CAJ | 학술논문

目的：探讨中药经筋综合辨证外敷治疗膝骨性关节炎的临床疗效。方法：采用随机对照研究方式，将120例单膝骨性关节炎患者分为治疗组和对照组，其中以经筋综合辨证外敷治疗膝骨性关节炎56例（治疗组），与通痹散、解毒散、消瘀散辨证治疗膝骨性关节炎55例（对照组）进行临床疗效对比。结果：2组患者治疗后VAS评分及WOMAC评分与治疗前比较均有下降，差异有统计学意义（P＜0．05）。治疗组能更有效的降低疼痛程度及改善关节活动功能，2组间差异具有统计学意义（P＜00．5），治疗组疗效优于对照组。结论：中药经筋综合辨证外敷治疗膝骨性关节炎疗效显著，值得临床推广应用。
목적：탐토중약경근종합변증외부치료슬골성관절염적림상료효。방법：채용수궤대조연구방식，장120례단슬골성관절염환자분위치료조화대조조，기중이경근종합변증외부치료슬골성관절염56례（치료조），여통비산、해독산、소어산변증치료슬골성관절염55례（대조조）진행림상료효대비。결과：2조환자치료후VAS평분급WOMAC평분여치료전비교균유하강，차이유통계학의의（P＜0．05）。치료조능경유효적강저동통정도급개선관절활동공능，2조간차이구유통계학의의（P＜00．5），치료조료효우우대조조。결론：중약경근종합변증외부치료슬골성관절염료효현저，치득림상추엄응용。
Objective:To observe the clinical effect of external application by TCM differentiation comprehensively reinforcement on knee osteoarthritis ( KOA) .Methods:Chooses 120 patients of single knee osteoarthritis ,randomly divided the cases into a treatment group and a control group .56 cases of patients with knee osteoarthritis treated with external application by TCM differentiation comprehensively reinforcement ( treatment group ) , while 55 cases of patients with knee osteoarthritis treated with external application of Tongbi Power ,Xi-aoyu Power, Jiedu Power by TCM differentiation (control group).Results:After treatment, the VAS score, Knee synovial thickness , joint effusion and the WOMAC score of the 2 groups were both decreased compared with treatment before .There was significant different be-tween the 2 groups(P<0.05).The treatment group could reduce pain , synovial thickness and joint effusion , improve joint activities func-tion more effectively than the control one , There was significant different between the 2 groups(P<0.05), and the teratment group was significant better than the control one .Conclusion:The external application by TCM differentiation comprehensively reinforcemenare signif -icantly effective in treating knee osteoarthritis , and it should be worth promoting .