中医外治法辨证治疗膝骨性关节炎120例

Syndrome Differentiation of TCM External Treatment for 120 Cases of Knee Osteoarthritis

目的:观察运用不同外治法辨证治疗膝骨性关节炎的临床疗效。方法:将120例患者随机分为治疗组和对照组各60例,治疗组运用不同的方剂采用各种中医外治法,包括中药外敷、中药熏洗、中药涂擦、中药离子导入进行治疗,1次/d,以7天为1个疗程,治疗2个疗程后观察疗效。对照组60例均用甘肃省中医院中药洗剂(协定方)外敷、熏洗、离子导入进行治疗,1次/d,以7天为1个疗程,治疗2个疗程后观察疗效。结果:治疗组总有效率为96.7%,对照组总有效率为78.3%,2组相比差异有统计学意义(P<0.05)。结论:运用多种中医外治疗法对膝骨性关节炎进行辨证治疗临床疗效显著,多种治疗方法协同作用,优势互补。

Objective： To observe clinical effects of different external treatments for knee osteoarthritis Method： All 120 patients were randomly divided into treatment group and control group equally. Treatment group received TCM external treatment with recipes which contained herbs for external use, fumigation with herbs, inunction with herbs and TCM iontophoresis; control group used TCM lotion, once each day for both groups, seven days were one session, clinical effects were observed after two sessions. Result： Total effective rate of treatment group was 96.7%, total effective rate of control group was 78.3%, comparisons of both groups demonstrated statistical meaning （P〈0.05）. Conclusion： External treatment in treating knee osteoarthritis can obtain notable clinical effects, which should be used widely.