丹红散离子导入治疗膝关节骨性关节炎瘀血痹阻型临床研究

Clinical Study on Danhong Powder Iontophoresis for Knee Osteoarthritis of Type of Accumulation of Blood Stasis

目的:观察丹红散离子导入治疗瘀血痹阻型膝关节骨性关节炎的临床疗效。方法:将60例瘀血痹阻型膝关节骨性关节炎患者随机分为2组各30例。2组均给予基础疗法,观察组加用丹红散离子导入治疗,对照组加用磁热疗法治疗。以2周为1个疗程,在治疗2周后及结束治疗1个月回访时,观察2组患者治疗前后关节疼痛、僵硬和功能活动等指标,并通过WOMAC评分指数进行治疗后的效果评价。结果:治疗2周后及结束治疗1个月后回访,2组临床疗效比较,差异有统计学意义(P<0.05),观察组疗效优于对照组。2组WOMAC评分指数比较,差异均有统计学意义(P<0.05)。观察组均优于对照组。2组治疗2周后及治疗结束后1个月回访WOMAC指数分别与治疗前比较,差异均有统计学意义(P<0.05)。观察组出现1例不良反应,表现为膝关节局部的皮肤红疹。结论:膝关节骨性关节炎患者使用丹红散离子导入治疗较磁热疗法能更大幅度减轻患者的疼痛,改善患者的临床症状和体征。

Objective:To observe the clinical effect of Danhong powder iontophoresis for knee osteoarthritis of type of accumulation of blood stasis.Methods:Divided 60 cases of patients with knee osteoarthritis of type of accumulation of blood stasis into two groups randomly,with 30 cases in each group.Two groups were given basic treatment.The observation group was additionally treated with Danhong powder iontophoresis and the control group was selected to be additionally treated with magnetic hyperthermia.For the joint pain,rigidity and functional activity in the two groups before and after treatment,evaluated the effects by WOMAC scoring indexes.Results:After treatment for two weeks and followed up in one month after ending treatment,there was significant difference being found in the comparison of the clinical effect in the two groups(P<0.05),which indicated that the curative effect in the observation group was better than that in the control group.After treatment for two weeks and followed up in one month after ending treatment,there were significant differences being found in the comparison of WOMAC scoring indexes in the two groups(P<0.05).The indexes in the observation group were all superior to those in the control group.After two weeks of treatment and one month after treatment,the WOMAC index of the two groups was significantly different from that before treatment(P<0.05).In the observation group,there was one case of adverse reaction,which was presented as localized skin rash on the knee joint.Conclusion:Compared with magnetic hyperthermia,the application of Danhong powder iontophoresis for patients with knee joint osteoarthritis can greatly relieve the pain of patients and improve the clinical symptoms and signs of patients.