首页|温针灸联合桂枝芍药知母汤加减对风寒湿痹型膝关节骨性关节炎患者的影响

温针灸联合桂枝芍药知母汤加减对风寒湿痹型膝关节骨性关节炎患者的影响

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目的 探讨风寒湿痹型膝关节骨性关节炎(KOA)患者应用温针灸联合桂枝芍药知母汤加减治疗的效果.方法 选取 2021 年 8月—2023年 8 月本院收治的 92 例风寒湿痹型KOA患者为研究对象,采用随机数字表法将其分为对照组和观察组,各 46 例.对照组采用双氯芬酸钠治疗,观察组在对照组基础上加用温针灸联合桂枝芍药知母汤加减治疗,两组均连续治疗 3 个疗程.比较两组临床疗效、症状改善情况、疼痛程度、膝关节功能、关节活动度及不良反应发生情况.结果 观察组治疗总有效率 95.65%高于对照组的 80.43%,差异有统计学意义(P<0.05).治疗后,观察组膝关节疼痛、活动受限、关节肿胀评分均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组疼痛评分、骨关节炎指数评分均低于对照组,关节活动度大于对照组,组间差异有统计学意义(P<0.05).两组均未见明显不良反应.结论 风寒湿痹型KOA患者应用温针灸联合桂枝芍药知母汤加减治疗效果较佳,可改善临床症状及膝关节功能,扩大关节活动度,安全性好.
Effect of Warming Acupuncture and Moxibustion Combined with Guizhi Shaoyao Zhimu Decoction Added or Reduced on Patients with Wind Cold Dampness Type Knee Osteoarthritis
Objective To explore the therapeutic effect of warming acupuncture and moxibustion combined with guizhi shaoyao zhimu decoction added or reduced on knee osteoarthritis(KOA)with wind cold dampness type knee osteoarthritis.Methods A total of 92 wind cold dampness type KOA patients admitted to our hospital from August 2021 to August 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using random number table method,with 46 cases in each group.The control group was treated with diclofenac sodium orally,and the observation group was treated with warm acupuncture and moxibustion combined with guizhi shaoyao zhimu decoction added or reduced on the basis of control group.Both groups were treated for 3 consecutive courses.The clinical efficacy,symptom improvement,degree of pain,knee joint function,joint range of motion,and adverse reactions between the two groups were compared.Results The total effective rate of the observation group was 95.65%,which was higher than the control group's 80.43%,the difference was statistically significant(P<0.05).After treatment,the observation group had lower scores for knee joint pain,limited mobility,and joint swelling compared to the control group,with statistically significant differences between the groups(P<0.05).After treatment,the pain score and Western Ontarioand Mc Master Universities Osteoarthritis Index score of the observation group were lower than those of the control group,and the joint range of motion was greater than that of the control group,the differences between the two groups were statistically significant(P<0.05).No significant adverse reactions were observed in both groups.Conclusion The application of warm acupuncture and moxibustion combined with guizhi shaoyao zhimu decoction added or reduced in the treatment of wind cold dampness type KOA patients with has a better therapeutic effect,which can improve clinical symptoms and knee joint function,increase joint mobility,and has good safety,and is worth promoting.

Wind cold dampness type knee osteoarthritisWarming acupuncture and moxibustionGuizhi shaoyao zhimu decoctionJoint range of motion

郭春锋

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莘县中医医院康复科,山东聊城 252400

风寒湿痹型膝关节骨性关节炎 温针灸 桂枝芍药知母汤 关节活动度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)
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