首页|独活寄生汤联合雷火灸治疗风寒湿阻型膝骨性关节炎患者的效果

独活寄生汤联合雷火灸治疗风寒湿阻型膝骨性关节炎患者的效果

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目的 探讨独活寄生汤联合雷火灸治疗风寒湿阻型膝骨性关节炎患者的效果.方法 选取 2021 年 1 月—2023 年 12 月苏州市相城区中医医院收治的 82 例风寒湿阻型膝骨性关节炎患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 41 例.对照组采用常规治疗,观察组在对照组基础上采用独活寄生汤联合雷火灸治疗.比较两组的临床疗效、炎症反应指标、氧化应激指标.结果 治疗前,两组炎症反应指标、氧化应激指标比较,组间差异无统计学意义(P﹥0.05).观察组治疗总有效率为 95.12%,高于对照组的 80.49%,差异有统计学意义(P﹤0.05).治疗后,观察组白细胞介素-6、白细胞介素-1β、肿瘤坏死因子-α、丙二醛水平均低于对照组,血清超氧化物歧化酶高于对照组,组间差异有统计学意义(P﹤0.05).结论 对风寒湿阻型膝骨性关节炎患者予以独活寄生汤联合雷火灸治疗效果确切,可改善炎症与氧化应激反应.
Effect of Duhuo Jizhi Decoction Combined With Thunder Fire Moxibustion On Patients with Wind-Cold-Dampness Obstruction Type Knee Osteoarthritis
Objective To explore the effects of Duhuo Jisheng decoction combined with thunder-fire moxibustion on patients with the wind-cold-dampness obstruction type knee osteoarthritis.Methods Eighty-two patients with the wind-cold-dampness obstruction type knee osteoarthritis who were admitted to Suzhou Xiangcheng District Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research objects,they were divided into a control group and an observation group according to the random number table method,with 41 cases in each group.The control group was treated with conventional treatment,while the observation group was treated with Duhuo Jisheng decoction combined with thunder-fire moxibustion on the basis of the treatment of the control group.The clinical efficacy,inflammatory response indicators,and oxidative stress indicators of the two groups were compared.Results Before treatment,the inflammatory response indicators and oxidative stress indicators of the two groups were compared,and the differences between the groups were not statistically significant(P﹥0.05).The total effective rate of treatment in the observation group was 95.12%,which was higher than 80.49%in the control group,and the difference was statistically significant(P﹤0.05).After treatment,the levels of interleukin-6,interleukin-1β,tumor necrosis factor-α and malondialdehyde in the observation group were all lower than those in the control group,while the serum superoxide dismutase was higher than that in the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Duhuo Jizhi decoction combined with thunder fire moxibustion is effective in treating patients with wind-cold-dampness obstruction knee osteoarthritis and can improve the inflammatory and oxidative stress responses.

Knee osteoarthritisWind-Cold-Dampness obstruction typeDuhuo Jisheng decoctionInflammatory responseOxidative stress

蔡东哲、刘影、沈利杰、杨效飞

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苏州市相城区中医医院中医骨伤科,江苏 苏州 215100

膝骨性关节炎 风寒湿阻型 独活寄生汤 炎症反应 氧化应激

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(19)