放散式体外冲击波穴位治疗联合中药熏洗治疗老年膝骨关节炎的疗效分析  

Therapeutic Effect of Radial Extracorporeal Shock Wave Acupoints Combined with Fumigation and Washing with Chinese Herbs On Senile Knee Osteoarthritis

作　　者：王媛媛 戎装[1] 季晶俊[1] 李海燕[1] 陈晓宏[1] 朱琳琳[1] WANG Yuan-yuan;RONG Zhuang;JI Jing-jun;LI Hai-yan;CHEN Xiao-hong;ZHU Lin-lin(Department of Gerontology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China)

机构地区：[1]上海中医药大学附属曙光医院老年科,上海201203

出　　处：《现代生物医学进展》2023年第11期2058-2062,共5页Progress in Modern Biomedicine

基　　金：上海市卫生健康委员会科研项目(202040072)。

摘　　要：目的:评价放散式体外冲击波(r ESW)穴位治疗联合中药熏洗在老年膝骨关节炎(KOA)中的应用效果。方法:选入2021年2月~2022年8月我院收治的老年KOA患者76例,根据治疗方法不同分为对照组和观察组,各38例,两组均予以中药熏洗,观察组加用r ESW穴位治疗。评价两组的治疗效果、膝关节功能、疼痛程度等指标,并进行统计比较。结果:与治疗前相比,两组治疗2周、治疗4周时的VAS评分明显下降(P<0.05),而观察组下降幅度更大,与对照组差异显著(P<0.05);两组治疗前Lysholm评分无明显差异(P>0.05),而观察组治疗2周、治疗4周时的Lysholm评分显著高于对照组(P<0.05);观察组治疗显效率和有效率均显著高于对照组(P<0.05);观察组治疗2周、4周时的血清IL-1β、TNF-α和MMP-13水平较对照组低(P<0.05)。结论:r ESW穴位联合中药熏洗治疗老年KOA患者疗效显著,可缓解疼痛症状,改善膝关节功能,控制炎症反应,且操作简单,值得推荐。Objective:To evaluate the effect of rESW point therapy combined with traditional Chinese medicine fumigation and washing in elderly patients with knee osteoarthritis(KOA).Methods:76 elderly patients with KOA admitted to our hospital from February 2021 to August 2022 were divided into control group and observation group according to different treatment methods,with 38 cases in each group.Both groups were smoked with Chinese medicine,and the observation group was treated with rESW acupoints.Compare the therapeutic effect,knee joint function,pain degree and other indicators between the two groups.Results:Compared with that before treatment,the VAS scores of the two groups at 2 and 4 weeks of treatment decreased significantly(P<0.05),while the decrease in the observation group was significantly greater than that in the control group(P<0.05).There was no significant difference in Lysholm score before treatment between the two groups(P>0.05),while at 2 and 4 weeks of treatment,Lysholm scores were significantly higher than those in the control group(P<0.05).The markedly effective rate and effective rate in the observation group were higher than those in the control group(P<0.05).The serum IL-1β,TNF-αand MMP-13 levels in the observation group were significantly lower than those in the control group at 2 and 4 weeks of treatment(P<0.05).Conclusion:rESW acupoint combined with traditional Chinese medicine fumigation and washing has a significant effect on elderly KOA patients,which can rapidly relieve the pain symptoms of patients,improve knee joint function,control inflammatory reaction,and is simple to operate and worth recommending.

关 键 词：放散式体外冲击波 穴位治疗 中药熏洗 膝骨关节炎 疗效 膝关节功能 炎性因子 

分 类 号：R684.3[医药卫生—骨科学]