牵引配合手法联合龙砂六气针法、肘压侧腰法治疗腰源性顽固性膝痛的临床效果

Clinical Effect of Traction Coordination Technique Combined with Longsha Liuqi Acupuncture,Elbow Pressure Side Waist Method in Treating Lumbar Intractable Knee Pain

目的:探讨牵引配合手法联合龙砂六气针法、肘压侧腰法治疗腰源性顽固性膝痛的临床效果。方法:选定本院2018年6月-2020年7月收诊的92例腰源性顽固性膝痛患者,采用简单随机法分为试验组(46例,牵引配合手法联合龙砂六气针法、肘压侧腰法)与对照组(46例,牵引配合手法),比较两组患者治疗4周后的总有效率,肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)水平,并比较其肿胀评分、疼痛评分(VAS)、牛津膝关节评分(OKS)、睡眠质量评分(PSQI)、关节炎生活质量评分(AIMS)。结果:(1)试验组的总有效率为93.48%,高于对照组的76.09%(P<0.05)。(2)试验组治疗后的TNF-α(40.37±4.19)pg/ml、IL-8(8.24±1.12)ng/L,低于对照组的(49.21±5.28)pg/ml、(10.94±1.59)ng/L(P<0.05)。(3)试验组治疗后的肿胀评分(1.46±0.17)分、疼痛评分(2.75±0.42)分、OKS评分(27.94±3.58)分、PSQI评分(6.74±0.62)分、AIMS评分(12.15±3.10)分,均低于对照组的(1.83±0.29)、(4.42±0.87)、(34.56±4.63)、(10.57±2.24)、(16.72±4.78)分(P<0.05)。结论:牵引配合手法联合龙砂六气针法、肘压侧腰法有助于减轻腰源性顽固性膝痛患者的炎症反应,缓解患者的肿胀、疼痛症状,改善其膝关节功能、睡眠及生活质量,效果明显。

Objective:To explore the clinical effect of traction coordination technique combined with Longsha Liuqi acupuncture,elbow pressure side waist method in treating lumbar intractable knee pain.Method:A total of 92 patients with lumbar intractable knee pain received from June 2018 to July 2020 were selected,simple randomization method was used and the patients were divided into the test groups(46 cases,traction coordination technique combined with Longsha Liuqi acupuncture method,elbow pressure side waist method)and the control group(46 cases,traction coordination technique).After 4 weeks of treatment,the total efficiency and the tumor necrosis factor-α(TNF-α),interleukin-8(IL-8)level,the swelling score,pain score(VAS),the Oxford knee joint score(OKS),sleep quality score(PSQI),arthritis quality of life score(AIMS)between the two groups were compared.Result:The total efficiency of the test group was 93.48%,higher than 76.09%of the control group(P<0.05).The test group’s TNF-α(40.37±4.19)pg/ml,IL-8(8.24±1.12)ng/L after treatment were lower than(49.21±5.28)pg/ml,(10.94±1.59)ng/L in the control group(P<0.05),the swelling score(1.46±0.17)points,pain score(2.75±0.42)points,OKS score(27.94±3.58)points,PSQI score(6.74±0.62)points,AIMS score(12.15±3.10)points in the test group were lower than(1.83±0.29),(4.42±0.87),(34.56±4.63),(10.57±2.24),(16.72±4.78)points in the control group(P<0.05).Conclusion:Traction coordination technique combined with Longsha Liuqi acupuncture and elbow pressure waist method help to reduce the inflammatory reaction of lumbar intractable knee pain,relieve swelling and pain symptoms,and improve their knee function,sleep and quality of life.The effect is obvious.