温针灸联合强筋壮骨汤治疗膝骨关节炎临床研究
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R684.3;R246

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国家自然科学基金面上项目(81674053)


Clinical Study on Warming- Needle Moxibustion Combined with Qiangjin Zhuanggu Tang for Knee Osteoarthritis
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    摘要:

    目的:观察温针灸联合强筋壮骨汤治疗膝骨关节炎的临床疗效。方法:选取108 例膝骨关节炎患者,按随机数字表法分为观察组和对照组各54 例。对照组给予强筋壮骨汤治疗,观察组给予温针灸联合强筋壮骨汤治疗,2 组均治疗1 个月。对比2 组临床疗效及治疗前后疼痛分级指数(PRI) 评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC) 评分、关节屈曲度、关节肿胀程度。结果:观察组总有效率为96.30%,高于对照组的83.33%(P<0.05)。治疗后,2 组感觉项评分、情感项评分及总分均较治疗前下降(P<0.01),观察组感觉项评分、情感项评分及总分均低于对照组(P<0.01)。治疗后,2 组WOMAC评分均较治疗前下降(P<0.01),关节屈曲度均较治疗前增加(P<0.01);2 组上述指标治疗后比较,差异均有统计学意义(P<0.01)。治疗后,2 组关节肿胀程度均较治疗前减轻(P<0.01),观察组关节肿胀程度轻于对照组(P<0.01)。结论:温针灸联合强筋壮骨汤治疗膝骨关节炎疗效确切,可降低PRI 评分及WOMAC 评分,改善关节肿胀,促进关节功能恢复。

    Abstract:

    Abstract:Objective: To observe the clinical effect of warming- needle moxibustion combined with Qiangjin Zhuanggu tang for knee osteoarthritis. Methods: A total of 108 cases of patients with knee osteoarthritis were divided into the observation group and the control group according to the random number table method,54 cases in each group. The control group was treated with Qiangjin Zhuanggu tang, and the observation group was additionally treated with warming- needle moxibustion based on the treatment of the control group. Both groups were treated for one month. The clinical effect as well as the scores of Pain Rating Index(PRI) and Western Ontario and McMaster University Osteoarthritis Index(WOMAC), the joint flexion degree and joint swelling degree before and after treatment in the two groups were compared. Results: The total effective rate was 96.30% in the observation group,significantly higher than that of 83.33% in the control group(P<0.05). After treatment,the scores of sensation and emotion as well as the total scores in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01). After treatment,the WOMAC scores in the two groups were decreased when compared with those before treatment(P<0.01), and joint flexion degree was increased(P<0.01); compared the above indexes in the two groups,differences being significant(P<0.01). After treatment,the degree of joint swelling in the two groups was alleviated when compared with that before treatment(P<0.01), and the degree in the observation group was lower than that in the control group(P<0.01). Conclusion:The therapy of warming-needle moxibustion combined with Qiangjin Zhuanggu tang has definite curative effect in treating knee osteoarthritis, which can reduce the scores of PRI and WOMAC, improve joint swelling and promote the recovery of joint function.

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李东,殷建权,严伟,叶天申.温针灸联合强筋壮骨汤治疗膝骨关节炎临床研究[J].新中医,2020,52(13):141-144

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  • 在线发布日期: 2020-07-10
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