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Clinical study of Huamoyan Decoction in the treatment of gonarthromeningitis with syndrome of dampness-heat blocking collaterals |
XU Xinghui |
The First Department of Orthopectics, Baoji Hospital of Traditional Chinese Medicine, Shaanxi Province, Baoji 721001, China |
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Abstract Objective To observe the clinical effect of Huamoyan Decoction in the treatment of gonarthromeningitis with syndrome of dampness-heat blocking collaterals. Methods 96 cases diagnosed as gonarthromeningitis met with the syndrome of dampness-heat blocking collaterals admitted to Baoji hospital of traditional Chinese medicine from March 2012 to July 2015 were selected as research objects. All the patients were randomly divided into observation group (48 cases) and control group (48 cases) by random number table. The control group was taken microwave physical therapy, 30 min each time, once a day. The observation group was taken Huamoyan Decoction, one dose each day, external application of Chinese medicine was given at the same time. Both groups were taken 7 days as a course, treating for 4 courses. The improvement of joint swelling degree and TCM syndrome effect of the two groups after treatment were observed. The pain degree of knee-joint and joint function of the two groups before and after treatment were compared. Results After treatment for 4 weeks, the joint swelling degree of observation group was obviously milder than that of control group (P < 0.05), the TCM syndrome effect of observation group was obviously better than that of control group(P < 0.05). The scores of pain and joint function of WOMAC scale after treatment in the two groups were lower than those before treatment, and scores of pain and joint function of WOMAC scale after treatment in the observation group were decreased more significantly compared with those of control group, with statistically significant difference (P < 0.05). Conclusion Huamoyan Decoction can obviously promote the absorption of hydrops articuli in patients with gonarthromeningitis, reduce the swelling and pain of joint, improve the joint function, which is worthy of clinical promotion and application.
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[1] 周小萍,冯小波,李丽莉,等.四妙汤不同温度外敷对膝关节急性滑膜炎患者的影响研究[J].实用医学杂志,2015,31(12):2038-2041.
[2] 陈百成,王飞,孙然,等.滑膜炎颗粒治疗急、慢性膝关节滑膜炎的临床疗效观察[J].中国骨与关节外科,2014,7(3):226-230.
[3] 沙永亮.滑膜炎汤联合红光治疗仪治疗小儿髋关节滑膜炎55例[J].中国中医急症,2016,25(3):546-548.
[4] 李立强,于健,杨家祥,等.中老年膝关节慢性滑膜炎药物治疗研究进展[J].中国药房,2016,27(23):3304-3306.
[5] 莫颖倩,戴冽,郑东辉,等.高频超声与病理学检测评价类风湿关节炎膝滑膜炎的相关性研究[J].中华风湿病学杂志,2012,16(2):91-95.
[6] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].3版.北京:人民军医出版社,2005.
[7] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[8] 张康乐,郭艳幸.中药外敷联合滑膜炎颗粒口服及功能锻炼对膝骨关节炎性滑膜炎临床观察[J].风湿病与关节炎,2016,5(6):18-20.
[9] 张志伟,孙丽华,周艳华,等.滑膜炎颗粒抗炎作用的实验研究[J].国际中医中药杂志,2015,37(7):621-625.
[10] 曹永飞,贾鹏,王长海,等.滑膜炎颗粒口服联合中药外敷治疗急性创伤性膝关节滑膜炎临床研究[J].中国中医急症,2015,24(3):413-414,456.
[11] 张莉,高峰,滕凤猛,等.雷公藤多甙对胶原诱导性关节炎大鼠滑膜组织微血管新生的影响[J].临床和实验医学杂志,2015,14(21):1766-1768.
[12] 尹崑,卫小春,丁娟,等.关节软骨损伤和滑膜炎关系的临床研究[J].中国药物与临床,2013,13(12):1555-1557.
[13] 袁长深,梅其杰,秦凯,等.化瘀祛湿方对早期膝骨关节炎滑膜成纤维细胞COX-2 mRNA表达的影响[J].中国医药导报,2016,13(24):40-44,50.
[14] 李文龙,范亚楠,张蕾蕾,等.中药熏洗配合骨炎膏外敷治疗儿童急性髋关节滑膜炎疗效观察[J].世界中西医结合杂志,2016,11(10):1392-1395.
[15] 王为,刘渝松,马善治,等.温针灸膝四穴配合消肿利水方熏洗治疗膝关节创伤性滑膜炎的临床研究[J].中国中医急症,2015,24(7):1165-1168.
[16] 杨威,康武林,袁普卫,等.滑膜炎在骨关节炎发病机制中作用的研究进展[J].中国康复理论与实践,2015,21(5):530-533.
[17] 朱传奇,张祥生,闫本流,等.中药颗粒剂内服并滑膜炎贴膏外敷治疗膝关节创伤性滑膜炎[J].中医临床研究,2014,6(13):124-125.
[18] 陈艳华.中药熏蒸结合温针法治疗慢性膝关节滑膜炎临床疗效观察[J].河北医学,2015,21(11):1912-1914.
[19] 李兴兰.微波配合中药离子导入治疗髋关节滑膜炎疗效观察[J].现代中西医结合杂志,2012,21(16):1752-1753.
[20] 李立强,田伟明,杨家祥,等.芪志祛湿健脾方治疗中老年膝关节慢性滑膜炎的临床效果[J].中国医药导报,2015,12(25):93-95,103.
[21] 丁呈彪,周云.膝骨性关节炎患者滑膜炎的发病机制及研究进展[J].中国组织工程研究,2015,19(51):8327-8332.
[22] 郑昱新,詹红生,莫文,等.滑膜炎颗粒治疗膝关节滑膜炎湿热阻络证的随机、双盲、安慰剂对照、多中心临床研究[J].中医正骨,2015,27(12):29-36. |
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