外敷治療膝骨性關(guān)節(jié)炎[A];甘肅省中醫(yī)藥學(xué)會(huì)2010年會(huì)員代表大會(huì)暨學(xué)術(shù)年會(huì)論文匯編[C];2010年

3 潘玉祥;張兆奎;肖亞平;;追風(fēng)活絡(luò)液加火療法治療膝骨性關(guān)節(jié)炎的臨床觀察[A];貴州省中西醫(yī)結(jié)合學(xué)會(huì)骨傷分會(huì)第二次學(xué)術(shù)交流會(huì)議論文匯編[C];2011年

4 李江濤;楊南萍;王玲;陳永濤;王忠明;謝其冰;;國(guó)產(chǎn)鹽酸氨基葡萄糖片治療膝骨性關(guān)節(jié)炎臨床觀察[A];首屆全國(guó)中青年風(fēng)濕病學(xué)學(xué)術(shù)大會(huì)論文匯編[C];2004年

5 韓林;;中西醫(yī)多元療法治療膝骨性關(guān)節(jié)炎[A];第七屆中華中醫(yī)藥學(xué)會(huì)中醫(yī)外治學(xué)術(shù)年會(huì)論文匯編[C];2011年

6 劉英明;艾發(fā)源;白洪文;;杜熟藥衣治療膝骨性關(guān)節(jié)炎280例療效觀察[A];第九屆全國(guó)骨質(zhì)疏松年會(huì)暨第六屆全國(guó)鈣劑年會(huì)會(huì)議文集[C];2003年

7 黃家亮;;推拿配合超激光治療膝骨性關(guān)節(jié)炎56例[A];第一屆全國(guó)骨礦研究年會(huì)會(huì)議文集[C];2002年

8 李盛華;喬斌;周明旺;敬平福;;中醫(yī)藥防治膝骨性關(guān)節(jié)炎優(yōu)勢(shì)探討[A];第三屆全國(guó)中西醫(yī)結(jié)合骨科微創(chuàng)學(xué)術(shù)交流會(huì)論文匯編[C];2013年

9 李珍;田軍;李樹林;;針刀結(jié)合手法治療膝骨性關(guān)節(jié)炎43例療效觀察[A];全國(guó)第七屆農(nóng)村基層中西醫(yī)結(jié)合學(xué)術(shù)暨工作交流會(huì)論文匯編集[C];2002年

10 周光輝;;電針治療膝骨性關(guān)節(jié)炎的臨床研究[A];第四屆全國(guó)康復(fù)治療學(xué)術(shù)大會(huì)論文摘要匯編[C];2004年

相關(guān)重要報(bào)紙文章 前5條

1 程ho 中國(guó)中醫(yī)科學(xué)院望京醫(yī)院;引膝骨性關(guān)節(jié)炎“現(xiàn)身”的8大因素[N];中國(guó)中醫(yī)藥報(bào);2012年

2 陜西中醫(yī)學(xué)院骨傷研究所 袁普衛(wèi)　郝陽(yáng)泉 楚向東;劉德玉治療 膝骨性關(guān)節(jié)炎[N];中國(guó)中醫(yī)藥報(bào);2010年

3 中國(guó)中醫(yī)科學(xué)院望京醫(yī)院 程ho;膝骨性關(guān)節(jié)炎的預(yù)警信號(hào)[N];中國(guó)中醫(yī)藥報(bào);2012年

4 賀棟;膝骨性關(guān)節(jié)炎不用“換關(guān)節(jié)”[N];人民政協(xié)報(bào);2006年

5 陳書連;膝骨性關(guān)節(jié)炎手術(shù)選擇有講究[N];家庭醫(yī)生報(bào);2005年

相關(guān)博士學(xué)位論文 前10條

1 莫永豪;溫針灸治療膝骨性關(guān)節(jié)炎的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2015年

2 黃Y醮，

本文編號(hào)：1484171