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Chinese Native Medicine Treatment Knee Osteoarthritis Clinical Research And Curative Effect Analysis

Posted on:2010-10-07Degree:MasterType:Thesis
Country:ChinaCandidate:H Z ZongFull Text:PDF
GTID:2144360275987484Subject:Orthopedics scientific
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Objective:Knee Osteoarthritis is a degeneration of cartilage in joints and the surrounding bone hyperplasia of the pathological features of chronic progressive arthropathy disease.Cording to the etiology and pathogenesis,KOA can belongs to the category of "Arthralgia syndrome","Arthralgia syndrome of bone" "Knee arthralgia syndrome","Wei(atrophy) syndromes" or"Arthralgia and Wei(atrophy) syndromes" At present,the incidence rate of osseous arthritis's disease advances year by year,Above 50 years old in the crowd,the osseous arthritis's prevalence rate is only inferior to the cardiovascular disease,is situated second in China,And as a result of China aging of population's arrival,this tendency will still continue.Knee joint osseous arthritis may bring inconvenient to the patient in the life and work,serious influence survival quality. So it is necessary to find a kind effective,simple,security,economical way to treatment it.Through clinical contrast observation research Uses the oral administration Chinese native medicine decoction + Chinese native medicine compared with the patient to smoke washes and takes orally western medicine Aesop good(sulfuric acid glucosamine) + partial to paste spreads the medicinal plaster(compound prescription capsicine pastes) the clinical curative effect and the security.Method:The complete case of illness comes from the Shandong Province Chinese medicine hospital orthopedics outpatient service,Gathering time from September,2007 to December,2008,integrates the standard and the elimination standard according to case of illness,chooses 62 knee joint osseous arthritis patient. Equally divides into the treatment group and the control group immediately,after statistics processing,two group of patient ages,the sex,the condition distribution and so on the non-significance difference,has the commeasurability.The treatment group patients use the oral administration Chinese native medicine decoction + Chinese native medicine to smoke wash,every day a medicinal preparation.The control group patients take orally western medicine Aesop good(sulfuric acid glucosamine),1 grain/time,daily 3 times, pastes partially spreads the compound prescription capsicine to paste,daily one time.Two group of patients coordinate the function exercise:Encourages the patient to make the stock four myo-exercises.Each time contracts for 3 seconds,then the relaxation,each time exercises 20 minutes,daily 3 times.3 weeks are a treatment course,along with examines the time for 2-6 month,the recording and the comparison treatment group and the control group patient knee joint symptom improvement situation,the data uses the SPSS13.0 statistics software to carry on the statistical analysis.Result:After the treatment group and the control group treats each target to have the distinct improvement,around the treatment the difference obvious(P<0.01).In treatment group 31 example patients,controls reveals rate is 58.06%,the total effectiveness is 93.55%;In the control group 31 example patients, controls reveals rate is 32.25%,the total effectiveness is 79.65%.Two groups of total curative effects after statistics processing(P<0.05),has the significance difference.After the treatment group cures the symptom integral front to reduce,statistics processing (P<0.01),has the significance difference;After the control group cures the symptom front to be few,processes the P<0.01 after statistics,has the significance difference;Treats the latter two group of symptom integral interpolation comparison to process P<0.01 after statistics,has the significance difference,may think the treatment group treatment result surpasses the control group obviously.Therefore,the oral administration Chinese native medicine decoction + Chinese native medicine smokes washes to treats the knee joint osseous arthritis disease curative effect to be more accurate,with the oral administration western medicine,pastes partially spreads the compound prescription capsicine to paste compares the curative effect to be more obvious,is worth the clinical practice.Rest ache, the joint scalding hot,Pi Se blushes,stands the help,walks most greatly the distance,does not walk the level road,after two groups treat compare the not obvious difference(P>0.05),but the early morning stiff,the joint tenderness,under squats symptom symptoms and so on difficulty,two groups of comparisons have the significance difference(P<0.05), in which walks the ache,the joint swelling as well as about the steps and ladders group the comparison has the extremely significance difference(P<0.01).After two groups of case of illness treat the medication security to compare the difference non-statistics significance. Conclusion:The oral administration Chinese native medicine decoction + Chinese native medicine smokes washes the therapy to treat the knee osteoarthritis disease curative effect to be accurate,compares the curative effect with the oral administration western medicine to be more remarkable,is worth the clinical practice.But this group of case of illness number are slightly few,has certain limitation in the reflection result accuracy and the integrity,still had further to discuss the research.
Keywords/Search Tags:Knee osteoarthritis, TCM combined therapy, Clinical researc
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