摘要
目的探讨温针灸联合经筋推拿在膝骨关节炎患者中的疗效.方法选择2020年6月—2022年2月我院收治的60例膝骨关节炎患者,按随机数字表法分为两组.对照组(n=30)采取常规治疗,观察组(n=30)在此基础上加用温针灸联合经筋推拿,两组均持续治疗1个月.对比两组软骨修复因子水平、膝关节功能及疼痛情况.结果观察组治疗后的血清转化生长因子β1、胰岛素样生长因子-1及成纤维细胞生长因子-2水平分别为(28.17±2.67)μg/L、(96.95±14.31)μg/L、(32.36±4.25)ng/L,均高于对照组的(22.71±2.55)μg/L、(85.86±12.37)μg/L、(27.11±4.02)ng/L,组间差异有统计学意义(P<0.05).观察组治疗后的西安大略和麦克马斯特大学骨关节炎指数及视觉模拟评分分别为(25.60±5.94)分、(2.96±0.64)分,均低于对照组的(30.36±6.11)分、(4.08±0.79)分,组间差异有统计学意义(P<0.05).结论温针灸联合经筋推拿在膝骨关节炎患者中具有较好效用,利于提高软骨修复因子水平,减轻疼痛程度,促进软骨形成及膝关节功能恢复.
Objective To explore the effect of warm acupuncture combined with meridian massage through tendons in patients with knee osteoarthritis.Methods 60 patients with knee osteoarthritis admitted to the hospital from June 2020 to February 2022 were selected and divided into two groups according to random number table method.The control group of 30 cases received conventional treatment,and the observation group of 30 cases received warm acupuncture combined with meridian massage.Both groups received continuous treatment for 1 month.The levels of cartilage repair factors,knee function and pain were compared between the two groups.Results After treatment,the levels of serum transforming growth factorβ1,insulin-like growth factor 1 and fibroblast growth factor 2 in observation group were(28.17±2.67)μg/L,(96.95±14.31)μg/L,(32.36±4.25)ng/L,respectively,which were higher than those in the control group(22.71±2.55)μg/L,(85.86±12.37)μg/L,(27.11±4.02)ng/L,and the differences between groups were statistically significant(P<0.05).After treatment,the Western Ontario and McMaster University osteoarthritis index and visual analog score in the observation group were(25.60±5.94)points and(2.96±0.64)points,respectively,which were lower than those of the control group(30.36±6.11)points and(4.08±0.79)points,and the differences between groups were statistically significant(P<0.05).Conclusion Warm acupuncture combined with meridian massage have good effect in patients with knee osteoarthritis,which can improve the level of cartilage repair factors,reduce the degree of pain,promote chondrogenesis and knee functional recovery.
作者
姜文丽
孔斌
JIANG Wenli;KONG Bin(Department of Acupuncture,Moxibustion and Massage,Tengzhou Hospital of Traditional Chinese Medicine,Zaozhuang Shandong,277599,China)
出处
《反射疗法与康复医学》
2023年第2期35-37,共3页
Reflexology And Rehabilitation Medicine
关键词
膝骨关节炎
温针灸
经筋推拿
软骨修复因子
膝关节功能
疼痛
Knee osteoarthritis
Warm acupuncture
Meridian massage
Cartilage repair factor
Knee joint function
Pain
作者简介
姜文丽(1987-),女,山东滕州人,硕士研究生,主治医师,研究方向:针灸推拿。
