兰州地区膝关节骨性关节炎的中医证候分布特点

目的:探讨兰州市膝关节骨性关节炎中医证候分布特点。方法:从甘肃中医药大学附属医院门诊及住院部随机抽取膝关节骨性关节炎患者220例,以调查问卷方式收集资料,数据分析采用对应分析。结果:220例膝骨性关节炎患者基本证候分别为:肾虚髓亏型108例,占49.1%;阳虚寒凝型27例,占12.3%;瘀血阻滞型52例,占23.6%,兼夹型33例,占15.0%;肾虚髓亏合并阳虚寒凝型16例,占7.3%;阳虚寒凝合并瘀血阻滞型8例,占3.6%;肾虚髓亏合并瘀血阻滞型9例,占4.1%。结论:可将膝骨性关节炎辨证分为肾虚髓亏、阳虚寒凝、瘀血阻滞、肾虚髓亏合并阳虚寒凝型、肾虚髓亏合并瘀血阻滞型、阳虚寒凝合并瘀血阻滞型,兼夹型在本次调查对象中占有一定的比例。

Distribution Features of TCM Syndromes of Knee Osteoarthritis inLanzhouCity

Objective: To explore the distribution features of TCM syndromes of knee osteoarthritis(KOA) in Lanzhoucity. Methods: All 220 KOA patients were randomly chosen from the outpatient department and inpatient departments of University Hospital ofGansuTraditional Chinese Medicine, they were investigated by the question-naires and the data was collected, and analyzed. Results: Elementary syndromes of 220 KOA patients could be re-spectively divided into: 108 cases of kidney-deficiency and essence-depletion pattern and they occupied 49.1%; 27 cases ofYang-deficiency and cold accumulation pattern and 12.3%; 52 cases of blood stasis obstruction pattern and 23.6%, 33 cases of complicated patterns and 15.0%; 16 cases of kidney-deficiency and essence-depletion pattern complicated withYang-deficiency and cold accumulation pattern, and 7.3%; eight cases ofYang-deficiency and cold accumulation pattern complicated with blood stasis obstruction pattern, and 3.6%; nine cases of kidney-deficiency and essence-depletion pattern complicated with blood stasis obstruction pattern, and 4.1%. Conclusion: KOA could be differentiated into the patterns of kidney-deficiency and essence-depletion,Yang-deficiency and cold accumula-tion, blood stasis obstruction, kidney-deficiency and essence-depletion complicated withYang-deficiency and cold accumulation, kidney-deficiency and essence-depletion complicated with blood stasis obstruction,Yang-deficiency and cold accumulation complicated with blood stasis obstruction in correspondence analysis, and the pattern of com-plication holds a certain proportions in the investigators.