中药塌渍联合归原灸疗法治疗膝骨关节炎寒湿阻络证临床研究  

Clinical Study on Chinese Medicine Collapse Stains Combined with Original Qi-Returning Moxibustion for Knee Osteoarthritis with Syndrome of Cold-Damp Obstructing Collaterals

作　　者：许琬茹 张恒 刘海霞 郑琳琳 XU Wanru;ZHANG Heng;LIU Haixia;ZHENG Linlin(Henan General Hospital,Zhengzhou Henan 450002,China)

机构地区：[1]河南省职工医院,河南郑州450002

出　　处：《新中医》2024年第18期162-166,共5页New Chinese Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20210259)。

摘　　要：目的:观察中药塌渍联合归原灸疗法治疗膝骨关节炎(KOA)寒湿阻络证的临床疗效。方法:以简单随机化法将88例KOA寒湿阻络证患者分为对照组与治疗组,每组44例。对照组给予双氯芬酸钠缓释片治疗,治疗组在对照组基础上给予中药塌渍联合归原灸疗法治疗。以14 d为1个疗程,2组均治疗2个疗程。比较2组临床疗效、中医证候积分、视觉模拟评分法(VAS)评分及西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分。结果:治疗2个疗程后,治疗组总有效率93.18%,高于对照组77.27%(P<0.05)。治疗2个疗程后,2组中医证候积分均较治疗前降低(P<0.05),治疗组中医证候积分低于对照组(P<0.05)。治疗1个疗程后,2组VAS评分均较治疗前降低(P<0.05),治疗组VAS评分低于对照组(P<0.05)。治疗2个疗程后,2组VAS评分均较治疗1个疗程后降低(P<0.05),治疗组VAS评分低于对照组(P<0.05)。治疗2个疗程后,2组关节疼痛、关节僵硬、关节功能评分及总分均较治疗前降低(P<0.05),治疗组关节疼痛、关节僵硬、关节功能评分及总分均低于对照组(P<0.05)。结论:中药塌渍联合归原灸疗法治疗KOA寒湿阻络证的临床疗效较好,可有效缓解临床症状,改善膝关节功能。Objective:To observe the clinical effect of Chinese medicine collapse stains combined with original qi-returning moxibustion on knee osteoarthritis(KOA)with syndrome of cold-damp obstructing collaterals.Methods:A total of 88 cases of KOA patients with syndrome of cold-damp obstructing collaterals were divided into the control group and the treatment group by simple randomization,with 44 cases in each group.The control group was treated with Diclofenac Sodium Sustained-Release Tablets,and the treatment group was additionally treated with Chinese medicine collapse stains combined with original qi-returning moxibustion based on the treatment of the control group.Both groups were treated for two courses,14 days being a course.The clinical effects and the scores of traditional Chinese medicine(TCM)syndrome,Visual Analogue Scale(VAS)and Western Ontario and McMaster University Osteoarthritis Index(WOMAC)were compared between the two groups before and after treatment.Results:After two courses of treatment,the total effective rate was 93.18%in the treatment group,higher than that of 77.27%in the control group(P<0.05).After two courses of treatment,the TCM syndrome scores in the two groups were reduced when compared with those before treatment(P<0.05),and the TCM syndrome score in the treatment group was lower than that in the control group(P<0.05).After one course of treatment,the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05).After two courses of treatment,the VAS scores in the two groups were lower than those after one course(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05).After two courses of treatment,the scores of joint pain,joint stiffness and joint function,and total scores in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the treatment group were reduced when compared with t

关 键 词：膝骨关节炎 寒湿阻络证 中药塌渍 归原灸疗法 疼痛 膝关节功能 

分 类 号：R684.3[医药卫生—骨科学] R244[医药卫生—外科学]