温针灸联合髋膝训练对膝骨关节炎患者炎性因子及血液黏滞度的影响

Effects of Warm Acupuncture Combined with Hip and Knee Training on Inflammatory Factors and Blood Viscosity in Patients with Knee Osteoarthritis

目的探讨温针灸联合髋膝训练治疗膝骨关节炎(KOA)的临床效果。方法选取2022年1月—2024年1月浙江大学医学院附属邵逸夫医院收治的102例KOA患者为研究对象,按照双盲法将其分为对照组和观察组,每组51例。对照组采用髋膝训练,观察组在对照组基础上采用温针灸干预,均持续1个月。比较两组患者的膝关节疼痛程度、膝关节功能评分、炎症因子水平及血液黏滞度。结果干预后,观察组的膝关节疼痛视觉模拟评分为(3.27±0.76)分,低于对照组的(4.78±1.52)分,膝关节功能评分为(73.21±17.64)分,高于对照组的(64.35±15.52)分,组间差异有统计学意义(P<0.05)。干预后,观察组的各项炎症因子指标水平均低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的各项血液黏滞度指标水平均低于对照组,组间差异有统计学意义(P<0.05)。结论温针灸联合髋膝训练对KOA患者的疗效显著,可缓解膝关节疼痛,改善膝关节功能,降低炎症因子水平及血液黏滞度,值得临床推广使用。

Objective To investigate the clinical effects of warm acupuncture combined with hip and knee training on knee osteoarthritis(KOA).Methods A total of 102 patients with KOA admitted to Sir Run Run Shaw Hospital Affliated to Zhejiang University School of Medicine from January 2022 to January 2024 were selected as the research objects and were divided into a control group and an observation group according to double-blind method,with 51 cases in each group.The control group received hip and knee training,and the observation group received warm acupuncture intervention on this basis.Both groups were treated for 1 month.The knee pain degree,knee function score,inflammatory factor levels and blood viscosity levels were compared between the two groups.Results After intervention,the knee pain Visual Analogue Scale score of the observation group was(3.27±0.76)points,lower than(4.78±1.52)points of the control group,and the knee function score was(73.21±17.64)points,higher than(64.35±15.52)points of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the levels of inflammatory factor levels in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the blood viscosity indexes of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Warm acupuncture combined with hip and knee training have significant effects on patients with KOA,which can relieve knee pain,improve knee function,reduce the level of inflammatory factors and blood viscosity,and is worthy of clinical promotion.