温针灸膝四穴配合消肿利水方熏洗治疗膝关节创伤性滑膜炎的临床研究

The Clinical Research on the Treatment of Traumatic Synovitis of Knee Joint with Warming Acupuncture on Knee Forth Point Combined with Detumescence-and-diuresis-decoction Fumigation and Washing

目的观察温针灸膝四穴配合消肿利水方熏洗治疗膝关节创伤性滑膜炎的效果。方法 90例患者随机分为治疗组、温针治疗组、中药熏洗组各30例。治疗组采用温针灸膝四穴配合消肿利水方熏洗治疗。温针治疗组采用温针灸膝四穴治疗。中药熏洗组采用消肿利水方熏洗治疗。观察各组WHO生存质量测定量表(WHOQOL-BREF量表)评分、Lysholm膝关节评分、不良反应发生情况以及临床疗效。结果治疗组在自身健康状况总的主观感觉、生理领域、心理领域得分均高于温针治疗组、中药熏洗组(均P<0.05),而自身生存质量总的主观感受、社会关系领域、环境领域各组则差别不大(P>0.05)。各组治疗后均较治疗前Lysholm膝关节评分改善(均P<0.05),且治疗组Lysholm膝关节评分改善均优于温针治疗组、中药熏洗组(均P<0.05)。治疗组愈显率83.33%均优于温针治疗组的63.33%和中药熏洗组的53.33%(均P<0.05)。各组治疗过程中均未发现明显不良反应。结论温针灸膝四穴配合消肿利水方熏洗治疗膝关节创伤性滑膜炎可一定程度提高患者生存质量,改善患者症状和体征,安全有效。

Objective： To observe the effect of the treatment of traumatic synovitis of knee joint with warming acupuncture on knee forth point combined with detumescence-and-diuresis-decoction fumigation and washing. Methods： 90 cases were randomly divided into the treatment group,warming acupuncture group and TCM fumi- gation and washing group. The treatment group received the treatment of warming acupuncture on knee forth point combined with detumescence-and-diuresis-decoction fumigation and washing. Warming acupuncture group re- ceived the treatment of warming acupuncture on knee forth point. TCM fumigation and washing group received the treatment of detumescence-and-diuresis-decoction fumigation and washing. The following data was observed： WHOQOL-BREF score,Lysholm score,incidence condition of adverse reaction and clinical effects. Results： Compared with warming, acupuncture group and TCM fumigation and washing group,the treatment group had a better subjective feeling on self- condition and higher scores in physiological field and psychological field （P〈 0.05 ）,while there was no significant difference in their own quality of life, social relationship field and environ- mental field（P〉 0.05）. Compared with pre-treatment,all groups had an improvement in Lysholm score（P〈 0.05 ）. The treatment group with the total effective rate 83.33% was better than warming acupuncture group 63.33% and TCM fumigation and washing group 53.33% （P 〈 0.05）. During the treatment,there was no Adverse Reaction in each group. Conclusion： In some degree,traumatic synovitis of knee joint treatment with warming acupuncture on knee forth point combined with detumescence-and-diuresis-decoction fumigation and washing can improve the quality of life , symptoms and signs of the patients safely and effectively.