首页|基于"通调"理论针刀结合中药封包改善气滞血瘀型膝骨性关节炎的临床观察

基于"通调"理论针刀结合中药封包改善气滞血瘀型膝骨性关节炎的临床观察

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目的:探讨针刀结合中药封包疗法改善气滞血瘀型膝骨性关节炎的临床疗效.方法:选择在本院2022年4月-2023年4月康复门诊及住院部50例符合纳入标准的气滞血瘀型膝骨性关节炎患者,按照随机数表法分为通调组和对照组,各25例.对照组给予药物醋氯芬酸分散片口服,通调组在对照组基础上加用针刀结合自制中药封包治疗.分别在治疗前以及治疗后当 日观察血清血流变、膝关节液肿瘤坏死因子(TNFα)指标,同时依据Lequesne量表进行膝关节功能评估和临床疗效评价.结果:疗程结束后,发现通调组的总有效率为96%(24/25),优于对照组的84%(21/25)(P<0.05);与治疗前比较,两组全血高切黏度、低切黏度、血浆黏度、膝关节疼痛、最大行走距离、生活能力评分较前均有不同程度的改善(P<0.05、P<0.01),对照组红细胞压积、膝关节液TNFα无改善;与对照组相比,通调组各项评分均有改善(P<0.05).结论:基于通调理论的针刀结合自制中药封包可明显降低气滞血瘀型膝骨性关节炎临床症状.
Clinical Observation of Needle Knife Combined with Traditional Chinese Medicine Package in Improving Knee Osteoarthritis of Qi Stagnation and Blood Stasis based on"Tong Tiao"Theory
Objective:To explore the clinical effect of needle knife combined with traditional Chinese medicine package therapy in im-proving knee osteoarthritis of qi stagnation and blood stasis.Methods:50 patients with knee osteoarthritis of qi stagnation and blood stasis in the rehabilitation clinic and inpatient department of our hospital from April 2022 to April 2023 were randomly divided into general ad-justment group(n=25)and control group(n=25).The control group was given aceclofenac dispersible tablets orally,while the control group was treated with needle knife combined with self-made traditional Chinese medicine package on the basis of control group.The in-dexes of serum hemorheology and tumor necrosis factor(TNFα)in knee synovial fluid were observed before and after treatment,and the knee joint function and clinical curative effect were evaluated according to Lequesne scale.Results:At the end of the course of treatment,it was found that the total effective rate of the general adjustment group was 96%(24/25),which was better than that of the western medicine group 84%(21/25)(P<0.05).Compared with those before treatment,the whole blood high shear viscosity,low shear viscosity,plasma viscosity,knee joint pain,maximum walking distance and living ability scores of the two groups were improved in different degrees(P<0.05,P<0.01),but there was no improvement in hematocrit and TNFα of knee joint fluid in the western medicine group.Conclusion:Needle knife based on general adjustment theory combined with self-made traditional Chinese medicine package can significantly reduce the clinical symptoms of knee osteoarthritis of qi stagnation and blood stasis.

General toneNeedle knifeTraditional Chinese Medicine packageKnee OsteoarthritisQi stagnation and Blood stasis

时国建、张国龙、杨艳影、崔忠东、袁蒙蒙、付金峰、候昌彦、李飞

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阜南县中医院 安徽 阜阳2363000

安徽中医药大学第二附属医院 安徽 合肥 230000

通调 针刀 中药封包 膝骨性关节炎 气滞血瘀型

安徽省针灸临床医学研究中心开放基金安徽省中医药传承创新科研项目

2021zjzx042022CCYB13

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(3)
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