摘要
目的研究小针刀疗法联合自拟中药方敷贴应用于膝关节骨性关节炎患者中的临床价值.方法选择我院2020年4—9月收治的86例膝关节骨性关节炎患者为研究对象,按随机数字表法分成两组,各43例.对照组接受小针刀疗法,研究组在对照组基础上加用自拟中药方敷贴.治疗2周后评估两组总有效率,并记录两组左、右膝穿刺积液量,分别在治疗前、治疗2周后测定两组炎性因子水平,同时评估两组膝关节功能障碍程度、疼痛程度、膝关节功能、日常生活活动能力、临床症状积分.结果治疗2周后,研究组总有效率90.70%高于对照组的74.42%,差异有统计学意义(P<0.05);研究组左、右膝穿刺积液量均少于对照组,组间差异有统计学意义(P<0.05).治疗前,两组各项炎性因子水平比较,组间差异无统计学意义(P>0.05);治疗2周后,研究组白细胞介素-2、白细胞介素-10水平均高于对照组,肿瘤坏死因子-α水平低于对照组,组间差异有统计学意义(P<0.05).治疗前,两组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、疼痛视觉模拟(VAS)、Lysholm膝关节评分量表(LKSS)、日常生活活动能力量表(ADL)评分比较,组间差异无统计学意义(P>0.05);治疗2周后,研究组WOMAC、VAS评分均低于对照组,LKSS、ADL评分均高于对照组,组间差异有统计学意义(P<0.05).治疗前,两组各项临床症状积分比较,组间差异无统计学意义(P>0.05);治疗2周后,研究组疼痛、肿胀、晨僵、活动受限积分均低于对照组,组间差异有统计学意义(P<0.05).结论小针刀疗法联合自拟中药方敷贴治疗膝关节骨性关节炎患者的疗效更显著,可消除炎症反应,减少穿刺积液量,快速减轻疼痛,并增强膝关节功能,提升患者的日常生活能力,值得推广.
Objective To investigate the clinical value of small acupotomy therapy combined with self-made Traditional Chinese Medicine prescription application in patients with knee osteoarthritis.Methods 86 patients with knee osteoarthritis admitted to the hospital from April to September 2020 were selected as the research objects,and divided into two groups according to random number table method,with 43 cases in each group.The control group received small acupotomy therapy,and the study group added self-made Traditional Chinese Medicine prescription application on the basis of the control group.After 2 weeks of treatment,the total effective rate of the two groups was evaluated,and the volume of puncture effusion in the left and right knee of the two groups was recorded,the levels of inflammatory factors in the two groups were measured before and after 2 weeks of treatment,at the same time,the degree of knee dysfunction,degree of pain,knee function,ability of daily living and clinical symptom score of the two groups were evaluated.Results After 2 weeks of treatment,the total effective rate of the study group was 90.70%,which was higher than 74.42%of the control group,and the difference was statistically significant(P<0.05);the volume of puncture effusion in the left knee and right knee of the study group were less than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of inflammatory factors between the two groups(P>0.05);after 2 weeks of treatment,the level of interleukin-2 and interleukin-10 in the study group were higher than those in the control group,the level of tumor necrosis factor-αwas lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,Western Ontario and McMaster Universities osteoarthritis index(WOMAC),pain visual analogue scale(VAS),Lysholm knee score scale(LKSS)and activity of daily living(ADL)scores were compared between the two groups,and there was no significant difference between the two groups(P>0.05);after 2 weeks of treatment,the WOMAC and VAS scores of the study group were lower than those of the control group,the LKSS and ADL scores of the study group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference in scores of clinical symptoms between the two groups(P>0.05);after 2 weeks of treatment,the scores of pain,swelling,morning stiffness and limited activity in the study group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Small acupotomy therapy combined with self-made Traditional Chinese Medicine prescription application in the treatment of patients with knee osteoarthritis has more significant efficacy,which can eliminate inflammatory response,reduce the volume of puncture effusion,rapidly reduce pain,enhance the function of the knee and improve patients'daily life ability,which is worth promoting.
作者
顾亦斌
GU Yibin(Department of Traditional Chinese Medicine Rehabilitation,The Fourth People's Hospital of Wujiang District,Suzhou City,Suzhou Jiangsu,215200,China)
出处
《反射疗法与康复医学》
2023年第1期1-5,共5页
Reflexology And Rehabilitation Medicine
基金
2017年度吴门医派科研项目(SYSD2017203)。
关键词
膝关节骨性关节炎
小针刀疗法
自拟中药方敷贴
炎症反应
疼痛
穿刺积液量
Knee osteoarthritis
Small acupotomy therapy
Self-Made Traditional Chinese Medicine prescription application
Inflammatory response
Pain
Volume of puncture effusion
作者简介
顾亦斌(1988-),男,江苏苏州人,硕士研究生,主治医师,研究方向:中医康复科临床。
