补肾活血汤治疗膝骨关节炎20例

Clinical Effect of Bushen Huoxue Decoction Treating Knee Osteoarthritis

目的:总结观察自拟补肾活血汤对膝关节骨性关节炎的治疗效果。方法:回顾性分析2009年4月—2011年5月治疗35例膝骨关节炎的情况,其中治疗组20例采用自拟补肾活血汤内服结合TDP理疗和膝部功能锻炼,对照组15例采用硫酸氨基葡萄糖口服结合TDP理疗和膝部功能锻炼,观察临床疗效。结果:补肾活血汤组能显著降低患者的疼痛、压痛、肿胀、关节活动度、功能障碍等病状积分,优于硫酸氨基葡萄糖组(P<0.05)。治疗组临床控制1例,显效10例,有效8例,无效1例,总有效率95%,治疗效果显著性优于对照组(P<0.05)。结论:自拟补肾活血汤治疗膝骨关节炎疗效确切,值得临床推广应用。

Objective： To observe and summarize the therapeutic effect of self-made BSHXD, a decoction reinforcing the kidney and activating blood circulation for treating Knee Osteoarthritis. Method： A retrospective analysis of the treatment to 35 cases of Knee Osteoarthritis is conducted, which is based on the data from April 2009 to May 2011, among which, 20 cases of the treatment group were treated by selfmade BSHXD, coupled with TDP physiotherapy treatment and active functional exercise of the knee; the other 15 cases of the contrast group were treated by Glucosamine Gulfate, also combined with TDP physiotherapy treatment and active functional exercise of the knee. Both the clinical effects of the two groups were observed. Results ： BSHXD can obviously decrease the symptom integral of pain, tenderness, swelling, joint ROM, dysfunction, etc, which is better than that of the contrast group （ P〈0.05 ）. In the treatment group, 1 ease had been clinically controlled, 10 cases had obvious effect, 8 cases had effect, still 1 case had no effect, the total effective rate was 95%. The clinical effect is much better than that of control group （ P〈0.05 ）. Conclusion ： Selfmade BSHXD has affirmative effect on Knee Osteoarthritis. It is worthy of widespread application.