针灸联合推拿疗法治疗膝骨关节炎患者的临床效果

Clinical effect of acupuncture combined with massage therapy in the treatment of patients with knee osteoarthritis

目的探讨针灸联合推拿疗法治疗膝骨关节炎患者的临床效果。方法选取2018年1月至2020年2月我院收治的88例膝骨关节炎患者作为研究对象,采用随机数字表法将其分为常规组和治疗组,各44例。两组均给予常规西药治疗,常规组采用三步推拿点穴法,治疗组在常规组基础上联合针刺疗法。比较两组的中医症状评分、疼痛程度、膝关节功能、血清及膝关节液IL-17水平。结果治疗前,两组中医症状、VAS、LKSS评分及血清、膝关节液IL-17水平比较,差异无统计学意义(P>0.05)。治疗后,两组中医症状及VAS评分均较治疗前降低,LKSS评分均较治疗前升高,且治疗组优于常规组,差异具有统计学意义(P<0.05)。治疗后,两组血清及膝关节液IL-17水平均较治疗前降低,且治疗组低于常规组,差异具有统计学意义(P<0.05)。结论针灸联合推拿疗法能有效改善膝骨关节炎患者的临床症状,缓解疼痛程度,改善膝关节功能,降低炎性因子水平。

Objective To explore the clinical effect of acupuncture combined with massage therapy in the treatment of patients with knee osteoarthritis.Methods A total of 88 patients with knee osteoarthritis admitted in our hospital from January 2018 to February 2020 were selected as the research objects and divided into conventional group and treatment group by random number table method,with 44 cases in each group.Both groups were treated with conventional western medicine.The conventional group was treated with three-step massage and acupoint pressing,and the treatment group was treated with acupuncture on the basis of the conventional group.The TCM symptom scores,degree of pain,knee joint function,serum and knee joint fluid IL-17 levels of the two groups were compared.Results Before treatment,there were no significant differences in TCM symptoms,VAS,LKSS scores and serum and knee joint fluid IL-17 levels between the two groups(P>0.05).After treatment,TCM symptoms and VAS scores of the two groups were lower than those before treatment,LKSS scores were higher than that before treatment,and those in the treatment group were better than the conventional group,the differences were statistically significant(P<0.05).After treatment,serum and knee joint fluid IL-17 levels of the two groups were lower than those before treatment,and those in the treatment group were lower than the conventional group,the differences were statistically significant(P<0.05).Conclusion Acupuncture combined with massage therapy can effectively improve the clinical symptoms of patients with knee osteoarthritis,relieve degree of pain,improve knee joint function,and reduce the level of inflammatory factors.