中药外敷联合针刺治疗风寒湿痹型膝关节骨性关节炎的临床观察

Clinical observation of external application of traditional Chinese medicine combined with acupuncture in the treatment of wind cold dampness knee osteoarthritis

目的探讨中药外敷联合针刺治疗风寒湿痹型膝关节骨性关节炎的临床效果。方法选取2021年1月至2023年6月萍乡市中医院收治的60例风寒湿痹型膝关节骨性关节炎患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各30例。对照组患者采用针刺治疗,观察组患者在对照组的基础上给予中药外敷治疗。比较两组患者的临床疗效、关节功能恢复时间、关节疼痛改善程度以及治疗前后中医症状积分、西安大略和麦克马斯特大学骨关节炎量表(WOMAC)评分。结果观察组疗程结束后临床总有效率为96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05);观察组关节功能恢复时间短于对照组,差异有统计学意义(P<0.05);观察组关节疼痛改善优良率为86.67%,高于对照组的50.00%,差异有统计学意义(P<0.05);观察组治疗后活动受限、关节冷痛、膝关节疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组治疗后疼痛、僵硬、日常活动难度评分均低于对照组,差异有统计学意义(P<0.05)。结论中药外敷联合针刺治疗风寒湿痹型膝关节骨性关节炎疗效显著,能够有效改善患者的膝关节功能,值得临床推荐。

Objective To explore the clinical effect of external application of traditional Chinese medicine combined with acupuncture in the treatment of knee osteoarthritis with wind cold dampness type.Methods Sixty patients with wind cold dampness type of knee osteoarthritis in Pingxiang Hospital of Traditional Chinese Medicine from January 2021 to June 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with 30 cases in each group.The control group was treated with acupuncture,and the observation group was treated with external application of traditional Chinese medicine on the basis of control group.The clinical efficacy,recovery time of joint function,improvement degree of joint pain,and changes of traditional Chinese medicine syndrome scores,Western Ontario and McMaster Universities osteoarthritis index(WOMAC)scores before and after treatment were compared between the two groups.Results The total clinical effective rate of the observation group after the end of the treatment course was 96.67%,which was higher than 76.67%in the control group,with statistically significant difference(P<0.05).The recovery time of joint function in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The excellent and good rate of joint pain improvement in the observation group was 86.67%,which was higher than 50.00%in the control group,with statistically significant difference(P<0.05).After treatment,the scores of limited mobility,joint cold pain,and knee joint pain in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After treatment,the pain score,stiffness score,and difficulty score of daily activities in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The combination of traditional Chinese medicine external application and acupuncture has a significant therapeutic effect on knee osteoarthritis of wind cold dampness type,which can effectively improve the knee joint function of patients and is worthy of clinical recommendation.