围刺配合中药外敷治疗寒湿痹阻型膝痹临床观察  

Clinical Observation of the Treatment of Knee Arthralgia Due to Cold-Dampness Obstruction with Peripuncture Combined with External Application of Chinese Medicinals

作　　者：高欣 周斌[2] GAO Xin;ZHOU Bin(Hudong Community Health Service Center of Shanghai Pudong New Area,Shanghai,China,200000;Gongli Hospital of Shanghai Pudong New Area,Shanghai,China,200000)

机构地区：[1]上海市浦东新区沪东社区卫生服务中心,上海200000 [2]上海市浦东新区公利医院,上海200000

出　　处：《河南中医》2023年第3期450-453,共4页Henan Traditional Chinese Medicine

基　　金：上海市民生科技项目(PKJ2019-Y68)。

摘　　要：目的:观察围刺配合中药外敷治疗寒湿痹阻型膝痹的临床疗效。方法:选取2019年12月至2022年11月上海市浦东新区沪东社区卫生服务中心治疗的寒湿痹阻型膝痹患者80例,按照随机数字表法分为对照组和试验组,每组40例。对照组给予常规针刺配合中药外敷治疗,试验组给予围刺配合中药外敷治疗。观察两组患者治疗前后西安大略湖和麦克马斯特大学骨关节炎指数(the western ontario and mcmaster universities osteoarthritis index,WOMAC)、视觉模拟评分(visual analogue score,VAS)、中医证候积分变化情况及临床疗效。结果:试验组有效率为87.50%,对照组有效率为67.50%,治疗组有效率高于对照组,差异有统计学意义(P<0.05);两组治疗后WOMAC评分、VAS评分、中医证候积分均低于治疗前,且试验组治疗后WOMAC评分、VAS评分、中医证候积分低于对照组,差异有统计学意义(P<0.05)。结论:围刺配合中药外敷治疗寒湿痹阻型膝痹,能够有效提高临床疗效,减轻患者疼痛程度,降低骨关节炎指数,改善中医证候。Objective:To observe the clinical efficacy of peripuncture combined with external application of Chinese medicinals on knee arthralgia due to cold-dampness obstruction.Methods:A total of 80 patients with knee arthralgia of cold-dampness obstruction type treated in Hudong Community Health Service Center of Shanghai Pudong New Area from December 2019 to November 2022 were divided into the control group and the experimental group according to random number table,with 40 cases in each group.The control group was treated with routine acupuncture combined with external application of Chinese medicinals,while the experimental group was treated with peripuncture combined with external application of Chinese medicinals.The changes of the Western Ontario and Mcmaster Universities osteoarthritis index(WOMAC),visual analog score(VAS),TCM syndrome score before and after treatment and the clinical efficacy were observed.Results:The effective rate of the test group was 87.50%,which was significantly higher than that of the control group:67.50%,and the difference was statistically significant(P<0.05).The WOMAC score,VAS score and TCM syndrome score of the two groups after treatment were lower than those before treatment,and the above scores of the experimental group were lower than those of the control group,and all the differences were statistically significant(P<0.05).Conclusion:In terms of knee arthralgia due to cold-dampness obstruction,peripuncture combined with external application of Chinese medicinals can effectively improve the clinical efficacy,reduce the degree of pain,lower the index of osteoarthritis,and improve the symptoms of TCM.

关 键 词：膝痹 寒湿痹阻证 围刺 中药外敷 

分 类 号：R274.984.3[医药卫生—中西医结合]