摘要
目的:观察蠲痹汤联合耳穴贴压治疗寒湿痹阻型膝骨关节炎(KOA)的临床疗效。方法:将符合纳入要求的100例KOA患者按随机数字表法分为2组各50例。对照组给予塞来昔布胶囊联合盐酸氨基葡萄糖片口服治疗;观察组在对照组治疗方案的基础上采用蠲痹汤联合耳穴贴压治疗。2组疗程均为4周。比较2组治疗前后症状积分、疼痛视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC)评分、生活质量量表SF-36评分。比较2组临床疗效及不良反应发生情况。结果:治疗后,2组症状积分、疼痛VAS评分、WOMAC评分均较治疗前降低,且观察组均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组患者SF-36评分较治疗前升高,且观察组高于对照组,差异均有统计学意义(P<0.05)。临床疗效总有效率观察组96.00%,对照组80.00%,差异均有统计学意义(P<0.05)。不良反应发生率观察组6.00%,对照组4.00%,差异无统计学意义(P>0.05)。结论:蠲痹汤联合耳穴贴压治疗寒湿痹阻型KOA疗效良好,能明显缓解患者疼痛,改善膝关节功能,提高患者生活质量。
Objective:To observe the clinical effect of Juanbi tang combined with auricular point sticking for knee osteoarthritis(KOA)of cold-dampness impediment type.Methods:A total of 100 cases of KOA patients who met the inclusion criteria were divided into two groups according to the random number table method,with 50 cases in each group.The control group was given the oral administration of celecoxib capsules combined with glucosamine hydrochloride tablets,and the observation group was additionally treated with Juanbi tang combined with auricular point sticking based on the treatment plan of the control group.Both groups were treated for four weeks.Before and after treatment,the scores of symptoms,score of Visual Analogue Scale(VAS)for pain,Western Ontario and McMaster University Osteoarthritis Index(WOMAC),and Quality of Life Scale SF-36 in the two groups were compared.The clinical effects and the incidences of adverse reactions in the two groups were compared.Results:After treatment,the scores of symptoms,VAS and WOMAC in the two groups were decreased when compared with those before treatment,and the above scores in the observation group were lower than those in the control group,differences being significant(P<0.05).After treatment,SF-36 scores in the two groups were increased when compared with those before treatment,and the score in the observation group was higher than that in the control group,differences being significant(P<0.05).The total effective rate of clinical effect was96.00%in the observation group and 80.00%in the control group,differences being significant(P<0.05).The incidence of adverse reactions was 6.00%in observation group and 4.00%in control group,there being no significant difference(P>0.05).Conclusion:The therapy of Juanbi tang combined with auricular point sticking has a good curative effect in treating KOA of cold-dampness impediment type,which can significantly relieve the pain,improve the knee joint function and enhance the quality of life of patients.
作者
赵英杰
张海峰
崔龙慷
ZHAO Yingjie;ZHANG Haifeng;CUI Longkang
出处
《新中医》
CAS
2021年第22期40-43,共4页
New Chinese Medicine
基金
浙江省中医药优秀青年人才基金项目(2021ZQ046)。
关键词
膝骨关节炎
寒湿痹阻型
蠲痹汤
耳穴贴压
视觉模拟评分法
西安大略和麦克马斯特大学骨关节炎指数量表
Knee osteoarthritis
Cold-dampness impediment type
Juanbi tang
Auricular point sticking
Visual Analogue Scale
Western Ontario and McMaster University Osteoarthritis Index
