温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果观察

Effect of warm acupuncture combined with Yao ointment on patients with cold and dampness obstruction type knee osteoarthritis

目的:观察温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果。方法:选取寒湿痹阻型膝骨关节炎患者80例,将其随机分为观察组和对照组,每组40例。对照组予以普通针刺治疗,观察组予以温针灸和瑶药膏治疗。两组患者于治疗前及治疗3周后进行临床症状评分,包括膝关节WOMAC评分、目测类比评分(VAS)、静息痛指数分级、疗效和安全性评价。结果:治疗组患者WOMAC评分、VAS评分、静息痛指数分级、临床疗效及中医证候疗效均优于对照组(P<0.05)。结论:对于寒湿痹阻型膝骨关节炎患者,温针灸联合瑶药膏可以充分缓解肢体疼痛,消除关节水肿和改善关节活动度。

Objective:To observe the effect of warm acupuncture combined with Yao ointment on patients with cold and dampness obstruction type knee osteoarthritis.Methods:A total of 80 patients with cold and dampness obstruction type knee osteoarthritis with were randomized into the observation group and control group,each with 40 cases.The control group were given general acupuncture therapy,while the observation group were treated with warm acupuncture combined with Yao ointment.Clinical symptom scores,including WOMAC score,visual analogue scale(VAS),resting pain index,clinical efficacy and safety evaluation,were compared between both groups before treatment and 3 weeks after treatment.Results:WOMAC score,VAS score,resting pain index grade,clinical efficacy and TCM symptoms efficacy in the observation group were better than those in the control group(P<0.05).Conclusion:For patients with cold and wet obstruction type knee osteoarthritis,warm acupuncture combined with Yao ointment can fully relieve limb pain,eliminate joint edema and improve joint range of motion.