针灸联合柴胡桂枝干姜汤治疗膝骨性关节炎患者临床效果观察

Clinical observation of acupuncture combined with Chaihu Guizhi Ganjiang Decoction in the treatment of knee osteoarthritis patients

目的:探讨针灸联合柴胡桂枝干姜汤治疗膝骨性关节炎患者临床效果。方法:选取2017年1月~2019年12月收治的72例膝骨性关节炎患者随机分为观察组和对照组,观察组给予针灸联合柴胡桂枝干姜汤治疗,对照组给予盐酸氨基葡萄糖治疗,比较两组临床疗效,治疗前后活动受限评分、VAS评分、晨僵时间、ESR、CRP指标水平。结果:观察组临床疗效总有效率94.44%,显著高于对照组的75.00%(P<0.05),治疗前两组活动受限评分、VAS评分、晨僵时间无显著性差异(P>0.05),治疗后两组活动受限评分、VAS评分均显著下降,晨僵时间均显著缩短,且治疗后观察组活动受限评分、VAS评分下降、晨僵时间缩短更显著(P<0.05)。治疗前两组ESR、CRP指标水平无显著差异(P>0.05),治疗后观察组ESR、CRP水平下降更显著(P<0.05)。结论:针灸联合柴胡桂枝干姜汤治疗膝骨性关节炎可显著提高临床疗效,促进患者关节功能恢复,缓解疼痛,降低血沉及炎性因子指标水平,值得在临床上推广。

Objective:To explore and analyze the clinical effect of acupuncture combined with Chaihu Guizhi Ganjiang Decoction in the treatment of knee osteoarthritis patients. Methods:72 patients with knee osteoarthritis treated from January 2017 to December 2019 were randomly divided into observation groups and the control group. The observation group was given acupuncture combined with Chaihuguizhiganjiang decoction, and the control group was given glucosamine hydrochloride. The clinical efficacy of the two groups was compared, and the activity limitation score, VAS score, morning stiffness time, ESR, and CRP levels were compared before and after treatment. Results:The total effective rate of clinical efficacy in the observation group was 94.44 %, which was significantly higher than that in the control group(75.00 %)(P<0.05). There was no significant difference in the two groups’ restricted activity scores, VAS scores, and morning stiffness time before treatment(P>0.05). After treatment, the activity limitation score and VAS score of the two groups decreased significantly, and the morning stiffness time was significantly shortened. After treatment, the observation group’s activity restriction score, VAS score, and morning stiffness time were significantly reduced(P<0.05). There was no significant difference in the levels of ESR and CRP indicators in the first two groups before the treatment(P>0.05). The levels of ESR and CRP indicators in the two groups decreased significantly after treatment, and the levels of ESR and CRP indicators in the observation group decreased more significantly(P<0.05). Conclusion:Acupuncture combined with Chaihu Guizhi Ganjiang Decoction in the treatment of knee osteoarthritis can significantly improve clinical efficacy, promote joint function, relieve pain, and reduce the level of erythrocyte sedimentation and inflammatory factors in patients. It is recommended to promote clinical application.