首页|黄附姜贴敷治疗膝骨关节炎(寒湿证)的临床研究

黄附姜贴敷治疗膝骨关节炎(寒湿证)的临床研究

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目的 观察黄附姜贴敷治疗膝骨关节炎的临床效果.方法 将我院120例膝骨关节炎患者随机分为对照组与观察组各60例,对照组采用洛索洛芬片治疗,观察组使用洛索洛芬片联合黄附姜贴敷治疗.比较两组疗效,治疗前后视觉模拟疼痛评分(VAS)、WOMAC骨关节炎指数评分(WOMAC)、膝关节红外热成像低温区直径、血清白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平.结果 治疗后,观察组临床总有效率高于对照组(P<0.05);两组VAS、WOMAC评分低于治疗前(P<0.05),观察组VAS、WOMAC评分低于对照组(P<0.05);两组膝关节红外热成像低温区直径、IL-1 β及TNF-α水平低于治疗前(P<0.05),观察组膝关节红外热成像低温区直径、IL-1β及TNF-α水平低于对照组(P<0.05).结论 黄附姜贴敷治疗能够减轻膝骨关节炎(寒湿证)的临床症状,降低VAS评分、WOMAC评分,缩小膝骨关节红外热成像低温区直径,降低IL-1β、TNF-α水平,对膝骨关节炎的功能恢复有促进作用.
Clinical study of HuangFu Jiang sticking therapy in treatment of knee osteoarthritis of cold and wet syndrome
Objective To observe the clinical effect of HuangFuJiang sticking therapy in treatment of knee osteoarthritis(KOA).Methods A total of 120 patients with KO A were randomly divided into control group and observation group with 60 cases each.Control group was treated with loxoprofen tablets,and observation group was treated with HuangFuJiang sticking therapy on the basis of control group.The clinical effects,Visual Analogue Scale(VAS)score,WOMAC osteoarthritis index score(WOMAC),knee cryogenic zone diameter of infrared thermography,serum interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α)of the two groups were compared before and after treatment.Results After treatment,the total effective rate of observation group was significantly higher than control group(P<0.05);the VAS and WOMAC scores in both groups were lower than those before treatment(P<0.05),and were lower in observation group than control group(P<0.05);the knee cryogenic zone diameter of infrared thermography and the levels of IL-1 β and TNF-α in both groups were lower than those before treatment(P<0.05),and were lower in observation group than control group(P<0.05).Conclusion HuangFuJiang sticking therapy can relieve clinical symptoms,reduce VAS,WOMAC scores,reduce the diameter of the cryogenic zone of infrared thermography,lower the levels of IL-1 β and TNF-α,and promote the functional recovery of KOA.

Knee osteoarthritisPhysical therapyTCM external treatment

周婧、吴家顺

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武汉市中医医院治未病科,湖北武汉 430014

武汉市中西医结合医院神经内科,湖北武汉 430022

膝骨关节炎 物理治疗 中医外治

武汉市卫生健康委项目

WZ20C30

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(1)
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