基于红外热成像评估无痛蜂针疗法结合常规西药治疗寒湿痹阻型膝骨关节炎的临床研究  

Clinical Study of Painless Bee Needle Therapy Combined with Conventional Western Medication in Treatment of KOA with Cold-Dampness Obstruction Pattern Based on Infrared Thermal Imaging Evaluation

作　　者：王彬 何金云 周群英 朱影 张琳 史文豪 成永明 WANG Bin;HE Jinyun;ZHOU Qunying;ZHU Ying;ZHANG Lin;SHI Wenhao;CHENG Yongming(Shenzhen Bao'an Pure Traditional Chinese Medicine Treatment Hospital,Shenzhen 518000,China;Shenzhen Bao'an Hospital of Traditional Chinese Medicine,Shenzhen 518000,China;Wuyi Traditional Chinese Medicine Hospital,Jiangmen 529000,China)

机构地区：[1]深圳市宝安纯中医治疗医院,广东深圳518000 [2]深圳市宝安区中医院,广东深圳518000 [3]江门市五邑中医院,广东江门529000

出　　处：《针灸临床杂志》2024年第12期32-37,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：广东省中医药局科研项目,编号:20201383;深圳市宝安区医疗卫生科研项目,编号:2022JD068;深圳市宝安中医药发展基金会“针灸治疗常见病、多发病、重大疾病的中医药研究专项”,编号:2022KJCX-ZJZL。

摘　　要：目的:探讨红外热成像评估无痛蜂针疗法结合常规西药治疗寒湿痹阻型膝骨关节炎的临床疗效。方法:选择2022年1月—2023年7月宝安纯中医治疗医院收治的70例寒湿痹阻型膝骨关节炎患者为研究对象,随机分为观察组与对照组,各35例。对照组应用常规西药与常规针刺联合治疗,观察组应用常规西药与无痛蜂针联合治疗。比较两组治疗效果、治疗前后疼痛程度、膝关节功能、血清炎性因子水平、红外热成像评估结果和不良反应发生率。结果:观察组治疗总有效率为97.14%(34/35),高于对照组的74.29%(26/35),差异具有统计学意义(P<0.05)。治疗6周后,两组视觉模拟评分法(VAS)和骨性关节炎指数可视化量表(WOMAC)评分均低于治疗前(P<0.05),且与同时间对照组比较,观察组VAS、WOMAC评分更低,差异具有统计学意义(P<0.05)。治疗6周后,两组TNF-α、IL-6和IL-10表达水平均低于治疗前,差异具有统计学意义(P<0.05),且与对照组比较,观察组TNF-α、IL-6及IL-10表达水平明显更低,差异具有统计学意义(P<0.05)。治疗6周后,两组左右膝关节前侧温度均高于治疗前,差异具有统计学意义(P<0.05),且与同时间对照组比较,观察组左右膝关节前侧温度更高(P<0.05)。观察组不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论:在西药用药基础上加用无痛蜂针疗法治疗寒湿痹阻型膝骨关节炎的临床效果较好,可降低患者疼痛程度,改善其膝关节功能与机体炎症反应,提升患者膝关节前侧温度,红外热成像对膝骨关节炎患者临床疗效的评估具有重要价值。Objective:To explore the clinical efficacy of infrared thermal imaging in evaluating the combination of painless bee needle therapy and conventional Western medication in treatment of knee osteoarthritis(KOA)of cold-dampness obstruction pattern.Methods:70 patients with KOA of cold-dampness obstruction pattern were randomly divided into the observation group and the control group,with 35 patients in each group.The control group was treated with a combination of conventional Western medication and conventional acupuncture,whereas the observation group was treated with a combination of conventional Western medication and painless bee needle therapy.Therapeutic effect,pain levels before and after the treatment,knee joint function,serum levels of inflammatory factors,infrared thermal imaging evaluation results,and incidence of adverse reactions were compared between the two groups.Results:The effective rate was 97.14%(34/35)in the observation group,which was higher than 74.29%(26/35)in the control group(P<0.05).The scores of VAS and WOMAC were lower after 6 weeks of treatment than those before the treatment in the two groups(P<0.05),and the scores were lower in the observation group than those in the control group(P<0.05).The levels of TNF-α,IL-6 and IL-10 were lower after 6 weeks of treatment than those before the treatment in the two groups(P<0.05),which were lower in the observation group than those in the control group(P<0.05).The anterior temperatures of the left and right knee joints were higher after 6 weeks of treatment than those before the treatment in the two groups(P<0.05),and the temperatures were higher in the observation group than those in the control group(P<0.05).There was no statistical difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion:The combination of painless bee needle therapy and Western medication has a good clinical effect on KOA of cold-dampness obstruction pattern.It can reduce the degree of pain in patients,improve the

关 键 词：红外热成像 无痛蜂针疗法 寒湿痹阻型 膝骨关节炎 膝关节功能 

分 类 号：R246.2[医药卫生—针灸推拿学]