84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]譚福柱,張樂鑫,任樹軍.針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的 臨床研究[J].中醫(yī)正骨,2015,27(01):20-22.
　TAN Fuzhu,ZHANG Lexin,REN Shujun.Clinical study on acupuncture therapy combined with oral application of Guli Jiaonang(骨力膠囊)for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):20-22.
點擊復(fù)制

針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的 臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁碼:
20-22
欄目:
臨床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Clinical study on acupuncture therapy combined with oral application of Guli Jiaonang(骨力膠囊)for treatment of knee osteoarthritis
作者:
譚福柱1; 張樂鑫2; 任樹軍1
1.黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院,黑龍江 哈爾濱 150040;
2.黑龍江中醫(yī)藥大學(xué),黑龍江 哈爾濱 150040
Author(s):
TAN Fuzhu1; ZHANG Lexin2; REN Shujun1
1.The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Haerbin 150040,Heilongjiang,China
2.Heilongjiang University of Traditional Chinese Medicine,Haerbin 150040,Heilongjiang,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  針刺療法;  中藥療法;  治療; 臨床研究性
Keywords:
osteoarthritis; knee;  acupuncture therapy;  drug therapy(TCD);  therapies; investigational
摘要:
目的:觀察針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床療效。方法:將60例膝關(guān)節(jié)骨性關(guān)節(jié)患者隨機分為3組,每組20例,分別采用針刺、口服骨力膠囊、針刺配合口服骨力膠囊治療。分別于治療前和治療1個療程后,記錄并比較3組患者膝關(guān)節(jié)功能評分,并于治療1個療程后比較3組患者的臨床療效。結(jié)果:①膝關(guān)節(jié)功能評分。治療前3組患者膝關(guān)節(jié)功能評分比較,差異無統(tǒng)計學(xué)意義[(20.63±0.94)分,(20.60±1.99)分,(19.64±2.08)分,F=1.395,P=0.459)]。治療1個療程后3組患者膝關(guān)節(jié)功能評分比較,差異有統(tǒng)計學(xué)意義[(28.67±1.31)分,(32.08±0.98)分,(33.01±2.04)分,F=18.637,P=0.008)]。進一步兩兩比較,針刺配合口服骨力膠囊組膝關(guān)節(jié)功能評分高于針刺組和口服骨力膠囊組(P=0.002,P=0.001); 針刺組與口服骨力膠囊組比較,差異無統(tǒng)計學(xué)意義(P=0.157)。②臨床療效。針刺組臨床控制2例、顯效4例、有效10例、無效4例,口服骨力膠囊組顯效3例、有效8例、無效9例,針刺配合口服骨力膠囊組臨床控制3例、顯效5例、有效12例。針刺配合口服骨力膠囊組的臨床療效優(yōu)于其他2組(R^-針刺配合口服骨力膠囊組=22.82,R^-針刺組=29.65,R^-口服骨力膠囊組=39.02; χ2=0.129,P=0.006)。結(jié)論:采用針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎,可以明顯改善膝關(guān)節(jié)功能,療效優(yōu)于單純采用針刺和口服骨力膠囊治療,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effects of acupuncture therapy combined with oral application of Guli Jiaonang(骨力膠囊,GLJN)for treatment of knee osteoarthritis(KOA).Methods:Sixty patients with KOA were randomly divided into 3 groups,20 cases in each group.The patients were treated with acupuncture therapy(acupuncture group),oral application of GLJN(GLJN group)and acupuncture therapy combined with oral application of GLJN(Combination group)respectively.Knee function scores were recorded and compared between the 3 groups before treatment and after one course of treatment respectively,and the clinical curative effects were evaluated and compared between the 3 groups after one course of treatment.Results:There was no statistical difference in knee function scores between the 3 groups before treatment(20.63+/-0.94,20.60+/-1.99,19.64+/-2.08 points,F=1.395,P=0.459).There was statistical difference in knee function scores between the 3 groups after one course of treatment(28.67+/-1.31,32.08+/-0.98,33.01+/-2.04 points,F=18.637,P=0.008).Further pairwise comparison showed that the knee function score of combination group was higher than that of acupuncture group and GLJN group(P=0.002,P=0.001).There was no statistical difference between acupuncture group and GLJN group(P=0.157).The KOA of 2 patients were controlled,4 good,10 fair and 4 poor in acupuncture group; 3 patients got good result,8 fair and 9 poor in the GLJN group; while the KOA of 3 patients were controlled,5 good and 12 fair in combination group.The clinical curative effect was better in combination group compared with the other 2 groups(R^-combination group=22.82,R^-acupuncture group=29.65,R^-GLJN group=39.02; χ2=0.129,P=0.006).Conclusion:The therapy of acupuncture therapy combined with oral application of GLJN can obviously improve the function of knee in patients with KOA,and it surpasses the monotherapy of acupuncture therapy and oral application of GLJN in curative effect,so it is worthy of popularizing in clinic.

參考文獻/References:

[1] 劉獻祥.中醫(yī)藥治療膝骨性關(guān)節(jié)炎的研究現(xiàn)狀[J].中醫(yī)正骨,2012,24(1),3-6.
[2] Hochberg MC,AItman RD,Brandt KD,et al.Guidelines for the medical management of osteoarthritis.PartⅡ.Osteoarthritis of the knee. American College of Rheumatology[J].Arthritis Rheum,1995,38(11):1541-1546.
[3] 董清平.推薦用“五十分加減法”評價膝關(guān)節(jié)功能[J].頸肩腰腿痛防治通訊,1986,7(1):27-28.
[4] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準[S].南京:南京大學(xué)出版社,1996:186-201.
[5] 鄧筱萸.中藥新藥臨床研究指導(dǎo)原則(試行)[S].北京:中國醫(yī)藥科技出版社,2002:349-353.
[6] 楊義靖,楊霞.小針刀治療膝骨性關(guān)節(jié)炎30例[J].中醫(yī)正骨,2011,23(7):48.
[7] 黃謹,蘇培基,李大剛.中藥薰洗治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的系統(tǒng)評價[J].中醫(yī)正骨,2013,25(7):31-35.
[8] 馮歡歡,王培民,范競,等.膝骨關(guān)節(jié)炎X線表現(xiàn)與膝關(guān)節(jié)疼痛程度的相關(guān)性分析[J].中醫(yī)正骨,2013,25(6),29-30.
[9] 唐萌芽,翁祝承,邵利芳.中藥治療膝骨關(guān)節(jié)炎臨床療效和安全性的系統(tǒng)評價[J].中醫(yī)正骨,2014,26(1):43-47.
[10] 蘇泉,魯光錢.針刺配合關(guān)節(jié)腔注射和中藥內(nèi)服治療膝骨關(guān)節(jié)炎53例[J].中醫(yī)正骨,2014,26(5):35-36.

相似文獻/References:

[1]樊慶陽,任凱晶.定制3D打印切模輔助全膝關(guān)節(jié)置換術(shù)治療 膝骨關(guān)節(jié)炎合并股骨干骨折畸形愈合[J].中醫(yī)正骨,2015,27(11):37.
[2]劉曉雅,孫永強,劉國杰.主動快速康復(fù)鍛煉對全膝關(guān)節(jié)置換術(shù)后關(guān)節(jié)活動度的影響[J].中醫(yī)正骨,2015,27(09):73.
[3]鄭春松,葉蕻芝,李西海,等.透骨消痛膠囊中補腎柔肝藥和活血祛風(fēng)藥治療 骨關(guān)節(jié)炎作用方式的計算機模擬比較[J].中醫(yī)正骨,2015,27(07):6.
　ZHENG Chunsong,YE Hongzhi,LI Xihai,et al.Comparison of the mode of action of Bushen Rougan(補腎柔肝)drugs versus Huoxue Qufeng(活血祛風(fēng))drugs contained in Tougu Xiaotong Jiaonang(透骨消痛膠囊)for the treatment of osteoarthritis:A computer simulation study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):6.
[4]宋兵華,孫俊英,倪增良,等.全膝關(guān)節(jié)置換術(shù)前CT測量股骨后髁角的臨床意義[J].中醫(yī)正骨,2015,27(07):38.
[5]鄭春松,葉蕻芝,李西海,等.獨活寄生湯含藥血清對白細胞介素1β誘導(dǎo)的 退變關(guān)節(jié)軟骨細胞中基質(zhì)金屬蛋白酶 和環(huán)氧化酶2表達的影響[J].中醫(yī)正骨,2015,27(12):1.
　ZHENG Chunsong,YE Hongzhi,LI Xihai,et al.Impact of Duhuo Jisheng Tang(獨活寄生湯)medicated serum on expression of matrix metalloproteinase and cyclooxygenase 2 in degenerative articular chondrocytes induced by interleukin-1 beta[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):1.
[6]王金良,孫京濤,李玲,等.骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中 脛骨平臺內(nèi)側(cè)骨缺損[J].中醫(yī)正骨,2015,27(12):55.
[7]馮榮,王平,李炳奇,等.鈹針刺絡(luò)拔罐結(jié)合中藥口服治療膝骨關(guān)節(jié)炎合并 原發(fā)性血小板增多癥1例[J].中醫(yī)正骨,2015,27(12):73.
[8]蔡云仙.圍手術(shù)期耳穴按壓聯(lián)合平衡針療法 在全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛中的應(yīng)用[J].中醫(yī)正骨,2015,27(06):41.
[9]張榮,王健.人工全膝關(guān)節(jié)置換術(shù)的圍手術(shù)期心理護理[J].中醫(yī)正骨,2015,27(05):77.
[10]喻長純,楊明路,王戰(zhàn)朝.不同手術(shù)方式治療脛骨平臺骨折畸形愈合的體會[J].中醫(yī)正骨,2015,27(03):37.
[11]孟維娜,明立功,王新德,等.關(guān)節(jié)鏡下清理聯(lián)合腓骨近1/3段截骨治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(11):40.
[12]明立功,孟維娜,王新德,等.腓骨近端截骨治療內(nèi)側(cè)間室膝骨關(guān)節(jié)炎的近期療效觀察[J].中醫(yī)正骨,2015,27(10):25.
[13]張杰,王人彥,張玉柱.膝骨關(guān)節(jié)炎的治療進展[J].中醫(yī)正骨,2015,27(10):68.
[14]梁朝,蔡靜怡,閆立,等.針刀療法改善膝骨關(guān)節(jié)炎早期疼痛癥狀的療效評價[J].中醫(yī)正骨,2015,27(09):9.
　LIANG Zhao,CAI Jingyi,YAN Li,et al.Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):9.
[15]王建武,黨建軍,李強,等.四聯(lián)療法治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(08):44.
[16]劉紅娟,郭會利,郭樹農(nóng).云克聯(lián)合中藥治療膝骨關(guān)節(jié)炎的護理[J].中醫(yī)正骨,2015,27(08):75.
[17]陳衛(wèi)衡.探索建立系統(tǒng)的膝骨關(guān)節(jié)炎中醫(yī)臨床科研范式 和理論體系[J].中醫(yī)正骨,2015,27(07):1.
[18]帥波,沈霖,楊艷萍,等.加味青娥丸治療膝骨關(guān)節(jié)炎的作用機制研究[J].中醫(yī)正骨,2015,27(07):15.
　SHUAI Bo,SHEN Lin,YANG Yanping,et al.Study on the mechanism of action of Jiawei Qing'e Wan(加味青娥丸)for the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):15.
[19]梅其杰,袁長深,段戡,等.壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):27.
　MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):27.
[20]王丹輝,張燕,劉麗娟,等.重組人Ⅱ型腫瘤壞死因子受體-抗體融合蛋白 關(guān)節(jié)腔注射聯(lián)合中藥薰洗治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):31.
　WANG Danhui,ZHANG Yan,LIU Lijuan,et al.Clinical study on intra-articular injection of TypeⅡrecombinant human tumor necrosis factor receptor-Fc fusion protein combined with Chinese herbal steaming and washing therapy for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):31.

備注/Memo

備注/Memo:
2014-09-01收稿 2014-11-13修回
通訊作者:任樹軍 E-mail:[email protected]
更新日期/Last Update: 2015-01-30