中药塌渍联合归原灸疗法治疗膝骨关节炎寒湿阻络证临床研究
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R684.3;R244

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河南省医学科技攻关计划项目(LHGJ20210259)


Clinical Study on Chinese Medicine Collapse Stains Combined with Original Qi- Returning Moxibustion for Knee Osteoarthritis with Syndrome of Cold-Damp Obstructing Collaterals
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    摘要:

    目的:观察中药塌渍联合归原灸疗法治疗膝骨关节炎(KOA) 寒湿阻络证的临床疗效。方法:以 简单随机化法将88例KOA寒湿阻络证患者分为对照组与治疗组,每组44例。对照组给予双氯芬酸钠缓释片治 疗,治疗组在对照组基础上给予中药塌渍联合归原灸疗法治疗。以14 d为1个疗程,2组均治疗2个疗程。比 较2 组临床疗效、中医证候积分、视觉模拟评分法(VAS) 评分及西安大略和麦克马斯特大学骨关节炎指 数(WOMAC) 评分。结果:治疗2个疗程后,治疗组总有效率93.18%,高于对照组77.27%(P<0.05)。治疗 2个疗程后,2组中医证候积分均较治疗前降低(P<0.05),治疗组中医证候积分低于对照组(P<0.05)。治疗 1个疗程后,2组VAS评分均较治疗前降低(P<0.05),治疗组VAS评分低于对照组(P<0.05)。治疗2个疗程 后,2组VAS评分均较治疗1个疗程后降低(P<0.05),治疗组VAS评分低于对照组(P<0.05)。治疗2个疗程 后,2组关节疼痛、关节僵硬、关节功能评分及总分均较治疗前降低(P<0.05),治疗组关节疼痛、关节僵硬、 关节功能评分及总分均低于对照组(P<0.05)。结论:中药塌渍联合归原灸疗法治疗KOA寒湿阻络证的临床 疗效较好,可有效缓解临床症状,改善膝关节功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine collapse stains combined with original qi-returning moxibustion on knee osteoarthritis (KOA) with syndrome of cold-damp obstructing collaterals. Methods: A total of 88 cases of KOA patients with syndrome of cold-damp obstructing collaterals were divided into the control group and the treatment group by simple randomization , with 44 cases in each group. The control group was treated with Diclofenac Sodium Sustained-Release Tablets, and the treatment group was additionally treated with Chinese medicine collapse stains combined with original qi-returning moxibustion based on the treatment of the control group. Both groups were treated for two courses, 14 days being a course. The clinical effects and the scores of traditional Chinese medicine (TCM) syndrome, Visual Analogue Scale (VAS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) were compared between the two groups before and after treatment. Results: After two courses of treatment, the total effective rate was 93.18% in the treatment group, higher than that of 77.27% in the control group (P<0.05). After two courses of treatment, the TCM syndrome scores in the two groups were reduced when compared with those before treatment (P<0.05), and the TCM syndrome score in the treatment group was lower than that in the control group (P<0.05). After one course of treatment, the VAS scores in the two groups were decreased when compared with those before treatment (P<0.05), and the VAS score in the treatment group was lower than that in the control group (P<0.05). After two courses of treatment,the VAS scores in the two groups were lower than those after one course (P<0.05), and the VAS score in the treatment group was lower than that in the control group (P<0.05). After two courses of treatment, the scores of joint pain, joint stiffness and joint function,and total scores in the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the treatment group were reduced when compared with those in the control group (P<0.05). Conclusion:Chinese medicine collapse stains combined with original qi-returning moxibustion has a good clinical effect on KOA with syndrome of cold-damp obstructing collaterals,which can effectively relieve clinical symptoms and improve knee joint function.

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许琬茹,张恒,刘海霞,郑琳琳.中药塌渍联合归原灸疗法治疗膝骨关节炎寒湿阻络证临床研究[J].新中医,2024,56(18):162-166

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  • 在线发布日期: 2024-09-27
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