唐林

[摘要] 目的 观察独活寄生汤联合中药熏蒸治疗膝骨关节炎患者的临床效果。 方法 选择2014年10月～2015年10月辽宁省残疾人康复中心收治的膝骨关节炎患者70例，采用随机平行对照的方法将其随机分为治疗组和对照组，各35例。治疗组采用内服独活寄生汤结合局部中药熏蒸治疗，对照组给予维骨力胶囊。治疗3个月后，测评所有患者的临床疗效、Lysholm膝关节功能评分和临床症状体征评分。 结果 治疗组痊愈7例，显效16例，有效10例，无效2例；对照组痊愈3例，显效13例，有效12例，无效7例，两组临床疗效比较差异有统计学意义（Z = 2.070，P < 0.05）。两组治疗后Lysholm膝关节评分较治疗前显著提高（P < 0.01），临床症状体征评分均较治疗前显著降低（P < 0.01），两组治疗后Lysholm膝关节评分、临床症状体征评分比较差异有统计学意义（P < 0.01、P < 0.05）。 结论 独活寄生汤结合中药熏蒸治疗膝骨关节炎效果可靠、有效，值得进一步应用及探索。

[关键词] 独活寄生汤；中药熏蒸；膝关节；骨关节炎；痹证

[中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210（2016）10（a）-0087-04

Effect of Duhuo Jisheng Decoction combined with herbal fumigation in treating knee osteoarthritis

TANG Lin

Liaoning Rehabilitation Center for Disabled Persons， Liaoning Province， Shenyang 110015， China

[Abstract] Objective To observe the clinical curative effect of Duhuo Jisheng Decoction combined with herbal fumigation in treating knee osteoarthritis. Methods Total 70 cases of patients with knee osteoarthritis admitted to Liaoning Rehabilitation Center for Disabled Persons from October 2014 to October 2015 were selected， and they were randomly divided into treatment group and control group by the method of random parallel control， each of 35 cases. The treatment group was treated by oral administration of Duhuo Jisheng Decoction combined with local fumigation treatment， the control group was given Viartril-s Capsules. After 3 months of treatment， the clinical curative effect， Lysholm knee function scores， clinical symptom and sign scores of all patients were detected. Results In the treatment group， 7 cases were cured， 16 cases were markedly effective， 10 cases were effective， and 2 cases were ineffective； in the control group， 3 cases were cured， 13 cases were markedly effective， 12 cases were effective， and 7 cases were ineffective， there was a significant difference of clinical efficacy between the two groups （Z = 2.070， P < 0.05）. After treatment， the Lysholm knee function scores of the two groups were significantly improved compared with those before treatment （P < 0.01）， the clinical signs and symptoms scores of the two groups were significantly decreased compared with those before treatment （P < 0.01）， there were significant differences of Lysholm knee function scores and clinical signs and symptoms scores after treatment between the two groups （P < 0.01， P < 0.05）. Conclusion Duhuo Jisheng Decoction combined with herbal fumigation for the treatment of knee osteoarthritis is reliable and effective， which is worthy of further promotion and explore.

[Key words] Duhuo Jisheng Decoction； Herbal fumigation； Knee joint； Osteoarthritis； Arthromyodynia

膝骨关节炎（knee osteoarthritis）是一种老年的常见病，女性多见，对患者的日常生活影响较大。膝骨关节炎在临床上以慢性进展性的关节疼痛、压痛、肿胀、僵硬、活动受限为主要表现，甚至可出现关节畸形。西医治疗对减轻疼痛、改善关节功能的程度有限[1]，中医药治疗本病却历史悠久，具有独特的优势[2-3]。独活寄生汤是祖国医学治疗痹证的经典方剂，临床应用广泛[4-5]，本研究采用独活寄生汤联合中药熏蒸的方法治疗膝骨关节炎，取得了满意的疗效。现将结果报道如下：

1 资料与方法

1.1 一般资料

采用随机平行对照的方法，选择2014年10月～2015年10月辽宁省残疾人康复中心门诊及住院收治的膝骨关节炎患者70例作为研究对象，通过随机数字表将其随机分为治疗组（35例）和对照组（35例）。其中男29例，女41例；……