夹胫推肘牵膝手法联合温针灸治疗膝骨关节炎的临床疗效研究  

Clinical efficacy of tibial clipping, elbow pushing and knee pulling method combined with warm acupuncture and moxibustion in treatment of knee osteoarthritis

作　　者：唐君[1] TANG Jun(Department of Massage,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China)

机构地区：[1]杭州市中医院推拿科,浙江杭州310007

出　　处：《中国现代医生》2022年第13期153-156,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2017ZT002)。

摘　　要：目的探讨夹胫推肘牵膝手法联合温针灸治疗膝骨关节炎的疗效及其对于患者血清炎性细胞因子的影响。方法选取杭州市中医院2018年3月至2020年6月间接收的膝骨关节炎患者中随机选取92例作为研究对象,使用随机数表法将其分为观察组(n=46)与对照组(n=46),对照组采用温针灸进行治疗,观察组则在对照组基础之上使用夹胫推肘牵膝手法进行治疗,比较两组治疗效果及对血清炎性细胞因子影响。结果观察组治疗总有效率(93.48%)高于对照组(80.43%),观察组WOMAC评分为(25.62±3.04)分,低于对照组的(36.54±3.62)分,观察组VAS评分为(1.36±0.34)分,低于对照组的(3.84±1.13)分,观察组IL-1为(114.13±24.39)ng/L,低于对照组的(136.45±25.28)ng/L,观察组TNF-α为(323.02±45.72)ng/L,低于对照组的(361.21±61.53)ng/L,观察组MMP-3为(77.21±8.13),低于对照组的(106.59±9.76),两组比较,差异有统计学意义(P<0.05)。结论夹胫推肘牵膝联合温针灸治疗膝骨关节炎相比于单独使用温针灸具有更为良好的疗效,可有效降低血清炎症因子水平,改善患者膝功能。Objective To investigate the efficacy of tibial clipping,elbow pushing and knee pulling method combined with warm acupuncture and moxibustion in the treatment of knee osteoarthritis and its influence on patients'serum inflammatory factors.Methods A total of 92 patients with knee osteoarthritis treated in our hospital from March 2018 to June 2020 were randomly selected.They were divided into the observation group(46 patients)and the control group(46 patients)using random number method.The control group were treated with warm acupuncture and moxibustion,while the observation group were treated with tibial clipping,elbow pushing and knee pulling method combined with warm acupuncture and moxibustion.The therapeutic effect and influence on serum inflammatory factors were compared between the two groups.Results The total effective rate of treatment of the observation group(93.48%)was higher than that of the control group(80.43%).The WOMAC score of the observation group(25.62±3.04)points was lower than that of the control group(36.54±3.62)points.The VAS score of the observation group(1.36±0.34)points was lower than that of the control group(3.84±1.13)points.The level of IL-1 in the observation group(114.13±24.39)ng/L was lower than that in the control group(136.45±25.28)ng/L.The level of TNF-αin the observation group(323.02±45.72)ng/L was lower than the that in the control group(361.21±61.53)ng/L.The level of MMP-3 in the observation group(77.21±8.13)was lower than that in the control group(106.59±9.76).There were statistically significant differences between the two groups(P<0.05).Conclusion In the treatment of knee osteoarthritis,tibial clipping,elbow pushing and knee pulling method combined with warm acupuncture and moxibustion has a better therapeutic efficacy than warm acupuncture and moxibustion alone.It can effectively reduce levels of serum inflammatory factors and improve knee function in patients.

关 键 词：夹胫推肘牵膝 温针灸 膝骨关节炎 血清炎性细胞因子 

分 类 号：R683.7[医药卫生—骨科学]