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1、treatment,7“,14Lh,21“and28‘“days,andweshouldcountandanalysisthescoreresults,andfinallyrecordandcomparetwogroupsofpatientswithkneejointsymptomsandfunctionalimprovement.Throughstatisticaltests,therewasnoobviousdifferencebeforethetreatmentinthefirsttwogroupofpatient’sage,genderandX—rayclassif
2、icationandillnessdegree,etc,whicharec唧arable.ResultsTwogroupswerebotheffectiveinimprovingthesymptoms.Accordingtothecurativestandard,thetotaleffectiVerateofgroupAwas90.00%,andthesignificantcontroleffectiveratewas33.33%:ThetotaleffectivenessofgroupBwas73.33%,andthesignificantcontroleffective
3、ratewas16.67%.Throughthestatisticsprocessing,thetotaleffectiverateandthesignificantcontroleffectiverateofgroupAhadtheremarkabledifferencec0ⅢparedwithgroupB.Asaresult,twogroupswaseffectiveinthetreatmentofsinglesymptom.Bothofthetwogroupsdidnotappearadversereactionsinthetreatment.C叩clusionGut
4、ongfilmisakindofeffectiveandsafetreatmentmethodinthetreatⅢentkneejointosseousarthritispain,whichhasobviouscurativeeffectandworthclinicalpromotioncomparedwithQizhengXiaotongPlaster.Butthenumberofcasesinthegroupofclinicalobservationislittle,thereexistscertain1imitationontheresponseaccuracyan
5、dcompletenessoftheresults,itneedsfurtherclinicalstudy.Key'rordsKneejointOsteoarthritisGutongfilmC】jnjca】ResearchⅡl骨痛膜治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床研究刖吾膝關(guān)節(jié)骨性關(guān)節(jié)炎(KneeOsteoarthritisKoA).又稱為退行性膝關(guān)節(jié)炎、膝增生性關(guān)節(jié)炎、老年膝等,是一種以膝關(guān)節(jié)軟骨退行性變和繼發(fā)性骨質(zhì)增生為特征,累及骨質(zhì)并包括滑膜、關(guān)節(jié)囊及關(guān)節(jié)其它結(jié)構(gòu)的全方位、多層次、不同程度的慢性炎癥;是一種無(wú)菌性、慢性、進(jìn)行性侵犯關(guān)節(jié)的慢性骨關(guān)節(jié)疾病。好發(fā)于50歲以上中老
6、年人群,表現(xiàn)為膝關(guān)節(jié)疼痛、僵硬、腫脹、活動(dòng)受限,日久可引起股四頭肌萎縮及膝內(nèi)、外翻畸形,嚴(yán)重影響中老年患者的生活質(zhì)量。據(jù)流行病學(xué)調(diào)查表明,60歲以上人群5096X線片有骨性關(guān)節(jié)炎的表現(xiàn),其中35%~50%有臨床表現(xiàn);75歲以上者80%有骨性關(guān)節(jié)炎癥狀Ⅲ。由于膝關(guān)節(jié)的疼痛與功能障礙嚴(yán)重影響患者生活質(zhì)量,因此國(guó)內(nèi)外醫(yī)學(xué)界非常重視,對(duì)其病因病機(jī)、病理及診斷與治療進(jìn)行了廣泛研究。傳統(tǒng)醫(yī)學(xué)雖然沒有骨關(guān)節(jié)炎的病名,但根據(jù)其臨床證候表現(xiàn),一般認(rèn)為屬于中醫(yī)學(xué)的“痹證”范疇,臨床上多以“骨痹’’稱之。(素問(wèn).痹論篇第四十三)云:“風(fēng)寒濕三氣雜至,合而為痹也。”幢1(素問(wèn)·氣穴論)“積寒留舍,
7、榮衛(wèi)不居,卷肉縮筋,肋肘不得伸,內(nèi)為骨痹??。”(張氏醫(yī)通)云:“膝為筋之府,膝痛無(wú)有不因肝腎虛者,虛則風(fēng)寒濕氣襲之。”經(jīng)前人長(zhǎng)期探索,認(rèn)為骨性關(guān)節(jié)炎的發(fā)生與“虛”、“邪’’、“瘀”密切相關(guān)。正氣虧虛是病變的根本,邪氣侵襲是發(fā)病的外因,瘀血是其病變過(guò)程中的病理產(chǎn)物。邪、瘀日久可致虛,虛則邪、瘀難卻,而邪、瘀兩者也相互為患。所謂“正氣存內(nèi),邪不可干”,“邪之所湊,其氣必虛”,只有內(nèi)外相交,共同作用,才能使人發(fā)病。故治療上扶正護(hù)陰,補(bǔ)益肝腎,調(diào)和氣血為大法,強(qiáng)調(diào)本病以本虛為主,再根據(jù)邪氣的盛衰,佐以祛邪(風(fēng)寒濕)、活血