本文選題：腰椎骨關(guān)節(jié)炎 + 疏肝滋腎湯　； 參考：《中華中醫(yī)藥雜志》2017年10期

【摘要】：目的:應(yīng)用JOA腰痛療效評(píng)定標(biāo)準(zhǔn)和WOMAC骨性關(guān)節(jié)炎評(píng)分系統(tǒng)評(píng)價(jià)疏肝滋腎湯治療腰椎骨關(guān)節(jié)炎的臨床療效。方法:將符合納入標(biāo)準(zhǔn)的90例腰椎骨關(guān)節(jié)炎患者,按隨機(jī)數(shù)字表分為治療A組(疏肝滋腎湯內(nèi)服及外敷組)、B組(疏肝滋腎湯內(nèi)服組)和C組(壯骨關(guān)節(jié)丸內(nèi)服組),每組30例,療程3個(gè)月,比較各組治療前與治療后療效差異。結(jié)果:(1)JOA評(píng)定:治療后疼痛積分均降低,但治療A、B兩組的治療后積分較對(duì)照C組明顯下降,且治療A組下降程度優(yōu)于B、C兩組;(2)WOMAC評(píng)價(jià):各組治療評(píng)分均明顯改善,A組明顯優(yōu)于其他兩組,而B組亦優(yōu)于對(duì)照C組。結(jié)論:疏肝滋腎湯治療腰椎骨性關(guān)節(jié)炎療效顯著,并且其內(nèi)服加外敷的臨床療效最佳。
[Abstract]:Objective: to evaluate the clinical efficacy of Shugan Zishen decoction in the treatment of lumbar osteoarthritis by JOA low back pain evaluation standard and WOMAC osteoarthritis scoring system. Methods: ninety patients with lumbar vertebrae osteoarthritis were randomly divided into two groups: group A (treated with Shugan Zishen decoction) and group B (treated with Shugan Zishen decoction) and group C (treated with Zhuanggu Joint Pill, 30 cases in each group). The therapeutic effect of each group was compared before and after treatment for 3 months. Results: the score of pain was decreased after treatment, but the score of group A B was significantly lower than that of group C. The decrease degree of group A was better than that of group B and C, and the scores of group A were significantly better than those of group A, and group B was better than group C. Conclusion: Shugan Zishen decoction is effective in the treatment of lumbar osteoarthritis.
【作者單位】： 唐山市豐潤區(qū)第二人民醫(yī)院;唐山市豐潤區(qū)人民醫(yī)院;唐山市豐南區(qū)中醫(yī)醫(yī)院;唐山市中醫(yī)醫(yī)院;
【基金】：河北省中醫(yī)藥管理局計(jì)劃項(xiàng)目(No.2014273)~~
【分類號(hào)】：R274.9

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