针药结合治疗寒湿痹阻型膝骨性关节炎临床观察

Clinical Observation on Acupuncture Combined with Chinese Medication Treating Knee Osteoarthritis with Cold-Dampness Impedingls Syndrome

目的:观察针刺结合口服独活寄生汤对寒湿痹阻型膝骨关节炎的的近期疗效。方法:将72例符合寒湿痹阻型膝骨关节炎患者随机分为观察组与对照组,每组各36例.观察组采用针刺和口服中药的方法治疗。针刺以疼痛局部取穴为主并配合口服独活寄生汤辨证加减治疗,治疗1次/d,连续治疗6次为1疗程,疗程间休息1d;对照组给予口服美洛昔康片7.5mg,1次/d,2组均治疗4周后进行骨性关节炎指数(WOMAC)量表评分判定。结果:2组患者治疗4周后,观察组WOMAC疼痛、僵硬和关节功能评分均低于对照组(P<0.05)。观察组总有效率为91.67%;优于对照组的83.33%。2组对比,差别有统计学意义(P<0.05)。结论:针刺结合口服独活寄生汤治疗寒湿痹阻型膝骨关节炎能减轻疼痛,缓解僵硬以及改善生理功能,近期疗效显著。

Objective： To observe the short-term effect of acupuncture combined with oral bourgeois decoction on arthritis of cold and dampness-type knee osteoarthritis. Methods： 72 patients with knee arthritis were randomly divided into observation group and control group, 36 cases in each group. The observation group was treated by acupuncture and oral Chinese medicine. Acupuncture to the pain of local acupoints and with the oral Duhuo Jisheng decoction plus or minus treatment, treatment 1 / d, continuous treatment 6 times for a course of treatment, rest ld; the control group given oral meloxicam tablets 7.Smg, Once / d, 2 groups were treated for 4 weeks. After 4 weeks, the osteoarthritis index （WOMAC） scale was used to determine the score. Results： After 4 weeks of treatment, WOMAC pain, stiffness and joint function score of the observation group were lower than those of the control group （P〈0.05）. The total effective rate of the observation group was 91.67%, which was better than that of the control group （83.33%）. The difference between the two groups was statistically significant （P〈0.05）. Conclusion： Acupuncture combined with oral administration of Duhuo Jisheng decoction can treat pain, relieve stiffness and improve physiological function, and the curative effect is remark- able in the treatment of knee osteoarthritis.