摘要
目的:观察温针灸联合关节松动术应用于全膝关节置换术后的临床疗效。方法:选择2024年1月至2025年1月在周口市中医院进行全膝关节置换术患者100例,按照随机数字表法分为对照组和观察组,每组各50例。对照组采用关节松动术治疗,观察组在对照组基础上使用温针灸治疗。两组均连续治疗1个月,观察两组患者临床疗效、膝关节功能、疼痛程度、关节活动度及炎症因子水平。结果:对照组有效率为86.00%,观察组有效率为98.00%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后Lysholm评分、膝关节活动度(range of motion, ROM)升高,视觉模拟评分降低,差异有统计学意义(P<0.05),且组间比较,差异有统计学意义(P<0.05)。两组患者治疗后白细胞介素-6(interleukin-6,IL-6)、白细胞介素-1β(interleukin-1β,IL-1β)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平均降低(P<0.05),且观察组低于对照组,差异有统计学意义(P<0.05)。结论:温针灸联合关节松动术应用于全膝关节置换术后,可提升膝关节功能,减轻疼痛程度,改善临床症状。
Objective:To observe the clinical efficacy of warm acupuncture and moxibustion combined with joint mobilization on patients after total knee arthroplasty(TKA).Methods:A total of 100 patients who underwent TKA at Zhoukou Municipal Hospital of Traditional Chinese Medicine from January 2024 to January 2025 were selected and randomly divided into two groups according to the random number table method:the control group and the observation group,with 50 cases in each group.The control group was treated with joint mobilization,while the observation group was treated with warm acupuncture and moxibustion on the basis of the control group.Both groups were treated continuously for one month.The clinical efficacy,knee joint function,pain degree,joint range of motion(ROM),and levels of inflammatory factors were observed in both groups.Results:The effective rate of the control group was 86.00%,while that of the observation group was 98.00%.with a statistically significant difference(P<0.05).After treatment,the Lysholm score and ROM of both groups increased,while the visual analogue scale score decreased,with statistically significant differences before and after treatment(P<0.05).There were also statistically significant differences between the two groups(P<0.05).The levels of interleukin-6(IL-6),interleukin-1β(IL-1β),and tumor necrosis factor-α(TNF-α)in both groups decreased(P<0.05),and the above levels in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:The application of warm acupuncture and moxibustion combined with joint mobilization after TKA can improve knee joint function,relieve pain,and alleviate symptoms.
作者
吴志敏
杨昀睿
卢传辉
肖释
龚广峰
WU Zhimin;YANG Yunrui;LU Chuanhui;XIAO Shi;GONG Guangfeng(Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou,Henan,China,466000)
出处
《河南中医》
2025年第9期1441-1445,共5页
Henan Traditional Chinese Medicine
基金
河南省中医药科学研究专项课题项目(2024ZY3126)。
关键词
全膝关节置换术
温针灸
关节松动术
膝关节功能
炎症因子
total knee arthroplasty(TKA)
warm acupuncture and moxibustion
joint mobilization
knee joint function
inflammatory factors
作者简介
吴志敏(1985-),女,河北涞源人,医学硕士,副主任医师。
