退行性膝关节炎患者采用小针刀联合温灸治疗的效果  

Effect of Small Needle Knife Combined with Warm Moxibustion Treatment on Patients with Degenerative Knee Arthritis

作　　者：张广昌 覃海[1] 刘浩华[1] ZHANG Guangchang;QIN Hai;LIU Haohua(The Third People's Hospital of Hechi City,Hechi 547000,China;不详)

机构地区：[1]河池市第三人民医院,广西河池547000

出　　处：《中外医学研究》2024年第9期18-21,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区中医药管理局科技项目(GZZC2019178)。

摘　　要：目的:探析小针刀联合温灸治疗退行性膝关节炎的效果。方法:选取2021年4月—2022年4月河池市第三人民医院收治的64例退行性膝关节炎患者。根据随机数表法将其分为对照组和观察组,各32例。对照组给予针灸治疗,观察组给予小针刀联合温灸治疗。比较两组治疗前后膝关节功能、中医症候积分、C反应蛋白(CRP)、免疫指标。结果:治疗后,观察组疼痛程度、膝关节功能、膝关节活动、膝关节稳定性、膝关节屈曲畸形、肌力评分均高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组关节疼痛、活动阻碍、乏力、腰背疼痛、关节僵硬评分均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组CRP水平低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组T淋巴细胞22(Th22)、T淋巴细胞17(Th17)均低于对照组,差异有统计学意义(P<0.05)。结论:退行性膝关节炎患者采用小针刀联合温灸治疗效果明显,其膝关节功能得到明显改善,患者中医症候积分明显下降,其机体Th22、Th17水平降低。Objective:To explore the effect of small needle knife combined with warm moxibustion treatment on patients with degenerative knee arthritis.Method:A total of 64 patients with degenerative knee arthritis admitted to the Third People's Hospital of Hechi City from April 2021 to April 2022 were selected.They were divided into control group and observation group according to random number table method,32 cases in each group.The control group was given acupuncture treatment,and the observation group was given small needle knife combined with warm moxibustion treatment.Knee joint function,traditional Chinese medicine syndrome score,C-reactive protein(CRP)and immune index were compared between the two groups before and after treatment.Result:After treatment,the pain degree,knee joint function,knee joint activity,knee joint stability,knee joint flexion deformity and muscle strength scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of joint pain,mobility obstruction,fatigue,low back pain and joint stiffness in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,CRP level in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After treatment,T lymphocytes 22(Th22)and T lymphocytes 17(Th17)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of small needle knife combined with warm moxibustion in the treatment of degenerative knee arthritis is obvious,the knee function is obviously improved,the traditional Chinese medicine syndrome score of the patient is significantly decreased,and the Th22 and Th17 levels of the body are reduced.

关 键 词：退行性膝关节炎 小针刀 温灸 中医症候积分 

分 类 号：R246.9[医药卫生—针灸推拿学]