中药联合针灸推拿治疗膝关节增生性骨关节病的临床疗效  

Clinical efficacy of TCM medicine plus acupuncture and massage on knee osteoarthritis

作　　者：曾福祥 Zeng Fuxiang

机构地区：[1]梅州市五华县人民医院

出　　处：《中医临床研究》2019年第16期21-23,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析膝关节增生性骨关节病采用中药联合针灸推拿治疗的临床疗效。方法:选取78例我院收治的膝关节增生性骨关节病患者,随机分为两组,对照组患者单独行针灸推拿治疗,观察组在对照组基础上加用中药治疗,对比两组治疗前后炎症因子水平、骨关节炎指数(The Western Ontario and McMaster University of Orthopedic Index,WOMAC)、关节疼痛程度、肿胀程度评分。结果:观察组治疗后基质金属蛋白酶-3(Matrix Metalloproteinase-3,MMP-3)、基质金属蛋白酶-1(Matrix Metalloproteinase-1,MMP-1)水平明显低于对照组,组间差异明显(P<0.05);观察组治疗后WOMAC评分、疼痛数字评分法(Numeric Rating Scale,NRS)评分与关节肿胀程度评分均低于对照组,组间差异明显(P<0.05)。结论:膝关节增生性骨关节病采用中药联合针灸推拿治疗的临床疗效显著,值得进一步推广应用。Objective: To analyze the clinical efficacy of TCM medicine plus acupuncture and massage on knee osteoarthritis.Methods: 78 patients were randomly divided into two groups. Patients in the control group were treated by acupuncture and massage;the observation group was treated with TCM medicine more. The levels of inflammatory factors, WOMAC(osteoarthritis index), joint pain and swelling were compared between two groups before and after treatment. Results: After treatment, the levels of MMP3 and MMP1 in the observation group were significantly lower than the control group(P<0.05);the WOMAC score, NRS score and joint swelling degree score in the observation group were lower than the control group, with significant differences(P<0.05). Conclusion: TCM medicine plus acupuncture and massage on knee osteoarthropathy shows a remarkable effect, and is worthy of further popularization and application.

关 键 词：膝关节增生性骨关节病 中药 针灸推拿 联合治疗 

分 类 号：R274[医药卫生—中医骨伤科学]