穴位膏摩联合穴位贴敷对寒湿阻滞型膝骨性关节炎的疗效分析  

Efficacy of acupoint massage with herbal ointment combined with acupoint application in treating cold-damp obstruction-type knee osteoarthritis

作　　者：林玉丽 胡晓雷 黄玉容 LIN Yu-li;HU Xiao-lei;HUANG Yu-rong(Department of Orthopedics and Traumatology,Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Wenzhou 325000,Zhejiang,China)

机构地区：[1]浙江中医药大学附属温州市中医院骨伤科,浙江温州325000

出　　处：《广东医学》2025年第1期124-129,共6页Guangdong Medical Journal

基　　金：温州市基础性公益研究项目(Y2023483)。

摘　　要：目的探究穴位膏摩联合穴位贴敷治疗寒湿阻滞型膝骨性关节炎的临床疗效。方法选取2024年1—6月期间,于浙江中医药大学附属温州市中医院住院的90例寒湿阻滞型膝骨性关节炎患者,通过随机数字表法分为对照组A(穴位膏摩法治疗法)、对照组B(二乌膏穴位贴敷法治疗法)以及观察组(穴位膏摩联合穴位贴敷法治疗法),每组30例,观察3组患者治疗前后疼痛评分、膝关节功能评分、中医证候积分及炎症因子水平。结果观察组治疗总有效率高于对照组A、对照组B;治疗后3组患者WOMAC评分、VAS疼痛评分、中医证候积分均降低,且观察组降低程度大于对照组A、对照组B;Lysholm膝关节功能评分升高,观察组上升程度大于对照组A、对照组B;血清一氧化氮(NO)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)水平均降低,且观察组低于对照组A、对照组B,差异均有统计学意义(P<0.05)。结论穴位膏摩联合穴位贴敷治疗法可显著改善寒湿阻滞型膝骨性关节炎患者临床症状,缓解膝关节疼痛程度,提升膝关节功能,改善炎症因子水平,提高患者生存质量。Objective To evaluate the clinical efficacy of acupoint massage with herbal ointment combined with acupoint application in the treatment of cold-damp obstruction-type knee osteoarthritis(KOA).Methods Ninety patients with cold-damp obstruction-type KOA admitted to Wenzhou Traditional Chinese Medicine Hospital from January 2024 to June 2024 were randomly divided into three groups:control group A(acupoint massage with herbal ointment),control group B(Erwu ointment acupoint application),and observation group(combined treatment of acupoint massage and acupoint application),with 30 patients in each group.Pain scores,knee joint function scores,Traditional Chinese Medicine(TCM)syndrome scores,and inflammatory factor levels were observed before and after treatment.Results The total effective rate in the observation group was higher than that in control groups A and B.After treatment,the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores,Visual Analogue Scale(VAS)scores,and TCM syndrome scores decreased in all groups,with a more significant reduction in the observation group compared to control groups A and B.The Lysholm knee joint function scores increased,with a greater improvement in the observation group.Serum levels of nitric oxide(NO),tumor necrosis factor-alpha(TNF-α),and interleukin-1(IL-1)decreased,with lower levels observed in the observation group compared to the control groups.These differences were statistically significant(P<0.05).Conclusion The combined treatment of acupoint massage with herbal ointment and acupoint application significantly improves clinical symptoms in patients with cold-damp obstruction-type KOA.It effectively alleviates knee joint pain,enhances joint function,reduces inflammatory factors,and improves the overall quality of life.

关 键 词：膝骨性关节炎 寒湿阻滞型 穴位膏摩 穴位贴敷 临床观察 

分 类 号：R242[医药卫生—中医临床基础] R247[医药卫生—中医学]