目的:探讨建国以来骨关节炎(OA)常见证候类型及其在不同年代的分布规律和动态变化。方法:检索1949年1月-2013年8月的有关期刊文献,采用Microsoft Office Excel 2003建立OA的证候文献数据库、录库,应用统计软件SPSS 17.0进行统计分析。结果:1949年-1979年没有符合本研究的文献纳入,其余各年代出现的篇数,证候种类及其累计频次如下:80年代(2篇,7种、7次),90年代(4篇,12种、16次),21世纪初(49篇,28种、150次),21世纪10年代(25篇,21种、89次)。共80篇42种262次。结论:OA的常见证候随着年代的变化没有发生明显改变,为肝肾亏虚证、瘀血阻滞证、肝肾不足,筋脉瘀滞证,因此补益肝肾、活血通络是本病的主要治疗原则。
Objective: To study the distribution and dynamic changes of common syndrome types of osteoarthritis in different ages since 1949. Methods: Retrieving the literature periodicals in January 1949 to August 2013, to establish a literature database of osteoarthrifis syndromes by Microsoft Office Excel 2003, and the data is analyzed by statistical software SPSS 17.0. Results: There is no consistent literature from 1949 to 1979, the types of syndromes and the cumulative frequency in other ages is as follows: in the 1980s (2 papers, 7 kinds, 7 times), in the 1990s (4 papers, 12 kinds, 16 times), at the beginning of the 21st century (49 papers, 28 kinds, 150 times), in the 2010s (25 papers, 21 kinds, 89 times). Conclusion: There is no obvious change in common syndromes of osteoarthritis with time-varying, including liver and kidney deficiency syndrome, blood stasis syndrome, liver and kidney deficiency with tendon and vessel stasis syndrome, thus the main principle treatment is nourishing liver and kidney, and promoting blood circulation to remove meridian obstruction.