小针刀配合蠲痹汤加减治疗肝肾亏虚型膝关节骨性关节炎的临床效果研究

Clinical Effects of Small Needle Knife Combined with Juanbi Decoction in Treating Osteoarthritis of Knee Joint with Deficiency of Liver and Kidney

目的:探讨小针刀配合蠲痹汤加减治疗肝肾亏虚型膝关节骨性关节炎的临床效果。方法:选取2017年5月至2019年1月在北京中医医院顺义医院收治的肝肾亏虚型膝关节骨性关节炎患者126例作为研究对象,按照随机数字表法将其分为对照组和观察组,每组63例。对照组单独应用小针刀治疗,观察组在对照组的基础上加用蠲痹汤加减治疗。观察2组患者临床疗效,以及治疗前后膝关节功能评分(HSS评分)、关节肿胀积分、骨摩擦音个数及中医证候积分。结果:观察组治疗总有效率为95.2%(60/63),高于对照组的82.5%(52/63),2组比较差异有统计学意义(P<0.05);治疗前,2组患者HSS评分、关节肿胀积分、骨摩擦音关节及中医证候积分比较,差异均无统计学意义(均P<0.05);治疗后,观察组患者HSS评分中疼痛评分、功能及总分均高于对照组(均P<0.05),观察组患者关节肿胀积分、骨摩擦音关节个数及中医证候积分均显著低于对照组(均P<0.05)。结论:小针刀配合蠲痹汤加减治疗肝肾亏虚型膝关节骨性关节炎疗效显著,可有效减轻患者疼痛,提高膝关节功能,减轻患者关节肿胀程度,值得临床应用。

Objective: To investigate the clinical effects of small needle knife combined with Juanbi Decoction on knee osteoarthritis of liver and kidney deficiency type. Methods: A total of 126 patients with osteoarthritis of knee joint of liver and kidney deficiency type admitted to Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from May 2017 to January 2019 were selected and divided into an observation group and a control group according to random number table method,with 63 cases in each group.The control group was treated with small needle knife alone,while the observation group was treated with Juanbi Decoction on the basis of the control group.The clinical efficacy,knee joint function score (HSS score),joint swelling score,bony crepitus and TCM syndrome score of 2 groups were observed before and after treatment. Results: The total effective rate of the observation group was 95.2%(60/63),higher than that of the control group 82.5%(52/63),and there was significant difference ( P <0.05);before treatment,there was no significant difference in HSS score,joint swelling score,bony crepitus and TCM syndrome score between the 2 groups ( P >0.05);after treatment,the pain score,function score and total score of the observation group were higher than those of the control group ( P <0.05).The score of joint swelling,the number of joints with bony crepitus and the score of TCM syndromes in the observation group were lower than the control group ( P <0.05). Conclusion: Small needle knife combined with Juanbi Decoction is effective in treating knee osteoarthritis of liver and kidney deficiency type.It can effectively relieve inertia pain,improve knee function and reduce the degree of joint swelling.It is worthy of clinical application.