云南中医中药杂志2024,Vol.45Issue(12) :31-35.

膝关节消肿方治疗湿热痹阻型膝骨关节炎的临床观察

Clinical Observation of Knee Joint Swelling Relief Prescription for Knee Osteoarthritis with Damp-Heat Impediment Type

朱守旭 朱磊 张宗逸 吴港归
云南中医中药杂志2024,Vol.45Issue(12) :31-35.

膝关节消肿方治疗湿热痹阻型膝骨关节炎的临床观察

Clinical Observation of Knee Joint Swelling Relief Prescription for Knee Osteoarthritis with Damp-Heat Impediment Type

朱守旭 1朱磊 2张宗逸 2吴港归2
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作者信息

  • 1. 安徽中医药大学,安徽 合肥 230038
  • 2. 安徽中医药大学第一附属医院,安徽 合肥 230032
  • 折叠

摘要

目的 探究膝关节消肿方治疗湿热痹阻型膝骨关节炎的临床疗效.方法 将60例早期膝骨关节炎患者随机分为治疗组和对照组,2组各30例.治疗组采取中药膝关节消肿方内服,对照组采取盐酸氨基葡萄糖片口服,经过4周的治疗,观察并比较2组患者的临床疗效,中医证候评分、疗效性评价量表分值(WOMAC评分和VAS评分),以及患者外周血血清中治疗前后的IL-6、TNF-α、hs-CRP数值的变化.结果 治疗组总有效率为93.33%,对照组总有效率为76.67%,2组比较差异具有统计学意义(P<0.05);2组在降低中医证候评分、WOMAC评分、VAS评分评分方面优于治疗前(P<0.05),且治疗组降低程度优于对照组(P<0.05);2组患者的外周血血清中,炎症标志物IL-6、TNF-α、hs-CRP的水平在治疗后明显低于治疗前(P<0.05),且治疗组降低优于对照组(P<0.05).结论 膝关节消肿方治疗湿热痹阻型膝骨关节炎具有较好的治疗效果,可以降低患者的炎症水平、改善中医证候评分、提高病人生活质量,对于湿热痹阻型膝骨关节炎具有显著疗效.

Abstract

Objective:To study the clinical effect of Knee Joint Swelling Relief Prescription in the treatment of knee osteoarthritis(KO A)with damp-heat impediment type.Methods:Sixty patients with early-stage KOA were randomly divided into a treatment group and a control group,30 cases each group.The treatment group received oral administration of Knee Joint Swelling Relief Prescription and the control group was given oral glucosamine hydrochlo-ride tablets.After four weeks of treatment,the clinical effect,TCM symptom scores,evaluation metrics(WOMAC and VAS scores),and changes in peripheral blood serum levels of IL-6,TNF-α,and hs-CRP before and after treat-ment were observed and compared between the groups.Results:The total effective rate was 93.33%in the treatment group compared to 76.67%in the control group,with a statistically significant difference(P<0.05).Both groups showed significant improvements in TCM symptom scores,WOMAC,and VAS scores after treatment(P<0.05),with greater improvements observed in the treatment group(P<0.05).Serum levels of inflammatory markers IL-6,TNF-α,and hs-CRP were significantly reduced after treatment in both groups(P<0.05),with more pronounced reduc-tions in the treatment group(P<0.05).Conclusion:The Knee Joint Swelling Relief Prescription demonstrates signifi-cant therapeutic effects in the treatment of KOA patients with damp-heat impediment type,and effectively reduces in-flammation,improves TCM symptom scores,and enhances patients'quality of life,which offers a promising treatment for knee osteoarthritis with damp-heat impediment.

关键词

膝骨关节炎/湿热痹阻/膝关节消肿方

Key words

Knee Osteoarthritis/Damp-Heat Impediment Type/Knee Joint Swelling Relief Prescription

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出版年

2024
云南中医中药杂志
云南省中医中药研究院,云南省中医药学会

云南中医中药杂志

影响因子:0.598
ISSN:1007-2349
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