温阳通痹中药配合温针灸治疗退行性膝关节炎疗效观察  

Clinical Effect of Using Warming Needling Moxibustion Combined with Wenyang Tongbi Herbal Medicine in the Treatment of Degenerative Joint Disease

作　　者：何荣[1] 

机构地区：[1]海门市中医院骨科,江苏海门226100

出　　处：《四川中医》2017年第8期171-173,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察温针灸配合温阳通痹中药治疗退行性膝关节炎的临床疗效,为临床治疗提供依据。方法:选取2015年3月~2016年3月我院收治退行性膝关节炎患者50例,按照随机数字表法将患者分为研究组和对照组,每组25例,研究组给予温针灸配合温阳通痹中药治疗,对照组给予温阳通痹中药治疗,两组均治疗14天,应用视觉模拟评分法(VAS)评价治疗前后患者膝关节疼痛情况,并观察两组临床疗效和膝关节功能。结果:研究组总有效率为88.0%(22/25)显著高于对照组72.0%(18/25),比较差异具有统计学意义(P<0.05);治疗后两组运动性VAS评分和压痛点VAS评分均显著降低,且研究组低于对照组,比较差异具有统计学意义(P<0.05);治疗后两组活动范围评分和步行距离评分均显著升高,且研究组高于对照组,比较差异具有统计学意义(P<0.05)。结论:温针灸配合温阳通痹中药治疗退行性膝关节炎具有较好的临床疗效,能有效缓解关节疼痛,改善关节功能。Objective： To study the clinical effect of warming needling moxibustion combined with Wenyang Tongbi Herbal Medicine in the treatment of degenerative joint disease,to provide basis for clinical treatment. Methods： 50 cases of degenerative knee arthritis from March 2015 to March 2016 in our hospital were selected,the patients were divided into study group and controlled group according to the random number table method,25 cases in each group,the study group was given warming needling moxibustion combined with Wenyang Tongbi Herbal Medicine,the controlled group was given Wenyang Tongbi Herbal Medicine,two groups were treated for 14 days,evaluation of knee pain in patients before and after treatment by visual analogue scale（VAS）,and observing the clinical effect and the function of the knee joint of the two groups. Results： The total effective rate of the study group was 88%（ 22/25） was significantly higher than that of 72%（ 18/25） in the controlled group,the difference was statistically significant（ P〈0. 05）; Sports VAS score and tenderness point VAS score after treatment of two groups were significantly decreased,and the study group was lower than the controlled group,the difference was statistically significant（ P〈0. 05）;Range of activities and walking distance after treatment of two groups were significantlyincreased,and the study group was higher than the controlled group,the difference was statistically significant（ P〈0. 05）. Conclusion： Warming needling moxibustion combined with Wenyang Tongbi Herbal Medicine in the treatment of degenerative joint disease has good clinical effect,can improve joint function.

关 键 词：温针灸 退行性膝关节炎 中药 疗效 

分 类 号：R684.3[医药卫生—骨科学]