首页|加味身痛逐瘀汤加减联合温针灸治疗痛痹型膝关节骨性关节炎患者的临床疗效

加味身痛逐瘀汤加减联合温针灸治疗痛痹型膝关节骨性关节炎患者的临床疗效

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目的 探讨痛痹型膝关节骨性关节炎应用加味身痛逐瘀汤加减联合温针灸协同治疗的临床价值。方法 选择2021年5月-2024年3月在青岛西海岸第二医院就诊的88例痛痹型膝关节骨性关节炎患者的资料,根据动态随机法分为联合组与对照组,每组各44例。对照组口服西药加温针灸治疗,联合组予以加味身痛逐瘀汤加减与温针灸协同治疗。治疗前、治疗14d,对比两组患者的病情改善情况、血清学指标以及不良反应发生率。结果 与治疗前对比,两组治疗14d的WOMAC量表的各纬度评分及总分、TNF-α、WBC、MMP-3、CRP均有所下降,且联合组降低幅度更大(P<0。05);治疗后两组不良反应发生率对比,组间差异无统计学意义(P>0。05)。结论 加味身痛逐瘀汤加减与温针灸协同治疗在痛痹型膝关节骨性关节炎中展现出较高的临床价值,能够显著减轻患者的病情,改善临床症状,同时有效降低TNF-α、WBC等血清学指标水平,并且不会引起严重不良反应。
Clinical efficacy of the combined application of Jiawei Shentong Zhuyu Decoction plus reduction combined with warm acupuncture in the treatment of painful obstruction syndrome of knee osteoarthritis
Objective To investigate the clinical value of the synergistic treatment of pain-paralysing osteoarthritis of the knee joint with the addition of Jiawei Shentong Zhuyu Decoction and warm acupuncture.Methods The data of 88 patients with pain-paralysing osteoarthritis of the knee joint received in Qingdao West Coast Second Hospital from May 2021 to March 2024 were selected and divided into the combined group and the control group,each with 44 cases,according to the dynamic randomisation method.The control group was treated with oral western medicine and warm acupuncture,and the combined group was treated with the addition of Jiawei Shentong Zhuyu Decoction and warm acupuncture.Before treatment and 14 days after treatment,the condition improvement,serological indexes and incidence of adverse reactions were compared between the 2 groups.Results Compared with the pre-treatment,the latitude scores and total scores of WOMAC scale,TNF-α,WBC,MMP-3,CRP of the two groups for 14d of treatment decreased,and the decrease was greater in the combined group(P<0.05);the difference in the incidence of adverse reactions between the two groups after treatment was not statistically significant(P>0.05).Conclusion The synergistic treatment of Jiawei Shentong Zhuyu Decoction and warm acupuncture has shown high clinical value in painful knee osteoarthritis,which can significantly reduce the patient's condition,improve clinical symptoms,and effectively reduce the levels of TNF-α,WBC and other serological indicators,without causing serious adverse reactions.

OsteoarthritisKnee JointPain And Paralysis TypeJiawei Shentong Zhuyu DecoctionWarm Acupuncture

李阳

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青岛西海岸第二医院,山东 青岛 266000

骨性关节炎 膝关节 痛痹型 加味身痛逐瘀汤加减 温针灸

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)