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辨证取穴针刺治疗膝关节骨性关节炎:随机对照研究 被引量:58
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作者 付慕勇 张智龙 《中国针灸》 CAS CSCD 北大核心 2011年第12期1062-1066,共5页
目的:比较针刺与西药治疗膝关节骨性关节炎的疗效差异。方法:将120例患者随机分为针刺组、西药组,每组60例。针刺组采用针刺治疗,穴取内膝眼、犊鼻、阴陵泉、阳陵泉为主,并配合辨证取穴;西药组口服盐酸氨基葡萄糖胶囊,每次2粒,每天3次... 目的:比较针刺与西药治疗膝关节骨性关节炎的疗效差异。方法:将120例患者随机分为针刺组、西药组,每组60例。针刺组采用针刺治疗,穴取内膝眼、犊鼻、阴陵泉、阳陵泉为主,并配合辨证取穴;西药组口服盐酸氨基葡萄糖胶囊,每次2粒,每天3次。运用膝关节骨性关节炎自评量表(WOMAC)及中文版简明健康状况调查表(SF-36)于治疗前、治疗4周后、治疗后9周随访进行疗效评估。结果:治疗4周后针刺组总有效率为86.7%(52/60)、西药组为88.3%(53/60),组间差异无统计学意义(P>0.05);治疗后9周随访针刺组总有效率为83.3%(50/60),优于西药组的61.7%(37/60,P<0.05)。两组治疗后WOMAC和SF-36评分均较治疗前改善(P<0.05,P<0.01),治疗4周后组间比较差异均无统计学意义(均P>0.05),治疗后9周随访针刺组WOMAC和SF-36评分改善优于西药组(P<0.05,P<0.01)。结论:辨证取穴针刺治疗膝关节骨性关节炎与口服盐酸氨基葡萄糖胶囊近期疗效相当,而远期疗效针刺组优于西药组。 展开更多
关键词 骨性关节炎 针刺疗法 辨证论治 针灸效应 随机对照试验
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228例开放性骨折感染患者病原菌分布及药敏分析 被引量:17
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作者 付慕勇 赵喆 《中华医院感染学杂志》 CAS CSCD 北大核心 2011年第19期4171-4173,共3页
目的研究开放性骨折感染的主要病原菌及其药物敏感性情况,为临床开放性骨折预防感染治疗提供依据。方法回顾性分析228例开放性骨折感染住院患者的伤口分泌物细菌培养和药敏分析。结果革兰阴性菌检出率为53.62%,高于革兰阳性菌的46.38%;... 目的研究开放性骨折感染的主要病原菌及其药物敏感性情况,为临床开放性骨折预防感染治疗提供依据。方法回顾性分析228例开放性骨折感染住院患者的伤口分泌物细菌培养和药敏分析。结果革兰阴性菌检出率为53.62%,高于革兰阳性菌的46.38%;常见细菌检出率由高到低依次为粪肠球菌、铜绿假单胞菌、金黄色葡萄球菌、鲍氏不动杆菌、表皮葡萄球菌,其检出率分别为14.89%、13.62%、13.19%、12.77%、11.06%。结论伤口分泌物中革兰阳性菌耐药性增高,对各种抗菌药物敏感性并不集中;革兰阴性菌中对亚胺培南的敏感性降低;开放性骨折术中应严格无菌操作,充分清创;术后使用合理的抗菌药物预防感染。 展开更多
关键词 开放性骨折 病原菌 细菌培养 药敏试验
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Knee osteoarthritis treated with acupuncture based on syndrome differentiation:a randomized controlled trial 被引量:3
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作者 付慕勇 张智龙 《World Journal of Acupuncture-Moxibustion》 2012年第3期11-17,共7页
Objective To compare the efficacy differences between acupuncture and western medicine in treating osteoarthritis of knee joints.Methods One hundred and twenty cases were randomly divided into an acupuncture group and... Objective To compare the efficacy differences between acupuncture and western medicine in treating osteoarthritis of knee joints.Methods One hundred and twenty cases were randomly divided into an acupuncture group and a western medication group with 60 cases in each group.In the acupuncture group,acupuncture was applied mainly at Nèixīyǎn(内膝眼 EX-LE 4),Dúbí(犊鼻 ST 35),Yīnlíngquán(阴陵泉 SP 9) and Yánglíngquán(阳陵泉 GB 34) plus other acupoints selected according to syndrome differentiation.In the medication group,Glucosamine Hydrochloride capsules were orally given 3 times daily with 2 capsules each time.Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Medical Outcomes Study 36-Item Short Form Health Survey(SF-36,Chinese version) were used to assess therapeutic effects before treatment,after 4 weeks treatment and 9 weeks after treatment,respectively.Results After 4 weeks of treatment,the total effective rates were 86.7%(52/60) and 88.3%(53/60) in the acupuncture group and the western medication group,respectively,without significant difference(P〈0.05).In 9 weeks after treatment,the total effective rates were 83.3%(50/60) and 61.7%(37/60) in the acupuncture group and the western medication group,respectively,with significant difference between the two groups(P〈0.05).According to WOMAC and SF-36,the scores were all improved in both groups(P〈0.05,P〈0.01),with significant difference in follow-up visit of 9 weeks after treatment between the two groups(P〈0.05,P〈0.01),but not after 4 weeks of treatments(both P〈0.05).Conclusion Short-term of therapeutic effects of acupuncture and oral administration of Glucosamine Hydrochloride on osteoarthritis of knee joints are similar,but long-term efficacy in the acupuncture group is better than that in the western medication group. 展开更多
关键词 osteoarthritis knee acupuncture therapy syndrome differ treatment acupuncture effects randomized controlled trial(RCT)
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