【摘要】：目的:在《黃帝內(nèi)經(jīng)》清陽論治理論指導(dǎo)下應(yīng)用溫陽通脈法治療膝骨性關(guān)節(jié)炎,觀察醫(yī)治后膝部疼痛緩解、僵硬改善情況及膝部生理活動的恢復(fù)情況。方法:回顧性研究解析湖北省中醫(yī)院骨傷科門診從2015年9月至2016年9月這段時間治療的符合膝骨性關(guān)節(jié)炎診斷標準的病人120例。年齡49-68歲之間,這些病人中男性病人45例,女性病人75例。運用清陽論治治療方法的為觀察組,55例;運用氣血論治治療方法的為對照組,65例,其中:(1)觀察組:男20例,女35例,年齡49-64歲,平均(56.60±7.25)歲;病程3個月-11年,平均(5.47±5.45)年;(2)對照組:男25例,女40例,年齡51-68歲,平均(59.80±8.60)歲;病程5個月-10年,平均(5.67±3.42)年。觀察組予以根據(jù)清陽論治的黃芪桂枝五物湯加減,對照組患者予以根據(jù)氣血論治的身痛逐瘀湯加減,兩組患者治療時間為3周。通過觀察記載視覺模擬疼痛評分(VAS)標準、WOMAC骨關(guān)節(jié)炎指數(shù)評分來評判臨床效果。結(jié)果:觀察組和對照組120例病人中有102例病人得到了隨訪,隨訪時刻為治療完成后3個月。治療后按照視覺模擬疼痛評分標準(VAS)舉行打分,治療3周后與對照組改善疼痛的情況的對照差別有統(tǒng)計學意義(P0.05),按照WOMAC骨關(guān)節(jié)炎指數(shù)評估,觀察組和對照組兩組組內(nèi)和組間對比均有統(tǒng)計學意義(P0.05),觀察組醫(yī)治效果比對照組優(yōu)越(P0.05)。結(jié)論:《黃帝內(nèi)經(jīng)》清陽理論指導(dǎo)下應(yīng)用溫陽通脈法治療膝骨性關(guān)節(jié)炎相較氣血論治活血化瘀法更能夠減少病人的疼痛、僵硬及改善關(guān)節(jié)生理活動功能,從而極大地提高和改善了患者的生活質(zhì)量,體現(xiàn)了《內(nèi)經(jīng)》清陽論治的優(yōu)勢。
[Abstract]:Objective: to observe the improvement of knee pain, stiffness and the recovery of physiological activity of knee under the guidance of the theory of clearing yang and treating yang in Huangdi Classic of Internal Medicine, and the treatment of knee osteoarthritis with warming yang and Tongmai method. Methods: a retrospective study was conducted on 120 patients who met the diagnostic criteria of knee osteoarthritis from September 2015 to September 2016 in the Department of Orthopedics and Trauma of Hubei traditional Chinese Medicine Hospital. Between 49 and 68 years of age, there were 45 male and 75 female patients. There were 55 cases in the observation group and 65 cases in the control group treated with Qingyang treatment, and 65 cases in the control group. Among them: (1) the observation group: 20 males and 35 females, aged 49-64 years with an average of (56.60 鹵7.25) years; The course of disease ranged from 3 months to 11 years with an average of (5.47 鹵5.45) years; (2) the control group consisted of 25 males and 40 females, aged 51-68 years, with an average of 59.80 鹵8.60 years, and the course of disease ranged from 5 months to 10 years with an average of (5.67 鹵3.42) years. The observation group was treated with Huangqi Guizhi Wuwu decoction according to Qingyang treatment, the control group was treated with Shentong Zhuyu decoction according to Qi-blood theory, and the two groups were treated for 3 weeks. The clinical effect was evaluated by observing and recording visual analogue pain score (VAS) and WOMAC osteoarthritis index (OJ) score. Results: 102 of 120 patients in observation group and control group were followed up for 3 months after treatment. After treatment according to visual analogue pain score standard (VAS) score, 3 weeks after treatment with the control group to improve the pain compared with the difference was statistically significant (P0.05), according to the WOMAC osteoarthritis index evaluation, The observation group and the control group in and between the two groups were statistically significant (P0.05), the therapeutic effect of the observation group was superior to the control group (P0.05). Conclusion: under the guidance of "Huangdi Nei Jing" Qing Yang theory, the treatment of knee osteoarthritis with Wenyang Tongmai method can reduce the pain, stiffness and improve the physiological function of the joint, compared with the method of promoting blood circulation and removing blood stasis in the treatment of knee osteoarthritis. Thus greatly improve and improve the quality of life of patients, reflecting the advantages of Qing Yang treatment.
【學位授予單位】：湖北中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R274.9

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