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Knee Swelling Party Certification To Treat Wet Pixu (spleen Deficient) On Knee Osteoarthritis Clinical Analysis

Posted on:2014-01-02Degree:MasterType:Thesis
Country:ChinaCandidate:W L BaoFull Text:PDF
GTID:2244330398452777Subject:Orthopedics learn
Abstract/Summary:PDF Full Text Request
Osteoarthritis of the knee (knee with osteoarthritis KOA) is referred to as osteoarthritis of the knee is osteoarthritis (osteoarthritis, OA) a. Osteoarthritis of the knee, also known as knee proliferative arthritis, degenerative arthritis, hypertrophic arthritis, degenerative joint disease, is a multiple chronic bone and joint diseases, orthopedic clinical common. Its main wear of articular cartilage, osteoarthritis, joint pain, swelling, limited mobility of the main manifestations of the disease. Modern medical research and more risk factors and mechanisms of osteoarthritis of the knee with age, heredity, injury, excessive weight, obesity, the environment, the amount of bone mineral density, biomechanical changes. Now that the etiology of osteoarthritis of the knee are mainly mechanical wear and impact, cartilage metabolism, enzyme metabolism, biochemical changes, changes in nutrition, injury and autoimmune abnormalities multivariate. Knee Osteoarthritis is a traditional Chinese medicine,"Gubi" arthralgia "category. Understanding of the motherland medicine for osteoarthritis of the knee is a long history, its etiology, pathogenesis, treatment of the disease outcome are made more detailed discussion. In this paper, Chinese medicine treatment of osteoarthritis, including literature research, clinical research, literature research, understand the ancient physicians the treatment of osteoarthritis, and provide theoretical support for modern research. Traditional medicine that The Gubi the occurrence associated with the liver and spleen, kidney, phlegm, and a sense of evil. Liver and spleen, kidney deficiency virtual, upright weakness is a major cause of this disease. Liver and spleen, kidney deficiency virtual, upright weakness induced bone loss nourish blood loss withered, exogenous wind cold dampness evil cause local or systemic bone and joint degeneration. Second Gubi unhealed running sluggish blood and body fluids, wet, phlegm and blood stasis and evils of consistency, blood stasis, the cohesion of body fluid, phlegm and blood stasis, closed block the meridians, deep into the bones, leading to joint swelling, pain, stiffness, deformation, or even in-depth internal organs, organs paralysis syndrome, which is determined by the Gubi the fundamental pathogenesis. Learn Chinese medicine treatment of osteoarthritis in recent years to understand the direction of the treatment and research. Help for the next clinical study. Modern physicians believe that knee osteoarthritis based virtual reality of the disease, treatment direction to the liver and kidney tonic, blood circulation, and cold dampness, and study a lot of experience side, research help for the Chinese medicine treatment of knee osteoarthritis. In this paper, a number of Western literature, the latest direction of Western medicine in the treatment of osteoarthritis. Literature helped a lot to offer for the completion of this study.Clinical research:Objective:To observe knee the Bi swelling side treatment Spleen wet Note knee osteoarthritis clinical efficacy, discover spleen dampness, qi and blood injection treatment Spleen wet knee osteoarthritis rule is.Methods:in the period from February2012to March2013in our clinic treated60outpatients meeting the inclusion criteria were randomly divided into treatment group and control group,30patients in each group by random table. Control group with reference to the2007version of the Chinese Medical Association of Orthopaedic Surgery Branch of the diagnosis and treatment of osteoarthritis Guide "to the music60mg loose TID, glucosamine hydrochloride0.48g tid. Treatment group on the basis of the control group to the treatment of its knee Bi swelling side, surrounded by a course of treatment. After the clinical efficacy evaluation, the total effective rate was95%, treatment group was90%,100%of the control group, inspection by Ridit, confidence interval (0.547,0.818), p<0.05, treatment group than in the control group were significantly different. Based on the results, we can know than a single comprehensive treatment of Western medicine treatment efficacy, according to tutor opinion dampness, qi and blood circulation treatment Spleen wet Note osteoarthritis of the knee rule is.
Keywords/Search Tags:Spleen wet Note, Osteoarthritis of the knee, Phlegm, Effusion
PDF Full Text Request
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