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目的:比较针药联合治疗老年骨性关节炎与西药治疗的疗效差异.方法:将82例老年骨性关节炎患者随机分为两组.观察组42例,采用针刺肾俞、腰阳关、风池、大椎等穴配合中药补肾壮骨汤内服治疗;对照组40例,采用常规西药治疗.观察两组患者治疗前后疼痛评分及临床疗效.结果:观察组总有效率为88.1%(37/42),对照组总有效率为60.0%(24/40),观察组优于对照组(P＜0.01).治疗后两种疗法对于疼痛评分较治疗前均有改善(P＜0.05,P＜0.01),观察组的改善作用优于对照组(P＜0.05).结论:针刺配合中药补肾壮骨汤内服治疗老年骨性关节炎疗效理想,优于西药治疗.“,”Objective To compare the therapeutic effect differences of senile osteoarthritis treated by the combined therapy of acupuncture and Chinese medicine and western medication.Methods Eightytwo cases of senile osteoarthritis were randomly divided into 2 groups.In observation group(42 cases)，puncture at Shènshū(肾俞BL 23)，Yāoyángguān(腰阳关GV 3)，Fēngchi(风池GB 20)and.Dàzhuè(大椎GV 14)etc.combining with Chinese medicine of Bushen Zhuanggu Decoction for oral administration was applied；in control group(40 cases)，routine western medicine was applied.Pain score and theraputic effect of both groups were observed before and after treatment.Results The total effective rate was 88.1%(37/42)in observation group，and 60.0%(24/40)in control group.The therapeutic effect in observation group was superior to that in control group(P＜0.01).The pain score was improved by both therapies(P＜0.05，P＜0.01)after treatment，and the improvement in observation group was superior to that in control group(P＜0.05).Conclusion The therapeutic effect of senile osteoarthritis by combined therapy of both acupuncture and Bushen Zhuanggu Decoction for oral administration is superior to that by western medication.