摘要
目的:探讨温针灸治疗虚寒型膝骨关节炎的效果及功能康复价值。方法:回顾性分析2019年4月-2020年4月笔者所在医院收治的106例虚寒型膝骨关节炎患者的临床资料。按照治疗方式的不同将其分为针灸组和温针灸组,每组53例。针灸组给予常规针灸治疗,温针灸组给予温针灸治疗。比较两组临床疗效、治疗前及治疗2周后炎性因子水平[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白介素-6(IL-6)]、中医证候积分、骨关节炎指数(WOMAC)评分、膝关节Lysholm评分表(Lysholm)评分、疼痛数字评价量表(NRS)评分。结果:治疗前,两组TNF-α、CRP、IL-6水平及中医证候积分、WOMAC评分、Lysholm评分、NRS评分比较差异均无统计学意义(P>0.05);治疗后,温针灸组TNF-α、CRP、IL-6水平及中医证候积分、WOMAC评分、NRS评分均低于针灸组,Lysholm评分高于针灸组,差异均有统计学意义(P<0.05)。温针灸组治疗总有效率为96.23%,明显高于针灸组的84.91%,差异有统计学意义(χ^(2)=3.975,P=0.046)。结论:采用温针灸治疗虚寒型膝骨关节炎,能降低炎症因子水平,改善患者肿胀、疼痛、晨僵、行动受限等临床症状,促进患者膝关节活动功能的恢复,效果显著。
Objective:To investigate the effect and functional rehabilitation value of warm acupuncture on knee osteoarthritis of deficiency cold type.Method:The clinical data of 106 patients with knee osteoarthritis of deficiency cold type admitted in our hospital from April 2019 to April 2020 were retrospectively analyzed.According to different treatment methods,they were divided into the acupuncture group and the warm acupuncture group,with 53 cases in each group.The acupuncture group was given conventional acupuncture treatment,and the warm acupuncture group was given warm acupuncture treatment.The clinical efficacy,inflammatory factor levels[tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),interleukin-6(IL-6)],TCM syndrome score,osteoarthritis index(WOMAC)score,knee joint Lysholm score(Lysholm)score and pain digital evaluation scale(NRS)score were compared between the two groups before and 2 weeks after treatment.Result:Before treatment,there were no significant differences in the levels of TNF-α,CRP,IL-6,TCM syndrome score,WOMAC score,Lysholm score and NRS score between the two groups(P>0.05).After treatment,the levels of TNF-α,CRP,IL-6,TCM syndrome score,WOMAC score and NRS score of the warm acupuncture group were lower than those of the acupuncture group,and Lysholm score was higher than that of the acupuncture group,the differences were statistically significant(P<0.05).The total effective rate of the warm acupuncture group was 96.23%,which was significantly higher than 84.91%of the acupuncture group,the difference was statistically significant(χ^(2)=3.975,P=0.046).Conclusion:In the treatment of knee osteoarthritis of deficiency cold type,warm acupuncture can reduce can reduce the inflammatory factor levels,improve the patients’clinical symptoms such as swelling,pain,morning stiffness and limited movement,and promote the recovery of the patient’s knee joint activity function,with significant effect.
作者
林屿
LIN Yu(Nanping Second Hospital,Nanping 354200,China)
出处
《中外医学研究》
2021年第17期56-59,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
温针灸
虚寒型
膝骨关节炎
疗效
功能康复
Warm acupuncture
Deficiency cold type
Knee osteoarthritis
Effect
Functional rehabilitation
