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针刀"调筋治骨法"联合热敏灸治疗膝骨关节炎的临床研究

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目的:研究针刀"调筋治骨法"联合热敏灸治疗膝骨关节炎(KOA)的临床疗效.方法:将103例风寒湿痹型KOA患者随机分为两组,对照组51例,研究组52例.对照组实施"调针治骨法"的针刀治疗,研究组在针刀基础上联合热敏灸治疗.两组治疗3个疗程后比较疗效、视觉模拟评分法(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、炎症因子[C反应蛋白(CRP)、白介素6(IL-6)]水平、步行中患侧膝关节屈曲角度及不良反应情况.结果:研究组总有效率为94.23%(49/52),高于对照组的80.39%(41/51),差异具有统计学意义(P<0.05).治疗后两组患者VAS评分、WOMAC评分较治疗前下降,且研究组低于对照组,差异具有统计学意义(P<0.05).治疗后两组患者血清CRP、IL-6水平较治疗前下降,且研究组低于对照组,差异具有统计学意义(P<0.05).治疗后研究组最大屈曲角度大于对照组,最小屈曲角度小于对照组,差异具有统计学意义(P<0.05).两组患者治疗期间均未发生明显全身或局部不良反应.结论:针刀"调筋治骨法"联合热敏灸能有效减轻KOA患者疼痛和炎症反应,改善症状,缓解步行中患侧膝关节屈曲角度,无明显不良反应.
Clinical Study of Acupotomy'Regulating Tendons and Treating Bones Method'Combined with Heat-Sensitive Moxibustion in Treatment of KOA
Objective:To study the clinical efficacy of acupotomy'regulating tendons and treating bones method'combined with heat-sensitive moxibustion in treatment of knee osteoarthritis(KOA).Methods:103 KOA patients with wind-cold-dampness syndrome were randomly divided into the control group(n=51)and the study group(n=52).The control group was treated with acupotomy'regulating tendons and treating bones method';on which basis,the study group was also treated with heat-sensitive moxibustion.After three courses of treatment,clinical efficacy,scores of visual analogue scale(VAS)and Western Ontario and McMaster University Osteoarthritis Index(WOMAC),levels of C-reactive protein(CRP)and interleukin-6(IL-6),knee flexion angle on the affected side during walking,and adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 94.23%(49/52),which was higher than 80.39%(41/51)of the control group(P<0.05).The VAS score and WOMAC score were decreased after the treatment in the two groups,and the decreases were more significant in the study group than those in the control group(P<0.05).The serum levels of CRP and IL-6 were reduced after the treatment in the two groups,and the reductions were more significant in the study group than those in the control group(P<0.05).The maximum flexion angle in the study group was greater than that in the control group,and the minimum flexion angle was smaller in the study group than that in the control group(P<0.05).There were no significant systemic or local adverse reactions during the treatment in the two groups.Conclusion:The combination of acupotomy'regulating tendons and treating bones method'and heat-sensitive moxibustion can effectively alleviate pain and inflammatory reactions in KO A patients,it can improve symptoms and flexion angle of the affected knee joint during walking,without obvious adverse reactions.

Knee osteoarthritisAcupotomyMethods of regulating tendons and treating bonesHeat-sensitive moxibustion

王军、韩莹

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新疆医科大学第一附属医院,新疆乌鲁木齐 830054

膝骨关节炎 针刀 调筋治骨法 热敏灸

新疆维吾尔自治区科技支疆项目(指令性项目)

2020E0289

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(4)