揿针联合耳穴压豆在气血虚弱证膝骨关节炎患者中的应用效果分析

Application of combing thumbtack needle with ear point pressing beans in knee osteoarthritis patients with syndrome of qi and blood weakness

目的观察揿针联合耳穴压豆在轻中度气血虚弱证膝骨关节炎患者中的临床应用效果。方法选取温州市中医院骨科2019年3月-2020年3月收治的112例轻中度气血虚弱证膝骨关节炎患者,按照随机数字表法分为2组,且2组各脱落6例,最终2组各50例。对照组予常规康复治疗,研究组在对照组的基础上应用揿针联合耳穴压豆。观察2组治疗前后膝关节肿胀、压痛、活动度体征评分、血清C反应蛋白、西安大略和麦克马斯特骨关节炎指数(WOMAC)功能、疼痛、僵硬等指标。结果治疗4周后研究组膝关节肿胀[(1.43±0.32)分]、压痛[(1.01±0.13)分]、活动度评分[(1.06±0.24)分]、血清C反应蛋白[(5.32±1.68)mg/L]、WOMAC评分功能[(18.13±6.45)分]、疼痛[(7.35±2.19)分]、僵硬[(2.43±1.03)分]及总分[(26.43±9.51)分]均低于对照组[(2.68±0.75)分、(1.98±0.77)分、(2.34±0.98)分、(10.67±2.93)mg/L、(24.32±5.17)分、(14.15±4.38)分、(3.69±1.15)分、(48.19±8.43)分],差异有统计学意义(均P<0.05)。结论揿针联合耳穴压豆可缓解轻中度气血虚弱证膝骨关节炎患者肿胀、疼痛、关节僵硬等症状,降低血清C反应蛋白,提高膝关节功能和生活质量。

Objective To observe the application of combing thumbtack needle with ear point pressing beans in mild-to-moderate knee osteoarthritis patients with syndrome of qi and blood weakness.Methods A total of 112 mild-to-moderate knee osteoarthritis patients with syndrome of qi and blood weakness admitted from March 2019 to March 2020 were recruited and randomly divided into two groups using the random number table,six cases were shed in each group and 50 cases were included in each group for study.The control group was given routine rehabilitation treatment,whereas the research group was given thumbtack needle and ear point pressing beans.Knee joint swelling,tenderness,activity,serum C-reactive protein(CRP),function,pain and stiffness of WOMAC indicators were compared between the two groups before and after treatment.Results After treatment for 4 weeks,the knee joint swelling[(1.43±0.32)points],tenderness[(1.01±0.13)points],activity[(1.06±0.24)points],CRP[(5.32±1.68)mg/L],WOMAC function[(18.13±6.45)points],pain[(7.35±2.19)points],stiffness[(2.43±1.03)points]and total score[(26.43±9.51)points]in the research group were lower than those in the control group[knee joint swelling(2.68±0.75)points,tenderness(1.98±0.77)points,activity(2.34±0.98)points,CRP(10.67±2.93)mg/L,WOMAC function(24.32±5.17)points,pain(14.15±4.38)points,stiffness(3.69±1.15)points and total score(48.19±8.43)points].The differences were statistically significant(all P<0.05).Conclusion Combing thumbtack needle with ear point pressing beans can ease swelling,pain,tenderness and symptom,reduce the CRP level and improve knee joint function and quality of life of mild-to-moderate knee osteoarthritis patients with syndrome of qi and blood weakness.