子午流注择时中药蜡疗改善膝骨关节炎患者焦虑抑郁的效果评价

Evaluation of the effect of meridian flow and selective Chinese herbal wax therapy on anxiety and depression in patients with knee osteoarthritis

目的探讨“子午流注”理论运用于中药蜡疗对于膝骨关节炎患者焦虑抑郁情绪的影响。方法将66例膝骨关节炎患者随机分为观察组(n=33)和对照组(n=33)。观察组实施子午流注择时中药蜡疗,对照组实施常规时间中药蜡疗,每日1次,7次为1个疗程,治疗4个疗程。采用VAS评分、SAS评分、SDS评分,用于评价2组膝关节的疼痛以及心理状态。结果与干预前比较,2组在干预4周时VAS评分、SAS评分、SDS评分差异有统计学意义(P<0.05)。干预4周时观察组在VAS评分、SAS评分、SDS评分方面得分均低于对照组(P<0.05),2组比较差异有统计学意义(P<0.05)。结论子午流注择时中药蜡疗能有效缓解疼痛,改善患者心理状态,效果优于常规时间中药蜡疗。

ObjectiveTo explore the effect of“meridian flow”theory applied into Chinese medicine wax therapy on anxiety and depression in knee osteoarthritis patients.Methods A total of 66 patients with knee osteoarthritis were randomly divided into experimental group(n=33)and control group(n=33).The experimental group was treated with time-selected Chinese medicine wax therapy based on meridian flow,while the control group was treated with conventional time traditional Chinese medicine wax therapy,both once a day,seven times as a course of treatment,and four courses of treatment together.VAS score,SAS score and SDS score were used to evaluate the pain of knee joints and psychological state in both two groups.Results The intra-group comparison showed that there were significant differences in VAS score,SAS score and SDS score between the two groups at 4 weeks of intervention and the difference was statistically significant(P<0.05).The comparison between the two groups showed that the scores of VAS,SAS and SDS in the experimental group were more lowered than those in the control group(P<0.05)at 4 weeks after intervention,and there was significant difference between the two groups(P<0.05).Conclusion The effect of meridian flow selective Chinese herbal wax therapy can effectively relieve pain and improve patients'psychological state,which is better than that of conventional time Chinese herbal wax therapy.