膝骨痹康熏洗剂联合电针、功法治疗膝骨关节炎的疗效观察

Rehabilitation Effect of Xigubikang Decoction for Fumigating and Washing Combined with Electroacupuncture and Traditional Exercises for Treating Knee Osteoarthritis

目的:观察膝骨痹康熏洗剂联合电针、功法治疗膝骨关节炎的疗效。方法:将60例膝骨关节炎患者,随机分为观察组和对照组各30例,对照组采用健康教育联合电针、功法进行治疗,观察组在对照组基础上给予膝骨痹康熏洗剂熏洗,两组患者均在VAS评分≥4分时配合口服美洛昔康分散片;治疗4周后,分别观察两组患者WOMAC(疼痛、僵硬、功能障碍)评分、肿胀评分及疗效。结果:治疗4周后,对照组患者的疼痛、肿胀及功能障碍积分均较治疗前降低,差异有统计学意义(P<0.05),而僵硬积分无明显改变,差异无统计学意义(P>0.05);观察组患者在疼痛、僵硬、肿胀及功能障碍积分方面均较治疗前下降,差异有统计学意义(P<0.05);治疗后,组间比较,观察组疼痛症状的改善情况与对照组相当,差异无统计学意义(P>0.05),但在功能障碍、僵硬、肿胀方面,观察组治疗效果明显优于对照组,差异有统计学意义(P<0.05),且观察组临床总有效率比对照组高,差异有统计学意义(P<0.05)。结论:膝骨痹康熏洗剂联合电针、功法治疗对膝骨关节炎具有良好的疗效,值得临床推广应用。

Objective：To observe the rehabilitative effect of Xigubikang decoction for fumigating and washing combined with electroacupuncture and traditional exercises for the treatment of knee osteoarthritis.Methods：All 60 cases of knee osteoarthritis patients were randomly divided into observation group（n=30）and control group（n=30）,the control group was received the treatment of health education combined with electroacupuncture and traditional exercises,and the observation group was received Xigubikang decoction for fumigating and washing added the treatment method of control group.When visual analogue scale（VAS）score≥4 points,two group patients were received meloxicam dispersible tablets.After 4 weeks of treatment,two groups patients were investigated by Western Ontario and McMaster Universities Arthritis Index（WOMAC）questionnaire（including pain,stiffness and dysfunction）,swelling score and curative effect.Results：After 4 weeks of treatment,the pain,swelling and dysfunction scores of the control group were lower than before（P〈0.05）,while no significant change in stiffness（P〉0.05）;the pain,stiffness,swelling and disability scores in the observation group were lower than before（P〈0.05）;after treatment,comparison between the two groups,improvement of pain in the observation group is similar to that of control group（P〉0.05）,but in dysfunction,stiffness and swelling,the treatment effect of observation group was significantly better than the control group（P〈0.05）,and the total efficiency of the observation group was higher than that in the control group（P〈0.05）.Conclusion：Xigubikang decoction for fumigating and washing combined with electroacupuncture and traditional exercises have good rehabilitative effect for treating knee osteoarthritis patients and should be widely applied in clinics.