目的:观察中药虎力散胶囊治疗膝骨关节炎的有效性与安全性.方法:将350例膝关节骨性关节患者随机分为两组,试验组采用虎力散胶囊口服,对照组采用双氯芬酸钠肠溶片口服,连续用药14d,观察两组的治疗效果及不良反应情况.结果:治疗2周后,两组视觉模拟评分(VAS)评分和关节功能评分较治疗前均有明显改善,且试验组关节功能评分改善优于对照组(P＜0.05),试验组不良反应发生率低于对照组,差异有统计学意义(P＜0.01).结论:虎力散胶囊治疗膝骨关节炎可使关节肿胀、疼痛等症状消失或明显好转,并在一定程度上改善关节功能,不良反应少,安全性好.

Objective To evaluate the efficacy and safety of the external application of traditional Chinese medicine Hulisan capsule for the treatment of knee osteoarthritis ( OA ) . Methods A randomized, positive-controlled and multi-center clinical trial was carried out.Five-hundred patients with knee OA were recruited and randomly divided into two groups:the treatment group and the control group. Each patient of the treatment group ( n=350 ) was given eight Hulisan capsules for external application once a day, while the patients of the control group ( n=150) adopted diclofenac emulsion three times per day.Both the groups were treated for 14 days.The changes of symptoms and signs before and after the treatment and the incidence of adverse events were observed.Results A total of 442 patients completed the trial.After 14 days treatment, the visual analog scale (VAS) pain score and the joint function score of the two groups were significantly improved ( P<0.01 ) compared with those before the treatment; but the VAS score and the joint function score were improved better in the treatment group than in the control group (P<0.01).The incidences of related side effects (mainly as skin allergies) of the Hulisan capsule and the diclofenac emulsions were 1.63% and 0.74% respectively, and no statistical difference between the two groups ( P>0.05) .Conclusion External application of Hulisan capsule can significantly reduce the joint pain and improve joint function within two weeks with a good safety profile of low incidence of adverse reaction.

目的观察手法治疗对膝关节骨性关节炎的效果。方法将180例膝关节骨性关节炎患者随机分为2组,试验组采用手法治疗,对照组采用物理治疗。观察2组患者症状、体征改善情况,以评价各组近、远期疗效。结果 2组治疗2个疗程和治疗结束后再随访1个月时,症状、体征积分均较治疗前显著降低,且试验组积分均较对照组明显降低,差异有统计学意义(P<0.05)。2组近期疗效比较,试验组临床总有效率为91.11%,对照组为66.67%,差异有统计学意义(P<0.05);2组远期疗效比较,试验组临床总有效率为89.02%,对照组为61.67%,差异有统计学意义(P<0.05);2组在治疗过程中均未见明显不良反应。结论 2种保守疗法对膝关节骨性关节炎均有一定的疗效,且试验组疗效更显著。

Objective:To observe the curative effect treating from Governor vessel in the treatment of senile people with degenerative lumbar spinal canal stenosis.Methods:256 cases with degenerative lumbar spinal canal stenosis were randomly divided into the experimental group(treated with Danlutongdu tablet)and the control group(treated with Duhuo Jisheng mixture).30 days after the treatment,the curative effect was observed.Results: ① The total effective rate was 92.97% in the experimental group,while it was 75% in the control group.There was significant difference between two groups.②Both groups were effective in the improvement of TCM syndrome,but the curative effect of the experimental group was obviously better than that of the control group.Conclusion:The treatment of senile people with degenerative lumbar spinal canal stenosis from Governor vessel has definite,quick therapeutic effect,and it is in accord with the request of evidence based Traditional Chinese Medicine.

目的:观察旋转手法治疗椎动脉型颈椎病的临床疗效。方法:将120例患者随机分为2组,治疗组采用旋转手法治疗,对照组采用牵引治疗。观察2组临床疗效。结果:2组临床疗效比较,差异有显著性意义(P<0.05),说明治疗组疗效优于对照组。结论:旋转手法是治疗椎动脉型颈椎病的有效方法之一。

Objective: To observe the effect of Chinese medicine on the treatment of acute cervical radiculitis.Methods: From January 2002 to March 2005,72 patients were randomly divided into 2 groups,treatment group(40 cases) and control group(32 cases).Chinese medicine were taken orally by 40 sufferer in treatment group,1 dose per day and continuously medication for 2 weeks.Voltalin tablets and mecobalamin were taken orally by 32 sufferers in control group during 2 weeks,50mg and 20mg each time,3 times a day.Clinical effect and total symptom scores pre and post treatment between 2 groups were compared after 2-week treatment.Results: Treatment group was better than control group in clinical effect and the improvement of total symptom scores.Conclusion: Chinese medicine has positive effects on clinical treatment of acute cervical radiculitis and is worth promoting.

随着我国人口老龄化,脊柱疾病患者日益增多,严重影响老年人身心健康.腰椎管狭窄症就是众多脊柱疾病中较常见的一种,该病的治疗引起社会越来越多的关注.鉴于此,笔者收集整理了150例腰椎管狭窄症保守治疗的患者,取得了满意效果,现报告如下.

腰椎间盘突出目前临床采用的非手术治疗中,以手法治疗较为多见,疗效亦较肯定,手法治疗的有效率在70%～80%.中医骨科手法治疗之总则为:整体治疗、筋骨并重、标本兼治、动静结合、因人施治、手法合理.

我们采用非手术方法治愈腰椎间盘出症患者74例,现报告如下. 1 临床资料 本组男54例,女20例;年龄24～56岁,平均39岁.发病至就诊时间2周以内10例,2周～1个月24例,1个月～2个月26例,2个月～4个月8例,4个月～1年4例,1～2年2例.

按摇膝眼法治疗膝关节骨性关节炎,是遵循"通则不痛,不通则痛"的辨证施治原则.先予循经点穴,疏通经络使气血通畅,再施以局部按摩,按摇膝眼等手法使局部粘连得以松解,恢复关节的正常活动.

我科自1992～1996年用非手术方法治疗腰椎间盘突出症患者150例,现报告如下.