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]梅其杰,袁長深,段戡,等.壯藥骨痹方燙熨聯(lián)合運(yùn)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):27-30.
　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(07):27-30.
點(diǎn)擊復(fù)制

壯藥骨痹方燙熨聯(lián)合運(yùn)動療法治療膝骨關(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07期
頁碼:
27-30
欄目:
膝骨關(guān)節(jié)炎
出版日期:
2015-07-31

文章信息/Info

Title:
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
作者:
梅其杰1; 袁長深1; 段戡1; 黃肖華1; 陳勁1; 姚弘毅2
1.廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院,廣西 南寧 530023;
2.華中科技大學(xué)附屬梨園醫(yī)院,湖北 武漢 430077
Author(s):
MEI Qijie1; YUAN Changshen1; DUAN Kan1; HUANG Xiaohua1; CHEN Jin1; YAO Hongyi2
1.The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530023,Guangxi,China
2.Liyuan Hospital Affiliated to Huazhong University of Science and Technology,Wuhan 430077,Hubei,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  壯藥;  熨法;  運(yùn)動療法;  治療; 臨床研究性
Keywords:
osteoarthritis; knee;  ZHUANG DRUGS;  hot packet therapy;  exercise therapy;  therapies; investigational
摘要:
目的:觀察壯藥骨痹方燙熨聯(lián)合運(yùn)動療法治療膝骨關(guān)節(jié)炎的臨床療效。方法:將60例膝骨關(guān)節(jié)炎患者隨機(jī)分為4組,每組15例,分別采用壯藥骨痹方燙熨聯(lián)合運(yùn)動療法、運(yùn)動療法、口服雙氯芬酸鈉聯(lián)合運(yùn)動療法、壯藥骨痹方燙熨治療。分別于治療前、治療2周后及治療8周后,記錄并比較4組患者徒手肌力檢查(manual muscle testing,MMT)評分和美國膝關(guān)節(jié)協(xié)會評分(knee society score,KSS)。結(jié)果:治療前后不同時間點(diǎn)間MMT評分比較,差異有統(tǒng)計(jì)學(xué)意義,存在時間效應(yīng)(F=5.068,P=0.004); 4組患者M(jìn)MT評分比較,組間差異有統(tǒng)計(jì)學(xué)意義,存在分組效應(yīng)(F=2.086,P=0.033); 治療前4組患者M(jìn)MT評分比較,組間差異無統(tǒng)計(jì)學(xué)意義[(70.0±16.9)分,(70.0±19.4)分,(71.7±16.0)分,(71.7±18.6)分,F=2.086,P=0.100]; 治療2周后和治療8周后,壯藥骨痹方燙熨聯(lián)合運(yùn)動療法組MMT評分均高于運(yùn)動療法組、口服雙氯芬酸鈉聯(lián)合運(yùn)動療法組、壯藥骨痹方燙熨組[(90.0±12.7)分,(88.0±14.8)分,(88.3±12.9)分,(86.1±13.4)分,F=3.846,P=0.014;(95.0±10.4)分,(90.0±10.4)分,(91.3±11.4)分,(88.3±14.8)分,F=12.570,P=0.000]; 時間因素和分組因素存在交互效應(yīng)(F=5.016,P=0.002)。治療前后不同時間點(diǎn)間KSS評分比較,差異有統(tǒng)計(jì)學(xué)意義,存在時間效應(yīng)(F=53.860,P=0.000); 4組患者KSS評分比較,組間差異有統(tǒng)計(jì)學(xué)意義,存在分組效應(yīng)(F=528.816,P=0.000); 治療前4組患者KSS評分比較,組間差異無統(tǒng)計(jì)學(xué)意義[(144.0±5.6)分,(143.0±6.3)分,(144.0±5.7)分,(143.0±6.1)分, F=0.048,P=0.986]; 治療2周后和治療8周后,壯藥骨痹方燙熨聯(lián)合運(yùn)動療法組KSS評分均高于運(yùn)動療法組、口服雙氯芬酸鈉聯(lián)合運(yùn)動療法組、壯藥骨痹方燙熨組[(253.0±5.5)分,(238.0±6.8)分,(243.0±5.7)分,(233.0±6.0)分,F=528.816,P=0.000;(263.0±5.7)分,(234.0±6.5)分,(234.0±3.7)分,(225.0±6.6)分,F=125.620,P=0.000]; 時間因素和分組因素存在交互效應(yīng)(F=5.008,P=0.002)。結(jié)論:壯藥骨痹方燙熨聯(lián)合運(yùn)動療法治療膝骨關(guān)節(jié)炎,能夠改善膝關(guān)節(jié)功能,提高股四頭肌肌力,療效優(yōu)于單純運(yùn)動療法、單純壯藥骨痹方燙熨和口服雙氯芬酸鈉聯(lián)合運(yùn)動療法,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the curative effect of hot compressing and rubbing with packet of a sort of ZHUANG drug named Gubi Fang(骨痹方,GBF)combined with exercise therapy in the treatment of knee osteoarthritis(KOA).Method:Sixty patients with KOA were randomly divided into 4 groups,15 cases in each group.The patients were treated with the combination of hot compressing and rubbing with packet of GBF and exercise therapy(GBF and exercise group),exercise monotherapy(exercise group),combination of oral administration of diclofenac sodium and exercise therapy(DFN and exercise group)and monotherapy of hot compressing and rubbing with packet of GBF(GBF group)respectively.Manual muscle testing(MMT)score and American knee society score(KSS)of the 4 groups were recorded and compared with each other before the treatment,at 2 and 8 weeks after the treatment respectively.Results:There was statistical difference in MMT score between different time points,in other words,there was time effect(F=5.068,P=0.004).There was statistical difference in MMT score between the 4 groups,in other words,there was grouping effect(F=2.086,P=0.033).No statistical difference was found between the 4 groups in MMT score before the treatment(70.0+/-16.9,70.0+/-19.4,71.7+/-16.0,71.7+/-18.6 points,F= 2.086,P=0.100).At 2 and 8 weeks after the treatment,MMT score was higher in GBF and exercise group compared to exercise group,DFN and exercise group and GBF group(90.0+/-12.7,88.0+/-14.8,88.3+/-12.9,86.1+/-13.4 points,F=3.846,P=0.014; 95.0+/-10.4,90.0+/-10.4,91.3+/-11.4,88.3+/-14.8 points,F=12.570,P=0.000),and there was interaction between time factor and grouping factor(F=5.016,P=0.002).There was statistical difference in KSS between different time points,in other words,there was time effect(F=53.860,P=0.000).There was statistical difference in KSS between the 4 groups,in other words,there was grouping effect(F=528.816,P=0.000).No statistical difference was found in KSS between the 4 groups before the treatment(144.0+/-5.6,143.0+/-6.3,144.0+/-5.7,143.0+/-6.1 points,F=0.048,P=0.986).At 2 and 8 weeks after the treatment,KSS was higher in GBF and exercise group compared to exercise group,DFN and exercise group and GBF group(253.0+/-5.5,238.0+/-6.8,243.0+/-5.7,233.0+/-6.0 points,F=528.816,P=0.000; 263.0+/-5.7,234.0+/-6.5,234.0+/-3.7,225.0+/-6.6 points,F=125.620,P=0.000),and there was interaction between time factor and grouping factor(F=5.008,P=0.002).Conclusion:Hot compressing and rubbing with packet of GBF combined with exercise therapy can improve the knee function and strengthen the quadriceps femoris,and it has a better curative effect on KOA compared to exercise monotherapy,GBF monotherapy and combination of oral administration of diclofenac sodium with exercise therapy,so it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

[1] Hochberg MC,Altman 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.
[2] Kellgren JH,Lawrence JS.Radiological assesment of osteoarthritis[J].Ann Rheum Dis,1957,16(4):494-502.
[3] 國家中醫(yī)藥管理局醫(yī)政司.22個專業(yè)95個病種中醫(yī)診療方案(合訂本)[M].北京:中國中醫(yī)藥出版社,2012:131-132.
[4] 中華醫(yī)學(xué)會風(fēng)濕病學(xué)分會.骨關(guān)節(jié)炎診斷及治療指南[J].中華風(fēng)濕病學(xué)雜志,2010,14(6):416-419.
[5] 南登崑.康復(fù)醫(yī)學(xué)[M].北京:人民衛(wèi)生出版社,2004:35-50.
[6] 袁長深,梅其杰,段戡,等.雙醋瑞因聯(lián)合股四頭肌鍛煉改善中老年膝骨關(guān)節(jié)炎癥狀的療效[J].廣東醫(yī)學(xué),2011,32(20):2707-2709.
[7] Insall JN,Dorr LD,Scott RD,et al.Rationale of the knee society clinical rating system[J].Clin Orthop Relat Res,1989,(248):13-14.
[8] 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(1):20-22.
[9] 袁長深,梅其杰,段戡,等.中藥燙熨加貼敷療法治療膝骨關(guān)節(jié)炎的療效及安全性研究[J].時珍國醫(yī)國藥,2013,24(11):2698-2700.
[10] Van Der Esch M,Holla JF,Van Der Leeden M,et al.Decrease of muscle strength is associated with increase of activity limitations in early knee osteoarthritis:3-Year results from the cohort hip and cohort knee study[J].Arch Phys Med Rehabil,2014,95(10):1962-1968.
[11] Sanchez-Ramirez DC,Van der Leeden M,Knol DL,et al.Association of postural control with muscle strength,proprioception,self-reported knee instability and activity limitations in patients with knee osteoarthritis[J].J Rehabil Med,2013,45(2):192-197.
[12] 楊藝,林劍浩.運(yùn)動療法治療膝關(guān)節(jié)炎的現(xiàn)狀及研究進(jìn)展[J].中國臨床醫(yī)生,2010,38(7):14-16.
[13] 張世明.運(yùn)動療法在骨科康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2014,26(9):3-5.
[14] 蔣春國,崔瑞花,李社玲.神經(jīng)肌肉電刺激結(jié)合康復(fù)療法治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的療效觀察[J].中國康復(fù)醫(yī)學(xué)雜志,2014,29(4):354-356.
[15] Zhang SL,Liu HQ,Xu XZ,et al.Effects of exercise therapy on knee joint function and synovial fluid cytokine levels in patients with knee osteoarthritis[J].Mol Med Rep,2013,7(1):183-186.
[16] 陳小朋.股四頭肌功能鍛煉配合骨痹舒片治療膝骨關(guān)節(jié)炎30例[J].風(fēng)濕病與關(guān)節(jié)炎,2013,2(5):24-25.
[17] 常智躍.電針配合康復(fù)訓(xùn)練對30例膝關(guān)節(jié)術(shù)后股四頭肌肌力恢復(fù)影響的研究[J].世界中醫(yī)藥,2012,7(6):523-524.
[18] 高丕明,羅小兵,何栩,等.運(yùn)動干預(yù)防治膝骨關(guān)節(jié)炎的研究進(jìn)展[J].中醫(yī)正骨,2014,26(9):70-74.

相似文獻(xiàn)/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(qiáng),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(bǔ)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(jì)算機(jī)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(bǔ)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(07):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(dú)活寄生湯含藥血清對白細(xì)胞介素1β誘導(dǎo)的 退變關(guān)節(jié)軟骨細(xì)胞中基質(zhì)金屬蛋白酶 和環(huán)氧化酶2表達(dá)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(dú)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(07):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(hù)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(jìn)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(07):9.
[15]王建武,黨建軍,李強(qiáng),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(hù)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(jī)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(07):15.
[19]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(07):31.
[20]石繼祥,紀(jì)斌,周強(qiáng),等.口服補(bǔ)腎活血通絡(luò)方治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(07):51.

備注/Memo

備注/Memo:
2015-01-14收稿 2015-03-19修回
基金項(xiàng)目:華中科技大學(xué)自主創(chuàng)新基金項(xiàng)目(2014QN070)
通訊作者:姚弘毅 E-mail:[email protected]
更新日期/Last Update: 2015-07-30