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中药熏蒸治疗膝骨性关节炎51例疗效观察

发表时间:2018-08-01浏览次数:

 网上扎金花平台 膝关节骨性关节炎是一种常见疾病,是引起膝关节疼痛的主要原因之一。我科自2001年10月引进华亨中药汽疗仪对51例膝骨性关节炎患者进行跟踪治疗,报告如下:

  1、一般资料

  51LIHUANZHE,QIZHONGNANXING23LI,NVXING28LI。DANCE41LI,SHUANGCE10LI。BINGCHENG3TIANZHI15NIAN。

  1.1ZHENDUANBIAOZHUNJILINCHUANGBIAOXIAN

网上扎金花平台   1)BINGUXIATENGTONG。

  QUANBU51LIHUANZHEJUNYOUBINGUXIATENGTONG,ZHUDONGSHENQUXIGUANJIESHICHUXIANTENGTONG,30LITONGSHIBANYOUMOCAYIN。BEIDONGSHENQUSHIWUTENGTONG。

  2)GUANJIEFANFUZHONGZHANG。

  15LIHUANZHECHUXIANCIZHENGZHUANG,QIZHONGNAN12LI,KEJIANNANXINGGUANJIEZHONGZHANGDUOYUNVXING。

  3)GUANJIEJIXING。

  21LIHUANZHEYICHUXIANGUANJIEJIXING,GUANJIEGUYUANZENGDAGUANJIEZHUDONGJIBEIDONGHUODONGFANWEIJIANSHAO,GUANJIEBUNENGWANQUANSHENZHI。

网上扎金花平台   4)JIANCHA:KEJIANGUSITOUJIWEISUO,ERXIGUANJIECUDA,YOUSHIKECHUJIHUAMOZHONGZHANGJIFUBINSHIYANYANGXING,BINGUSHENMIANJIXIGUANJIEZHOUWEIYATONG,GUANJIEHUODONGSHOUXIAN。34LIHUANZHEYOUBUTONGCHENGDUDEGUSITOUJIWEISUO,YUHUANBINGSHIJIANCHENGZHENGBI,3LIHUANZHECHUXIANFUBINYANGXING。SUOYOUHUANZHEJIEYOUXIZHOUYATONG,HUANZHEXIGUANJIEQUQUGONGNENGSHANGKE,DANYOU12LIQUQUZAI60°~120°ZHIJIAN。

  5)XXIANSHEPIAN:ZAOQIDUOWEIYINXING,OUJIANBINGUSHANGXIAYUANYOUXIAOGUCIZENGSHENG。YIHOUKEJIANGUANJIEJIANXIXIAZHAI,RUANGUXIAGUBANZHIMI,GUANJIEBIANYUANJIKEJIANJIGUCIZENGSHENG,RUANGUXIAGUYOUSHIKEJIANXIAODENANGXINGGAIBIAN,DUOWEIYUANXING,NANGBIGUZHIMI。

  51LIHUANZHEZHONGXXIANJIANCHAJUNJIANGUCIXINGCHENG,QIZHONG24LICHUXIANGUANJIEJIANXIXIAZHAI。

  1.2ZHONGYIBIANZHENGFENXING:

  FENGHANSHIZUQIZHIXUEYU:BINGBIANWEICHUQI。BINGBIANBUWEITENGTONGJULIE,TONGYOUDINGCHU,YUFENGHANSHIXIETENGTONGJIAZHONG,DEWEN

  ZEJIANHUOYOUWAISHANGSHI。SHEDANTAIBAINI,MAICHENCHI。GANSHENBUZUQIZHIXUEYU:BINGBIANWEIZHONGQI。TENGTONGHUANMAN,CHANMIANBUJUE,TONGYOUDINGCHU,HUODONGSHOUXIAN。YAOXISUANRUAN,ZHITIJIANWEI。SHEDANMAIXIXIAN。

  GANSHENKUISUNXING:BINGBIANCHUYUHOUQI。YINYINZUOTONGHUOJIUZHIBUYU。XIANXIROU,YULAOZESHEN。WEIHANZHILENG,MIANSEGUANG

网上扎金花平台   BAI,SHEDANTAIRUN,MAICHENRUO,HUOXINFANSHIMIAN。WUXINFANRE,SHEHONGSHAOTAI,MAIXIANXISHU。

  51LIHUANZHEZHONG,JINGLINCHUANGBIANZHENG,FENGHANSHIZUXING13LI,GANSHENBUZUXING20LI,GANSHENKUISUNXING18LI。

  2、治疗方法

  2.1汽疗中药方

  SHENGHUANGQI30g、CHUANXIONG30g、JIXUETENG30g、RENDONGTENG30g、DIBIECHONG9g、DILONG9g、SANLENG15g、WOSHU15g、SANG

  ZHI30g、GUIZHI15g。

网上扎金花平台   2.2FANGFA:

  JIANGYAOFANGRUZHONGYAOQILIAOYIWUHUAQIZHONG,BINGJIASHILIANGSHUI,GUANBICANGGAI,QIDONGDIANYUAN,SHIYAOWUDA100℃CHANSHENGHANYAOWUHUASHICANGNEIZHILIAODADAO42℃,RANGHUANZHEJINRUZHILIAOCANGNEI,GUANBICANGMEN,DIAOJIEZHIHUANZHESHUIPINGTIWEI,KONGZHIWENDUYU40~45℃ZHIJIAN,MEITIANYICI,MEICI20~30FENZHONGLIANXUZHILIAO10CI,XIUXI2TIAN,51LIHUANZHEZHONG,YOU15LIZHILIAO10CIYINEIHUOMAN10CIHOUTINGZHIZHILIAO,QIZHONG3LIZHENGZHUANGTIZHENGXIAOSHI,12LIGANJUEMINGXIANHAOZHUAN。23LIZHILIAO10CIYISHANG20CIYINEI,QIZHONG2LIZHENGZHUANGTIZHENGXIAOSHI,11LIGANJUEHAOZHUAN,2LIZHENGZHUANGTIZHENGMEIYOURENHEGAIBIANERTINGZHIZHILIAO。13LIZHILIAO30CIYISHANG。ZHILIAOGUOCHENGZHONG,ZHUHUANZHEZAICANGNEIYIDONGSHUANGTUI,XIGUANJIEKAOJINSHUANGCECHUQIKONG。SHIHANYAOWUQICHONGFENXUNZHENGHUANCHU。

  3、治疗结果

  3.1LIAOXIAOPINGPANBIAOZHUN

网上扎金花平台   QUANYU:LINCHUANGZHENGZHUANGTIZHENGXIAOSHI。

  XIANXIAO:TENGTONGJIBENXIAOSHI,GUANJIEQUQUGONGNENGCHAOGUO120o。

网上扎金花平台   YOUXIAO:TENGTONGJIANQING,GUANJIEGONGNENGMEIYOUGAIBIAN。

  WUXIAO:ZHENGZHUANGTIZHENGMEIYOUGAISHANHUOJIAZHONG。

网上扎金花平台   3.2JIEGUO:51LIHUANZHEJIEZAITINGZHIZHILIAOHOUYIYUENEISUIFANG,QIZHONGQUANYU7LI,XIANXIAO25LI,YOUXIAO17LI,WUXIAO2LI(GAILIANGLIHUANZHEYINZHILIAO14CIZHENGZHUANGTIZHENGWEIYOUGAISHANERTINGZHIZHILIAO)。SUOYOUHUANZHEZHILIAOQIANHOUXXIANSHEPIANGUZHIZENGSHENGJIGUANJIEJIANXIXIAZHAIQINGKUANGWEIJIANMINGXIANGAIBIAN。

  3.3BINGLIJIESHAO:HUANZHE,SONGXX,NAN,72SUI,TUIXIU,JIUZHENRIQI2001NIAN12YUE25RI,HUANZHEYINSHUANGXIGUANJIETENGTONGLIANGNIAN,JIAZHONGYIYUE,QIANLAISHANGKEJIUZHEN,JIANCHA:SHUANGXIGUANJIENEIWAIXIYANJIBINGUSHANGYUANYATONGMINGXIAN,YOUCEWEISHEN,YOUXIGUANJIEKEWENJIMOCAYIN,XIGUANJIEQUSHENGONGNENGMINGXIANSHOUXIAN,YUE60DUZUOYOU,SHEZHIDAN,TAIBOBAI,MAICHENXIAN。YUZHONGYAOXUNZHENGZHILIAO,SHICIHOU,TENGTONGMINGXIANJIANQING,XIGUANJIEQUQUDADAO90DU,JIXUZHILIAOZHI28CI,SHUANGXIGUANJIETENGTONGJIBENXIAOSHI,XIZHOUYATONGBUMINGXIAN,YOUXIGUANJIEMOCAYINXIAOSHI,GUANJIEHUODONGZIRU,ERGAOQUANYU。

  4、讨论

网上扎金花平台   XUNZHENGLIAOFASHIYIZHONGYIYAOJIBENLILUNWEIZHIDAO,GENJUJUTIBINGRENBINGQINGPEIYAO,CAIYONGYIDINGDESHEBEI,BAZHONGYAOJIANZHUHOU,LIYONGZHONGYAODEZHENGQIXUNZHENGZHILIAOJIBINGDEFANGFA,SHIZHONGYIXUEWAIZHILIAOFADEZHONGYAOZUCHENGBUFEN。《LIYUEPIANWEN》ZHONGRENWEI,ZHONGYIZHENG、FU、YUN、XUN、XILIAOFADEJILISHI“SHUYE,ZAIZHONGJIANBIAOLIZHEYE,KEYIZHUANYUNYINYANGZHIQIYE,KEYIZHEWUYUZHIQIERZIHUAYUAN,KEYISHENGJIANGBIANHUA,FENQINGZHUOERLIYINYANG,YINGWEIQITONG,WUZANGCHANGWEIJIHE,ERJIUQIAOJIESHUN,BINGDAYUCOULI,XINGYUSIZHIYE”。ZHONGYIZHENGXUNLIAOFASHIYIZHONGWULILIAOFA,TONGGUOSHIREDUIJUBUHUOQUANSHENPIFUDECIJI,CUJINXUEGUANKUOZHANG,XUEYEXUNHUAN,GAISHANJUBUHUOQUANSHENDEZUZHIYINGYANG、DAIXIE,DIAOJIEJUBUHUOQUANSHENSHENJING、JIROU、QIGUANDEGONGNENG;QICI,TONGGUOJUBUHUOQUANSHENPIFUDUIYAOWUDEXISHOU,SHIYAOWUZHIJIEDUIJUBUPIFUHEQUANSHENQIGUANFAHUIZUOYONG。YOUYUPIFUSHIRENTIZUIDADEQIGUAN,YAOWUTONGGUOPIFUXIYOUMIANJIDA、ZUOYONGZHIJIE、YAOWUXIBUSHOUXIAOHUADAONEIPH、SHIWUHEYAOWUZAICHANGDAOYIDONGSHIJIANDENGFUZAYINSUYINGXIANG;BIMIANYAOWUZAIGANZANGDESHOUGUOXIAOYING;YOUBUTONGGUOGANZANG,JIANQINGWEICHANGDAOFUZUOYONGDEYOUDIAN;BINGKECHIXUKONGZHIJIYAOSUDU,ZHONGDUANJIYAOFANGBIAN。XIGUXINGGUANJIEYANSHUYUZHONGYIBIZHENGFANCHOU,WOMENYUNYONGZHONGYAOQILIAOYITONGGUOYAOWUXUNZHENG,SHIYAOWUYOUXIAOCHENGFENTONGGUOKAIXIEDECOULIYIWENREZHILIZHIDABINGSUO。ZAIQIXUNSHIXUANZESONGZHANTANGJINXINGZHILIAO,SONGZHANTANGFANGZHONGJINQIANBUQIYANGXUE、WENJINGTONGMAIZHIYAO,SHIYAOXIAOZHIDAXIGUANJIE,SUIRANCONGZHIYUBINGRENXXIANSHEPIANFUCHAGUANCHA,QIZHILIAOQIANHOUZENGSHENGDEGUZHIMEIYOUMINGXIANGAIBIAN,DANHUANZHEZIJUEZHENGZHUANGXIAOSHI,GONGNENGHUIFU。TONGGUOLINCHUANGYANZHENG,DUIGUGUANJIEYANYOUQISHISHUANGXIGUGUANJIEYANLIAOXIAOMINGXIAN,RUHEGENJUBUTONGDEZHENGXING,BIANZHENGXUANZEXUNZHENGYAOWU,YIBIANJINYIBUTIGAOLIAOXIAO,JIANGYAOQIXUNDEGONGXIAOCHONGFENTIXIAN,JIANGSHIWOMENYIHOUYANJIUDEZHONGDIAN。

  上海第二医科大学附属瑞金医院伤科胡大佑、杜宁

  上海海员医院伤科宫玉杰、杨虹

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