耳穴压豆配合中药热奄包治疗KOA患者的临床疗效

Clinical effect of pressing beans at auricular points combined with traditional Chinese medicine Reyanbao on KOA patients

目的探讨耳穴压豆配合中药热奄包对膝关节骨性关节炎(KOA)患者膝关节功能的康复效果。方法选取2019年3月至2020年3月于本院住院治疗的KOA患者80例作为研究对象,随机分为对照组与治疗组,各40例。对照组采用双氯芬酸钠缓释片治疗,治疗组在对照组基础上实施耳穴压豆配合中药热奄包治疗。比较两组WOMAC评分及临床疗效。结果治疗后,治疗组总有效率为90.0%,明显高于对照组的70.0%,差异有统计学意义(P<0.05)。治疗前,两组关节疼痛、关节僵硬度、社会功能WOMAC评分比较差异均无统计学意义;治疗后1、2个月,两组关节疼痛、关节僵硬度、社会功能WOMAC评分均低于治疗前,且治疗组均低于对照组,差异有统计学意义(P<0.05)。结论耳穴压豆配合中药热奄包治疗膝关节骨性关节炎效果显著,值得临床推广运用。

Objective To explore the rehabilitation effect of pressing beans at auricular points combined with traditional Chinese medicine Reyanbao on knee joint function in patients with knee osteoarthritis(KOA).Methods 80 patients with KOA in our hospital from March 2019 to March 2020 were randomly divided into control group and treatment group,with 40 cases in each group.The control group was treated with diclofenac sodium sustained-release tablets,and the treatment group was treated with auricular point pressing beans combined with traditional Chinese medicine Reyanbao on the basis of the control group.WOMAC score and clinical efficacy were compared between the two groups.Results After treatment,the total effective rate of the treatment group was 90.0%,significantly higher than 70.0%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in WOMAC scores of joint pain,joint stiffness and social function between the two groups;at 1 and 2 months after treatment,WOMAC scores of joint pain,joint stiffness and social function of the two groups were lower than before treatment,and the treatment group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion Pressing beans at auricular points combined with traditional Chinese medicine Reyanbao has significant effect on knee osteoarthritis,which is worthy of clinical application.