中医医院膝关节骨关节炎住院患者的治疗情况——附892份病历分析

A RETROSPECTIVE STUDY ON THE TREATMENT OF INPATIENTS WITH KNEE OSTEOARTHRITIS IN TCM HOSPITAL

为了解中医医院膝关节骨关节炎住院患者的治疗现状,对湖南省12家中医医院5年膝关节骨关节炎住院患者治疗情况进行调查,摘录其相关治疗资料,并进行统计学分析处理。结果显示892例中,78.8%者内服中药汤剂,19.4%外用中药,所用中药性味多为辛温,内服药以祛风湿、补虚类药物居多,外用药以祛风湿、活血化瘀类药物为主。25.1%采用针灸治疗,常用穴位有膝眼、足三里、阳陵泉、阴陵泉、血海、梁丘等。13.1%接受推拿按摩治疗,但大多数病案未记载具体手法。46.2%内服NSAIDs,19.5%使用抗生素,15.4%使用激素类药物。表明中医医院对膝关节骨关节炎住院患者常采用中西医结合方法治疗,中医治疗多为各种方法组合的综合疗法,中药多选择性味辛温之品,祛风湿药、补虚药和活血化瘀类药物为临床常用中药。

In order to find out the today’s situation of the treatment of inpatients with knee osteoarthritis in TCM hospital, the treatment conditions of inpatients with knee osteoarthritis in 12 TCM hospitals of Hunan Province from January, 1997 to December, 2003 were investigated and the related therapeutic data in the in-patient case histories were abstracted into tables and statistically treated. The results showed that of 892 cases, 78.7% orally took TCD decoctions, most of which were win-dampness-removing and Qi-restoring drugs; 19.4% applied TCD externally, most of which were wind-dampness-removing, blood-circulation-activating and blood-stasis-eliminating drugs pungent in flavor and warm in property; 25.1% received acupuncture therapy, the common points include: Xiyan Ex-LE5, Zusanli ST 36, Yanglingquan GB 34, Yinlingquan SP 9, Xuehai SP 10, Liangqu ST 34, etc; 13.1% received massage therapy but no manipulations used were recorded in most case histories; 46.2% orally took NSIDs; 15.4% used hormonal drugs, suggesting that inpatients with knee osteoarthritis in TCM hospital were often treated by the combined TCM and WM method; the TCM treatment of most cases was a comprehensive therapy composed of various methods; most of the selected TCD were drugs pungent in flavor and warm in property; the TCD frequently used in the clinical treatment included win-dampness-removing, Qi-restoring, blood-circulation-activating and blood-stasis-eliminating drugs.