首页|中医正骨手法配合针刺治疗膝骨关节炎的临床研究

中医正骨手法配合针刺治疗膝骨关节炎的临床研究

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目的 分析膝骨关节炎患者联合实施中医正骨手法+针刺治疗的临床效果。方法 选取2019年7月—2023年7月本院收治的膝骨关节炎患者96例为研究对象,采用随机数字表法将其分为对照组和观察组,每组48例。其中,对照组实施针灸治疗,观察组在对照组基础上联合使用中医正骨手法。比较两组患者疼痛情况(VAS评分)、膝关节功能(Lysholm评分)、关节炎病情程度(WOMAC评分)、炎性因子水平、生活质量(QOL评分)、基本生活能力(ADL评分)。结果 VAS评分比较,观察组与对照组均低于治疗前,且观察组更低(P<0。05)。Lysholm评分相比,观察组与对照组均高于治疗前,且观察组更高(P<0。05)。WOMAC评分相比,观察组与对照组均低于治疗前,且观察组更低(P<0。05)。CRP、PCT、IL-6水平比较,观察组与对照组均低于治疗前,且观察组更低(P<0。05)。SF-36评分比较,观察组均高于对照组(P<0。05)。ADL评分比较,观察组与对照组均低于治疗前,且观察组更低(P<0。05)。结论 中医正骨手法配合针刺治疗膝骨关节炎的整体效果理想,对改善患者膝关节功能等多个方面具有积极作用,值得推广应用。
Clinical Study on Traditional Chinese Medicine Orthopedic Techniques Combined with Acupuncture for Knee Osteoarthritis
Objective To analyze clinical effect of traditional Chinese medicine orthopedic techniques combined with acupuncture for patients with knee osteoarthritis.Methods The paper chose 96 patients with knee osteoarthritis admitted to our hospital from July 2019 to July 2023,and divided them into control group of 48 cases and observation group of 48 cases with random number table method.Control group was treated with treatment,while observation group with traditional Chinese medicine bone setting techniques on the basis of control group.Pain status(VAS scores),knee joint function(Lysholm scores),severity of arthritis(WOMAC scores),levels of inflammatory factors,life quality(QOL scores),and basic living ability(ADL scores)were compared between two groups.Results Comparison showed,VAS scores in both observation group and control group were lower than before treatment,and observation group had lower VAS scores(P<0.05).Both observation group and control group had higher Lysholm scores before treatment,those of observation group were higher(P<0.05).Both observation group and control group had lower WOMAC scores before treatment,those of observation group were lower than control group,(P<0.05).CRP,PCT,and IL-6 levels in observation group and control group were lower than before treatment,those of observation group were lower(P<0.05).Comparison showed SF-36 scores in observation group were higher than control group(P<0.05).ADL scores in both observation group and control group were lower than before treatment,those of observation group were lower(P<0.05).Conclusion Traditional Chinese medicine bone setting technique combined with acupuncture can achieve ideal overall effect for knee osteoarthritis,can improve knee joint function and other aspects of patients,with positive effect,which is worthy of promotion and application.

Traditional Chinese medicine orthopedic techniquesAcupuncture treatmentKnee osteoarthritisPain situationKnee joint functionSeverity of arthritisInflammatory factor levels

吴娟、曾丹、王臣锦、安珏璇、颜察利

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贵州师范大学校医院 中西医结合科,贵州 贵阳 550001

中医正骨手法 针刺治疗 膝骨关节炎 疼痛情况 膝关节功能 关节炎病情程度 炎症因子水平

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(7)
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