温针灸配合海桐皮汤外洗治疗寒湿型和湿热型膝关节炎疗效的比较研究.pdf

·14 · JCAM.Ap,r2011, Vo.l27, NO.4 温针灸配合海桐皮汤外洗治疗寒湿型和湿热型 膝关节炎疗效的比较研究 1 2 1■ 1 2 陈志成 ,张贵锋 ,黄　泳 ,王升旭,肖文秋 (1., 527400;2., 527400 ) 　:目的:观察并比较温针灸配合海桐皮汤外 治疗寒湿型和湿热型膝关节炎的疗效。方法:寒湿 型和湿热型膝关节炎患者各 30例,采取温针灸和海桐皮汤外 的方法治疗 1 个月, 运用简化 McGill疼 痛评分表和膝关节功能评分表评价治疗效果。结果:温针灸配合海桐皮汤外 对寒湿型和湿热型膝关 节炎患者的疼痛、肿胀、屈伸受限、行走困难等临床症状均有良好疗效, 总有效率分别达到 90%和 87%, 但两者有效率无显著性差异(P0.05 );治疗前后各评价指标有非常显著差异 (P0.01);该方法对寒 湿型患者的疼痛症状改善明显优于湿热型患者 (P0.05 )。结论:温针灸配合海桐皮外 对寒湿型和 湿热型膝关节炎的治疗都有非常显著的疗效, 对寒湿型患者的膝关节疼痛改善更加明显。 :温针灸;海桐皮汤;退行性膝关节炎;痹症;疗效观察 :R245.315　　　:A　　　:1005 -0779 (2011)04-00 14-04 WarmingNeeleMoxibustionCombinewith HaitongpiDecoctionintheTreatmentofGonarthritis 1 2 1＊ 1 2 CHENZhi-cheng, ZHANGGui-feng, HUANGYong, WANGSheng-xu, XIAOWen-qiu (1.SouthernMeicalUniversity, Guangzhou527400, China;2.XinxingTraitionalChinese MeicineSchoolofGuangongProvinc,eXinxing527400, China) Abstrac:tObjective:Toobservean comparethetherapeuticeffectofwarmingneelemoxibustionanHai- tongpiecoctionwashingoncol- ampnessan amp-heattypesofgonarthriti.sMethos:30 casesofeach typeisreay, warmingneelemoxibustionanHaitongpiecoctionwashingmethofortreatingforamonth, u- singtheSF-MPQan kneefunctionscoretabletoevaluatetreatmen.tResult:sWarmingneelemoxibustion anHaitongpiecoctionwashingskinhaveagooeffectonthepatientsofgonarthriti,stheirkneepain,sswell- ing, flexionanextensionarebettermiprovemen.tThetotaleffectiverateswere90% an87%, butbothha nosignificantifferenceinefficiency(P0.05 );Evaluationbeforeanaftertreamtenthaasignificantiffer- ence(P0.0 1);Itisbettermiprovementforcol- ampnesstypeofpatientsthantheamp-heattypeofpa- tients(