雞蛋清作為賦形劑對(duì)膝痹(風(fēng)濕熱痹證)療效觀察(1)
摘要:目的 探討雞蛋清與純凈水作為賦形劑對(duì)膝痹(風(fēng)濕熱痹證)治療有效性的比較研究。方法 通過(guò)對(duì)符合納入標(biāo)準(zhǔn)病例隨機(jī)分組,設(shè)置實(shí)驗(yàn)組和對(duì)照組。實(shí)驗(yàn)組使用雞蛋清作為賦形劑,對(duì)照組使用純凈水作為賦形劑調(diào)和梔黃散對(duì)膝痹(風(fēng)熱濕痹證)患者進(jìn)行治療。對(duì)實(shí)驗(yàn)組和對(duì)照組的療效進(jìn)行分析。結(jié)果 60例風(fēng)熱濕證患者用梔黃散外敷治療,使用雞蛋清作為賦形劑的患者平均住院日為比使用純凈水作為賦形劑的患者平均住院日少2.04 d。結(jié)論 使用雞蛋清作為賦形劑調(diào)和梔黃散治療膝痹(風(fēng)熱濕痹證)能有效提高患者治療效果,縮短住院時(shí)間。
關(guān)鍵詞:梔黃散;膝痹;雞蛋清;療效觀察
Egg White as Excipients on Knee Paralysis (Rheumatic Fever Syndrome)Clinical Observation
FENG De-cui,ZHANG Man-man
, http://www.www.srpcoatings.com
(Department of Nursing,Dejiang County National Traditional Chinese Medicine Hospital,Dejiang 565200,Guizhou,China)
Abstract:Objective To investigate the egg with pure water as an excipient on knee paralysis(rheumatic fever syndrome)a comparative study of the effectiveness of treatment.Methods In accordance with the inclusion criteria were randomly divided into experimental group and control group.The experimental group used the egg as the excipient,the control group using pure water as excipient harmonic Zhi-huang powder on knee paralysis (rheumatic fever syndrome)patients.The curative effect of the experimental group and control group were analyzed.Results 60 cases with wind-heat syndrome were treated with Zhi-huang powder and the average hospital stay of patients with egg white as excipients was 2.04 d less than the average hospital stay with pure water as excipient.Conclusion Use the egg as an excipient harmonic Zhi-huang powder in the treatment of knee paralysis (rheumatic fever syndrome)can effectively improve the treatment effect,shorten the hospitalization time.
, 百拇醫(yī)藥
Key words:Zhi-huang powder;Knee paralysis;Egg white;Curative effect observation
膝痹病即膝骨性關(guān)節(jié)炎( KOA) ,是關(guān)節(jié)軟骨發(fā)生原發(fā)性或繼發(fā)性退行性改變,并伴有軟骨下骨質(zhì)增生,使關(guān)節(jié)軟骨破壞及產(chǎn)生畸形,影響膝關(guān)節(jié)功能的一種退行性疾病,是一種中老年人常見(jiàn)的慢性骨關(guān)節(jié)疾病,以膝關(guān)節(jié)疼痛、僵硬及活動(dòng)受限為主要臨床表現(xiàn),嚴(yán)重影響患者的生活質(zhì)量[1]。中醫(yī)認(rèn)為,所謂“痹”,是指痹阻不通,是人體體表、經(jīng)絡(luò)因感受風(fēng)、寒、濕、熱等引起,該病的發(fā)生機(jī)制為正氣虛弱、腠理空虛。風(fēng)、寒、濕之邪乘虛侵入,使經(jīng)絡(luò)閉阻、氣血運(yùn)行不暢、筋脈關(guān)節(jié)失于濡養(yǎng)而發(fā)病,膝痹病發(fā)生后,風(fēng)寒濕邪乘勢(shì)入侵,因此,在治療過(guò)程中,采用中醫(yī)特色護(hù)理尤其有效[2]。為了解不同賦形劑調(diào)和梔黃散治療風(fēng)濕熱痹證的臨床效果,我科對(duì)60例風(fēng)濕熱痹癥患者進(jìn)行治療和護(hù)理,并分別采取水和雞蛋清進(jìn)行調(diào)和梔黃散對(duì)風(fēng)濕熱痹癥患者進(jìn)行外敷,通過(guò)臨床觀察并比較兩組患者治療效果,報(bào)告如下。
, 百拇醫(yī)藥
1資料與方法
1.1一般資料 選擇2016年1月~6月我科收治的60例風(fēng)濕熱痹證患者為研究對(duì)象,診斷標(biāo)準(zhǔn)參照中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)《骨關(guān)節(jié)診治指南》(2007年版),將60例病例隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組,實(shí)驗(yàn)組30例, 男性11 例,女性 19 例,年齡 45~86歲,平均年齡58.6 歲;對(duì)照組30例, 男性12例,女性18例,年齡45~80歲,平均年齡58.8歲。兩組患者的性別、年齡以及病程等一般資料無(wú)明顯差異(P>0.05),具有可比性。
1.2辨證依據(jù) 膝痹病臨床上分為四個(gè)證型:風(fēng)寒濕痹證、風(fēng)濕熱痹證、瘀血閉阻證、肝腎虧虛證。
研究對(duì)象主要為風(fēng)濕熱痹證,風(fēng)濕熱痹證的辨證依據(jù)為:起病較急,病變關(guān)節(jié)紅腫、灼熱、疼痛,甚至痛不可觸,得冷則舒為特征;可伴有全身發(fā)熱,或皮膚紅斑、硬結(jié)。舌質(zhì)紅,苔黃,脈滑數(shù)。
1.3治療方法 符合診斷標(biāo)準(zhǔn)的60例患者,在常規(guī)治療的基礎(chǔ)上,即中藥熏洗、耳穴貼壓、中藥離子導(dǎo)入、關(guān)節(jié)錯(cuò)縫術(shù)、火罐等,對(duì)照組采取用純凈水作為賦形劑,實(shí)驗(yàn)組采用雞蛋清作為賦形劑與梔黃散調(diào)和均勻,敷于膝關(guān)節(jié)處,厚薄以4~5 mm為度,用透氣紗布包扎6 h后取下,1次/d,松緊適中。, 百拇醫(yī)藥(馮德翠 張嫚嫚)
關(guān)鍵詞:梔黃散;膝痹;雞蛋清;療效觀察
Egg White as Excipients on Knee Paralysis (Rheumatic Fever Syndrome)Clinical Observation
FENG De-cui,ZHANG Man-man
, http://www.www.srpcoatings.com
(Department of Nursing,Dejiang County National Traditional Chinese Medicine Hospital,Dejiang 565200,Guizhou,China)
Abstract:Objective To investigate the egg with pure water as an excipient on knee paralysis(rheumatic fever syndrome)a comparative study of the effectiveness of treatment.Methods In accordance with the inclusion criteria were randomly divided into experimental group and control group.The experimental group used the egg as the excipient,the control group using pure water as excipient harmonic Zhi-huang powder on knee paralysis (rheumatic fever syndrome)patients.The curative effect of the experimental group and control group were analyzed.Results 60 cases with wind-heat syndrome were treated with Zhi-huang powder and the average hospital stay of patients with egg white as excipients was 2.04 d less than the average hospital stay with pure water as excipient.Conclusion Use the egg as an excipient harmonic Zhi-huang powder in the treatment of knee paralysis (rheumatic fever syndrome)can effectively improve the treatment effect,shorten the hospitalization time.
, 百拇醫(yī)藥
Key words:Zhi-huang powder;Knee paralysis;Egg white;Curative effect observation
膝痹病即膝骨性關(guān)節(jié)炎( KOA) ,是關(guān)節(jié)軟骨發(fā)生原發(fā)性或繼發(fā)性退行性改變,并伴有軟骨下骨質(zhì)增生,使關(guān)節(jié)軟骨破壞及產(chǎn)生畸形,影響膝關(guān)節(jié)功能的一種退行性疾病,是一種中老年人常見(jiàn)的慢性骨關(guān)節(jié)疾病,以膝關(guān)節(jié)疼痛、僵硬及活動(dòng)受限為主要臨床表現(xiàn),嚴(yán)重影響患者的生活質(zhì)量[1]。中醫(yī)認(rèn)為,所謂“痹”,是指痹阻不通,是人體體表、經(jīng)絡(luò)因感受風(fēng)、寒、濕、熱等引起,該病的發(fā)生機(jī)制為正氣虛弱、腠理空虛。風(fēng)、寒、濕之邪乘虛侵入,使經(jīng)絡(luò)閉阻、氣血運(yùn)行不暢、筋脈關(guān)節(jié)失于濡養(yǎng)而發(fā)病,膝痹病發(fā)生后,風(fēng)寒濕邪乘勢(shì)入侵,因此,在治療過(guò)程中,采用中醫(yī)特色護(hù)理尤其有效[2]。為了解不同賦形劑調(diào)和梔黃散治療風(fēng)濕熱痹證的臨床效果,我科對(duì)60例風(fēng)濕熱痹癥患者進(jìn)行治療和護(hù)理,并分別采取水和雞蛋清進(jìn)行調(diào)和梔黃散對(duì)風(fēng)濕熱痹癥患者進(jìn)行外敷,通過(guò)臨床觀察并比較兩組患者治療效果,報(bào)告如下。
, 百拇醫(yī)藥
1資料與方法
1.1一般資料 選擇2016年1月~6月我科收治的60例風(fēng)濕熱痹證患者為研究對(duì)象,診斷標(biāo)準(zhǔn)參照中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)《骨關(guān)節(jié)診治指南》(2007年版),將60例病例隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組,實(shí)驗(yàn)組30例, 男性11 例,女性 19 例,年齡 45~86歲,平均年齡58.6 歲;對(duì)照組30例, 男性12例,女性18例,年齡45~80歲,平均年齡58.8歲。兩組患者的性別、年齡以及病程等一般資料無(wú)明顯差異(P>0.05),具有可比性。
1.2辨證依據(jù) 膝痹病臨床上分為四個(gè)證型:風(fēng)寒濕痹證、風(fēng)濕熱痹證、瘀血閉阻證、肝腎虧虛證。
研究對(duì)象主要為風(fēng)濕熱痹證,風(fēng)濕熱痹證的辨證依據(jù)為:起病較急,病變關(guān)節(jié)紅腫、灼熱、疼痛,甚至痛不可觸,得冷則舒為特征;可伴有全身發(fā)熱,或皮膚紅斑、硬結(jié)。舌質(zhì)紅,苔黃,脈滑數(shù)。
1.3治療方法 符合診斷標(biāo)準(zhǔn)的60例患者,在常規(guī)治療的基礎(chǔ)上,即中藥熏洗、耳穴貼壓、中藥離子導(dǎo)入、關(guān)節(jié)錯(cuò)縫術(shù)、火罐等,對(duì)照組采取用純凈水作為賦形劑,實(shí)驗(yàn)組采用雞蛋清作為賦形劑與梔黃散調(diào)和均勻,敷于膝關(guān)節(jié)處,厚薄以4~5 mm為度,用透氣紗布包扎6 h后取下,1次/d,松緊適中。, 百拇醫(yī)藥(馮德翠 張嫚嫚)
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