首页|温针灸联合肌内效贴治疗对膝关节骨性关节炎患者微循环功能及炎性因子的影响

温针灸联合肌内效贴治疗对膝关节骨性关节炎患者微循环功能及炎性因子的影响

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目的:分析温针灸联合肌内效贴治疗对膝关节骨性关节炎患者微循环功能及炎性因子的影响.方法:选取 2021 年1 月—2022 年 1 月安义县中医院骨伤康复科收治的膝关节骨性关节炎患者 140 例,采用随机数字表法分为对照组和观察组,各 70 例.对照组采用温针灸治疗,观察组加用肌内效贴治疗.比较 2 组疗效、西大略和麦克马斯特大学骨关节炎指数评分(WOMAC)、Lysholm膝关节评分、视觉模拟评分法(VAS)评分、中医证候评分、日常活动能力评分、生活质量评分、微循环功能[运动血细胞浓度(CMBC)、微血管血流灌注量(MBP)]、血清炎性因子[肿瘤坏死因子-α(TNF-α)、白介素(IL)-1β、IL-6]水平.结果:观察组总有效率(97.14%)高于对照组(85.71%)(P<0.05).治疗后,2组WOMAC、VAS评分均下降,且观察组均低于对照组(P<0.05);2组Lysholm膝关节评分均升高,且观察组高于对照组(P<0.05).治疗后,2 组中医证候积分均下降,且观察组低于对照组(P<0.05);2 组日常活动能力、生活质量评分均升高,且观察组均高于对照组(P<0.05).治疗后,2组CMBC、MBP均增加,且观察组均高于对照组(P<0.05).治疗后,2组血清TNF-α、IL-1β、IL-6 水平均下降,且观察组均低于对照组(P<0.05).结论:温针灸联合肌内效贴治疗可以改善膝关节骨性关节炎患者的微循环功能,降低血清炎性因子的表达水平,减轻疼痛程度,改善膝关节功能,提高患者的日常生活能力和生活质量.
Effect of Warm Acupuncture and Moxibustion Combined with Intramuscular Plaster Therapy on Microcirculation Function and Inflammatory Factors in Patients with Knee Osteoarthritis
Objective:To analyze the effect of warm acupuncture and moxibustion combined with intramuscular plaster therapy on microcirculation and inflammatory factors in patients with knee osteoarthritis.Methodws:140 patients with knee osteoarthritis admitted to orthopedic rehabilitation department of Anyi county traditional Chinese medicine hospital from January 2021 to January 2022 were selected and randomly divided into a control group and an observation group,with 70 patients in each group.The control group was treated with warm acupuncture and moxibustion,and the observation group was treated with intramuscular plaster.Compared the efficacy of two groups,Western Ontario and McMaster University Osteoarthritis Index Score(WOMAC),Lysholm Knee Joint,Visual Analog Scale(VAS),Knee Joint Traditional Chinese Medicine Syndrome Score,Daily Activity Ability Score,Quality of Life Score,Microcirculatory Function[Exercise Blood Cell Concentration(CMBC),Microvascular Perfusion Volume(MBP)],and Serum Inflammatory Factors[Tumor Necrosis Factor-α(TNF-α)、Interleukin(IL)-1 β、IL-6]level.Results:The total effective rate of the observation group(97.14%)was higher than that of the control group(85.71%)(P<0.05).After treatment,the WOMAC and VAS scores of the two groups decreased,and the observation group was lower than the control group(P<0.05);The Lysholm scores of the two groups increased,and the observation group was higher than the control group(P<0.05).After treatment,the TCM syndrome scores of the two groups decreased,and the observation group was lower than the control group(P<0.05);the daily activity ability and quality of life scores of the two groups increased,and the observation group was higher than the control group(P<0.05).After treatment,CMBC and MBP increased in both groups,and the observation group was higher than the control group(P<0.05).After treatment,the levels of serum TNF-α,IL-1β and IL-6 in both groups decreased,and those in the observation group was all lower than those in the control group(P<0.05).Conclusion:Warm acupuncture and moxibustion combined with intramuscular plaster therapy can improve the microcirculation function of patients with knee osteoarthritis,reduce the expression level of serum inflammatory factors,relieve pain,improve knee joint function,and improve the daily life ability and quality of life of patients.

Warming Acupuncture and MoxibustionIntramuscular Effect PatchKnee OsteoarthritisMicrocirculatory FunctionInflammatory Factors

陈敬辉

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安义县中医院骨伤康复科 江西 安义 330500

温针灸 肌内效贴 膝关节骨性关节炎 微循环功能 炎性因子

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(6)