清凉活化散外敷联合硫酸氨基葡萄糖胶囊治疗膝骨关节炎临床研究
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R684.3

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浙江省中医药科学研究基金项目(2020ZB175)


Clinical Study on External Application of Qingliang Huohua Powder Combined with Glucosamine Potassium Sulfate Tablets for Knee Osteoarthritis
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    摘要:

    目的:观察清凉活化散外敷联合硫酸氨基葡萄糖胶囊治疗膝骨关节炎临床疗效及对炎症指标的影 响。方法:选取200例膝骨关节炎患者,按照随机数字表法分为对照组和治疗组各100例。对照组给予硫酸氨 基葡萄糖胶囊治疗,治疗组在对照组的基础上给予清凉活化散外敷。比较2组临床疗效、步态、膝关节功 能[Lysholm膝关节功能量表(LKSS)]、疼痛视觉模拟评分法(VAS) 评分、症状评分以及炎症指标[白细胞 计数(WBC)、C-反应蛋白(CRP)、血沉(ESR)] 水平变化。结果:治疗后,治疗组总有效率为93.00%, 对照组为78.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组步频、步长以及步速均较治疗前升 高(P<0.05);且治疗组步频、步速均高于对照组(P<0.05),但2组步长比较,差异无统计学意义(P> 0.05)。治疗后,2组CRP、ESR、WBC水平均较治疗前降低(P<0.05),且治疗组3项炎症指标水平均低于对 照组(P<0.05)。治疗后,2组LKSS评分较治疗前上升(P<0.05),VAS评分较治疗前降低(P<0.05);且治 疗组LKSS评分高于对照组(P<0.05),VAS评分低于对照组(P<0.05)。治疗后,2组关节疼痛、膝关节活动 度以及日常活动等症状评分均较治疗前降低(P<0.05),且治疗组上述各项评分均低于对照组(P<0.05)。结 论:清凉活化散外敷联合硫酸氨基葡萄糖胶囊能够提高膝骨关节炎患者关节功能,改善临床症状,有效抑制机 体炎症反应,从而提高临床疗效。

    Abstract:

    Abstract: Objective: To observe the clinical effects of the external application of Qingliang Huohua Powder combined with Glucosamine Potassium Sulfate Tablets on knee osteoarthritis and its impact on inflammatory indicators. Methods: A total of 200 patients with knee osteoarthritis were selected and divided into the control group and the treatment group according to the random number table method,with 100 patients in each group. The control group was treated with Glucosamine Potassium Sulfate Tablets, and the treatment group was given the external application of Qingliang Huohua Powder based on the treatment of the control group. Changes in clinical effects,gait,knee joint function [Lysholm Knee Scoring Scale (LKSS)], scores of Visual Analogue Scale (VAS) of pain, syndrome scores, and the levels of inflammatory indicators [white blood cell count (WBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR)] were compared between the two groups. Results: After treatment, the total effective rate in the treatment group was 93.00%, while that in the control group was 78.00%, with significance in the difference (P<0.05). After treatment, the two groups showed an increase in step frequency,step length,and pace when compared with those before treatment (P<0.05);the treatment group had higher step frequency and pace than the control group (P<0.05), but there was no significant difference in step length between the two groups (P>0.05). After treatment,CRP,ESR,and WBC in the two groups were decreased when compared with those before treatment (P<0.05), and the three inflammatory indicators in the treatment group were lower than those in the control group (P<0.05). After treatment,the LKSS scores in the two groups were increased when compared with those before treatment (P<0.05), and the VAS scores were decreased when compared with those before treatment (P<0.05); the LKSS score in the treatment group was higher than that in the control group (P<0.05), and the VAS score was lower than that in the control group (P<0.05). After treatment, the syndrome scores of joint pain, knee joint range of motion, and daily activities in the two groups were decreased when compared with those before treatment (P<0.05),and the above scores in the treatment group were lower than those in the control group (P<0.05). Conclusion:The combination of the external application of Qingliang Huohua Powder and Glucosamine Potassium Sulfate Tablets can improve joint function,alleviate clinical symptoms, effectively inhibit the body's inflammatory responses,and thus enhance clinical effects in the treatment of patients with knee osteoarthritis.

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陈小芳,赵万军,黄知音.清凉活化散外敷联合硫酸氨基葡萄糖胶囊治疗膝骨关节炎临床研究[J].新中医,2024,56(24):165-169

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  • 在线发布日期: 2024-12-27
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