李士懋发汗法治疗45例寒凝证型膝骨关节炎的临床观察

Clinical Observation on Using Li Shimao's Diaphoresis Method to Treat Knee Osteoarthritis of Coagulated Cold Syndrome Type

目的:观察国医大师李士懋用发汗法治疗寒凝证型膝骨关节炎的临床效果。方法:选取寒凝证型膝骨关节炎患者90例,随机分为中医对照组和试验组,每组45例,中医对照组给予乌头汤治疗,试验组给予寒痉汤治疗,观察2组治疗后7天的膝关节功能评分及临床疗效。结果:与治疗前比较,2组患者治疗后膝关节功能评分显著提高,差异均具有统计学意义(P<0.05),试验组总有效率93.3%,中医对照组总有效率86.7%;试验组治疗后临床有效率明显高于中医对照组,2组比较总有效率有统计学意义(P<0.05)。结论:发汗法能够有效治疗寒凝证型膝骨关节炎,改善其临床症状和体征,而且安全性高,不良反应小,疗效可靠,值得临床推广。

Objective： To observe the clinical efficacy of professor Li Shimao＇s sweating method on knee osteoarthritis cold coagulation syndrome types. Methods： To select ninety patients of such type of disease and to randomly divide them into Chinese medicine control group（ n = 45） and treatment group（ n = 45）. The control group was given Wutou decoction and the treatment group was given Hanjing decoction. To observe knee joint function score and clinical efficacy after 7 days of treatment in the two groups. Results： At the end of treatment,the total effective rate in the treatment group was 93. 3% and 86. 7% in the control group（ P 〈0. 05）. Conclusion： Diaphoresis method can effectively treatknee osteoarthritis of coagulated cold syndrome type and improve the clinical symptoms. Besides,it is safe,effective,reliable with less adverse reactions,and it is worthy of clinical promotion.