理筋正骨联合中药熏洗治疗瘀血阻滞型膝骨关节炎的临床研究

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1、授予单位代码10089学号或申请号20152399中国图书分类号R274HebeiMedicalUniversityFDUUUUUUUUUniversityUniversity硕士学位论文学术学位理筋正骨联合中药熏洗治疗瘀血阻滞型膝骨关节炎的临床研究研究生：刘路导师：杜双庆教授专业：中医骨伤科学二级学院：河北省中医院2018年3月目录中文摘要······································································1英文摘要·············································

2、·························3英文缩写······································································6研究论文理筋正骨联合中药熏洗治疗瘀血阻滞型膝骨关节炎的临床研究前言······································································7材料与方法································································8结果···············

3、·······················································15附表······································································17讨论······································································20结论······································································31参考文献·········

4、························································31综述膝骨关节炎的临床治疗现状········································36致谢······································································45个人简历······································································46中文摘要理筋正骨联合中药熏洗治疗瘀血阻滞型膝骨关节炎的临

5、床研究摘要目的：膝骨关节炎是目前引起膝关节疼痛常见的原因之一，是临床上骨伤科方面的多发病、常见病。随着现代社会人口老龄化的发展趋势以及人类生活方式的改变，膝骨关节炎的发病率呈不断上升趋势，严重者甚至丧失了劳动、工作能力，给人们造成了很大的困扰，不仅影响了人们的生活质量，同时也加重了家庭以及社会的经济负担，引起了社会以及国际上的广泛关注。为此寻求一种快捷简便、疗效高的治疗方法即是当前最迫切任务。本课题是在导师杜双庆教授悉心指导下通过观察和评价中医理筋正骨手法联合中药熏洗治疗瘀血阻滞型膝骨关节炎的临床疗效，明确理筋正骨手法临床作用特点与优势，提高膝骨关节炎的临床效果，为其临床应用提

6、供循证医学依据。同时，探究杜双庆教授“小角度旋牵推按正骨手法”的学术创新及临床疗效，发展并完善中医特色理筋正骨手法，继承并发扬杜双庆教授“小角度旋牵推按正骨手法”治疗膝骨关节炎的临床经验。方法：将符合诊断、纳入、排除标准的来自河北省中医院骨伤三科门诊就诊的膝骨关节炎患者122例，随机分为对照组（61例）和试验组（61例），试验组给予理筋正骨结合中药熏洗，对照组给予中药熏洗结合口服双氯芬酸钠缓释片，两组均以15天为一个疗程。结果：1.安全性检测：两组患者在治疗前后血常规、尿常规、便常规、肝肾功能、心电图未见明显异常，治疗过程中对照组病人出现2例短暂的心慌、恶心症状，无其他过敏及不

7、良反应。2.两组患者资料在治疗前分析：性别、年龄、体重指数、X线分期以及病程方面比较，差异无统计学意义(P>0.05)。3.两组患者在治疗前后及治疗3个月后分别进行VAS疼痛评分，治疗前VAS疼痛评分(P>0.05)，不具有统计学意义，具有可比性，治疗后两组患者VAS疼痛评分较前均有明显下降，具有显著性差异(P<0.05)，说明两1中文摘要种治疗方法均能治疗膝骨关节炎，但治疗后试验组与对照组相比（P>0.05）不具有统计学意义。两组通过治疗后3个月随访，试验组与对照组相比(P>0.05)，不