改良火针刺骨合刺血拔罐运动疗法治疗慢性创伤性膝关节滑膜炎临床研究

Clinical Study on Chronic Traumatic Knee Synovitis Treated by Modified Fire-Acupuncture Combined with Blood-Pricking Cupping and Exercise

目的:探究改良火针刺骨合刺血拔罐运动疗法治疗慢性创伤性膝关节滑膜炎的临床效果。方法:纳入80例慢性创伤性膝关节滑膜炎患者为研究对象,均为我院2017年6月—2018年6月收治的患者,将纳入患者按随机数字表法分为对照组与观察组,各40例。对照组采用玻璃酸钠膝关节腔穿刺注射治疗,观察组给予改良火针刺骨合刺血拔罐运动疗法,连续治疗4周。统计两组治疗后临床疗效;比较两组患者治疗前后HSS评分、Lysholm膝关节功能评分及VAS评分的差异;比较两组患者治疗前后IL-1β、TNF-α、hs-CRP水平的差异;比较两组患者治疗前后滑膜间隙积液量的差异。结果:治疗后观察组与对照组的临床总有效率分别为95.00%(38/40)、75.00%(30/40),观察组显著高于对照组(P<0.05);与治疗前比较,治疗后两组HSS评分、Lysholm膝关节功能评分均显著升高,且观察组显著高于对照组(P<0.05),VAS评分显著降低,且观察组显著低于对照组(P<0.05);与治疗前比较,治疗后两组IL-1β、TNF-α、hs-CRP水平均显著降低,且观察组低于对照组(P<0.05);与治疗前比较,治疗后两组滑膜间隙积液量均显著减少,且观察组少于对照组(P<0.05)。结论:改良火针刺骨合刺血拔罐运动疗法可有效缓解气滞血瘀型慢性创伤性膝关节滑膜炎患者临床症状,抑制机体炎性反应,减轻膝关节疼痛,提高膝关节功能。

Objective:To explore the effect of modified fire-acupuncture combined with blood-pricking cupping and exercise in the treatment of chronic traumatic knee synovitis.Methods:80 patients with chronic traumatic knee synovitis were randomly divided into the control group and the observation group,with 40 cases in each group.The control group was treated with sodium hyaluronate injection into knee joint cavity,whereas the observation group was treated with modified fire-acupuncture combined with blood-pricking cupping and exercise therapy.Treatment duration was 4 continuous weeks.The clinical efficacy was assessed between two groups after the treatment.The scores of HSS,VAS and Lysholm knee joint function were compared,the levels of IL-1β,TNF-αand hs-CRP were detected,and effusion volume of synovial space was evaluated before and after the treatment in the two groups.Results:The total clinical effective rate was 95.00%(38/40)in the observation group,which was significantly higher than 75.00%(30/40)in the control group(P<0.05).The scores of HSS and Lysholm knee joint function were significantly increased,and VAS scores were significantly decreased after the treatment in the two groups;of which the changes were more significant in the observation group(P<0.05).The levels of IL-1β,TNF-αand hs-CRP were significantly lower after the treatment in the two groups,and the improvements were more obviously in the observation group(P<0.05).The effusion volume of synovial space were significantly less after the treatment in the two groups,and the observation group was less than that of the control group(P<0.05).Conclusion:Modified fire-acupuncture combined with blood-pricking cupping and exercise can effectively alleviate the clinical symptoms of the patients with chronic traumatic knee synovitis of qi stagnation and blood stasis,it can inhibit the inflammatory response,relieve pain and improve the function of knee joint.