摘要
目的探究膝关节骨性关节炎(knee osteoarthritis,KOA)患者采用针灸联合小针刀疗法的临床疗效.方法选取2020年1月—2021年4月该院收治的90例KOA患者为研究对象,随机分为对照组(45例)与观察组(45例).对照组采用常规治疗,观察组采用针灸联合小针刀疗法.比较两组患者膝关节关节活动度(range of motion,ROM)、疼痛视觉模拟评分(visual analogue scale,VAS)及各项炎症因子水平.结果治疗前,两组的膝关节ROM对比,差异无统计学意义(P>0.05);治疗后,两组的膝关节ROM均大于治疗前,且观察组的膝关节ROM大于对照组,差异具有统计学意义(P<0.05).治疗前,两组的VAS评分比较,差异无统计学意义(P>0.05);治疗后,两组的VAS评分均低于各组治疗前,且观察组评分低于对照组,组间差异有统计学意义(P<0.05).两组治疗前的各项炎症因子水平比较,差异无统计学意义(P>0.05);治疗后,两组的各项炎症因子水平显著优于治疗前,且观察组的各项炎症因子水平显著优于对照组,组间差异有统计学意义(P>0.05).结论针灸联合小针刀疗法治疗KOA,可改善患者的膝关节活动度,降低炎症因子水平,减轻疼痛程度,康复效果理想.
Objective To investigate the clinical efficacy of acupuncture and moxibustion combined with small needle knife therapy in patients with knee osteoarthritis(KOA).Methods The 90 KOA patients admitted to the hospital from January 2020 to April2021 were selected as the study subjects,and were randomly divided into a control group(45 cases)and an observation group(45 cases).The control group was treated conventionally,the observation group was treated with acupuncture and moxibustion combined with small needle knife therapy.Compare knee joint range of motion(ROM),visual analogue scale(VAS)scores,and levels of various inflammatory factors in both groups.Results Before treatment,the difference between the two groups of knee joint ROM was not statistically significant(P>0.05);after treatment,the knee joint ROM in both groups was higher than before treatment,and the knee joint ROM in the observation group was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).Before treatment,the VAS scores of the two groups were compared,and the difference was not statistically significant(P>0.05);after treatment,the VAS scores in both groups were lower than before treatment,and the scores in the observation group was lower than that in the control group,and the differences between the groups were statistically significant(p<0.05).The level of various inflammatory factors before treatment was compared between the two groups,and the difference was not statistically significant(P>0.05);after treatment,the level of various inflammatory factors in both groups were significantly better than before treatment,and the level of various inflammatory factors in the observation group were significantly better than that of the control group,and the differences between the groups were statistically significant(P>0.05).Conclusion Acupuncture combined with small needle knife therapy for KOA can improve joint mobility,reduce inflammatory factor levels,reduce pain levels and provide ideal rehabilitation results.
作者
宋乃贤
陈添来
SONG Naixian;CHEN Tianlai(Department of Orthopedics and Traumatology,Huidong County Hospital of Traditional Chinese Medicine,Guangdong Province,Huizhou Guangdong,516300,China)
出处
《反射疗法与康复医学》
2021年第18期29-31,共3页
Reflexology And Rehabilitation Medicine
关键词
膝关节骨性关节炎
小针刀疗法
针灸
Knee osteoarthritis
Small needle knife therapy
Acupuncture and moxibustion
作者简介
宋乃贤(1983-),男,江西分宜人,本科,主治医师,研究方向:骨伤科临床。
