1. 中国中医科学院望京医院脊柱一科,关节二科,药理实验室
2. 山西省忻州市氟骨症专科医院
3. 山西省忻州市忻府区疾病预防控制中心
4. 中国中医科学院中医临床基础医学研究所
纸质出版:2010
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[1]周卫,张兆杰,郭培华,桑志成,赵静,吴冠男,郭四秀,孔焕宇,王慧明,何丽云,郭四全.郭氏疗法对中度氟骨症患者临床症状的影响[J].中医杂志,2010,51(10):898-900+908.
ZHOU Wei1, ZHANG Zhaojie1, GUO Peihua2, et al. Influence of Guo’s Therapy on the Moderate Osteofluorosis[J]. Journal of Traditional Chinese Medicine2010, 51(10): 898-900.
[1]周卫,张兆杰,郭培华,桑志成,赵静,吴冠男,郭四秀,孔焕宇,王慧明,何丽云,郭四全.郭氏疗法对中度氟骨症患者临床症状的影响[J].中医杂志,2010,51(10):898-900+908. DOI: 10.13288/j.11-2166/r.2010.10.014.
ZHOU Wei1, ZHANG Zhaojie1, GUO Peihua2, et al. Influence of Guo’s Therapy on the Moderate Osteofluorosis[J]. Journal of Traditional Chinese Medicine2010, 51(10): 898-900. DOI: 10.13288/j.11-2166/r.2010.10.014.
目的观察郭氏疗法治疗中度氟骨症患者的临床疗效。方法 120例中度氟骨症患者按随机对照原则分为治疗组和对照组各60例
治疗组给予基础治疗和郭氏疗法(主要成分中药马钱子)治疗
对照组给予基础治疗和安慰剂治疗
两组疗程均为12周
并随访24周。分别于治疗前及治疗后第1、2、3、4、8、12、24、36周由第三方进行疼痛视觉模拟评分(VAS)及晨僵、麻木、紧束感、抽搐指标评估。结果两组患者治疗2周后VAS评分较治疗前有明显下降(P<0.01);治疗4周后两组差异有统计学意义(P<0.01)。治疗2周后患者紧束感症状消失率治疗组高于对照组(P<0.05);治疗8周后患者晨僵消失率、抽搐症状消失率治疗组均高于对照组(P<0.05);两组间麻木消失率比较无统计学差异(P>0.05)。结论以马钱子为主的郭氏疗法对中度氟骨症患者疼痛、晨僵、麻木、紧束感、抽搐症状的改善疗效确切
是治疗氟骨症的一种有效方法。
Objective To observe the clinical effect of Guo’s therapy on the moderate osteofluorosis. Methods Totally 120 patients with moderate osteofluorosis were randomized into treatment group and control group with 60 in each. The treatment group received the basic treatment and Guo’s therapy (herbal Strychnos as the main ingredient) while the control was given the basic treatment and placebo. Both groups were treated for 12 weeks and followed up for 24 weeks. Before treatment and 1
2
3
4
8
12
24 and 36 weeks after treatment
the patients were evaluated acording to pain visual analogue scale (VAS)
morning stiffness
numbness
tightness sensation
and convulsion by a third part. Results After two weeks of treatment
the VAS score of both groups was significantly decreased (P<0.01); after four weeks of treatment
there was significant difference in VAS between the two groups (P<0.01); two weeks after treatment
the disappearance rate of tightness sensation in the treatment group was higher than that in the control group (P<0.05); eight weeks after treatment
the disappearance rate of morning stiffness and convulsion in the treatment group was higher than those in the control group (P<0.05). However
the disappearance rate of numbness in the two groups was not significantly different (P>0.05). Conclusion Guo’s therapy taking the herbal Strychnos as the main ingredient is effective in improving the symptoms including pain
morning stiffness
numbness
tightness sensation
and convulsion of the patients. It is a good treatment for moderate osteofluorosis.
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