温针灸联合西医综合治疗老年膝骨关节炎的效果及对血清炎症因子的影响  

Effect of Warm Needling Method and Western Medicine Comprehensive Therapy on Elderly Knee Osteoarthritis Patients and Its Influence on Serum Inflammatory Factors

作　　者：王玲 张祥华 林群芳 WANG Ling;ZHANG Xianghua;LIN Qunfang(Jingdezhen City Hospital of Chinese Medicine,Jiangxi Province,Jingdezhen 333000,China;不详)

机构地区：[1]江西省景德镇市中医医院,江西景德镇333000

出　　处：《中国医学创新》2023年第16期78-82,共5页Medical Innovation of China

基　　金：江西省景德镇市科技计划项目(20202SFZC022)。

摘　　要：目的:研究温针灸联合西医综合治疗对老年膝骨关节炎患者的影响。方法:选择2020年7月-2022年3月景德镇市中医医院收治的94例老年膝骨关节炎患者,按照随机数字表法进行分组,两组各47例。研究组采取温针灸联合西医综合治疗,对照组仅接受西医综合治疗。比较两组总有效率、症状积分、炎症因子、视觉模拟评分法(VAS)评分、膝关节功能(Lysholm膝关节评分)、肢体运动功能[Fugl-Meyer评定量表(FMA)]、日常生活能力(ADL)及不良反应情况。结果:研究组总有效率为91.49%,高于对照组的74.47%(P<0.05)。两组治疗前各项症状积分、白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)、白介素-17(IL-17)、VAS、Lysholm、FMA、ADL评分比较,差异均无统计学意义(P>0.05);治疗后研究组各项症状积分、IL-1β、TNF-α、hs-CRP、IL-6、IL-17、VAS评分均低于对照组,Lysholm、FMA、ADL评分均高于对照组(P<0.05)。研究组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:温针灸联合西医综合治疗的效果更为理想,能够促进患者症状快速减轻,同时减轻炎症反应,改善患者膝关节功能及运动能力,增强日常生活能力。Objective:To study the clinical effect of warm needling method and western medicine comprehensive therapy in elderly knee osteoarthritis patients.Method:A total of 94 elderly patients with knee osteoarthritis admitted to Jingdezhen City Hospital of Chinese Medicine from July 2020 to March 2022 were selected,they were divided into two groups according to random number table method,with 47 cases in each group.The study group received warm needling method and western medicine comprehensive therapy,while the control group only received western medicine comprehensive therapy.Total response rate,symptom scores,inflammatory factors,visual analogue scale(VAS)score,knee joint function(Lysholm knee score),limb motor function[Fugl-Meyer assessment(FMA)],ability of daily living(ADL)and adverse reactions were compared between the two groups.Result:The total effective rate of the study group was 91.49%,which was higher than 74.47%of the control group(P<0.05).Before treatment,there were no significant differences in all dimension symptom scores,interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α),hypersensitive C reactive protein(hs-CRP),interleukin-6(IL-6),interleukin-17(IL-17),VAS,Lysholm,FMA and ADL scores between the two groups(P>0.05);after treatment,all dimension symptom scores,IL-1β,TNF-α,hs-CRP,IL-6,IL-17 and VAS score of the study group were lower than those of the control group,while Lysholm,FMA and ADL scores of the study group were higher than those of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the study groups(P>0.05).Conclusion:The effect of warm needling method combined with western medicine comprehensive therapy is more ideal,which can promote the rapid reduction of symptoms,reduce inflammatory response,improve the function of the patient's knee joint and exercise ability,and enhance the ability of daily life.

关 键 词：炎症因子 温针灸 老年膝骨关节炎 西医综合治疗 

分 类 号：R684.3[医药卫生—骨科学]