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温针灸、推拿联合中药治疗膝骨性关节炎的临床研究

Clinical Study of Warm Acupuncture,Tuina Combined with Chinese Herbal Medicine in the Treatment of Osteoarthritis of the Knee
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摘要 目的:探讨温针灸、推拿联合中药治疗膝骨关节炎的临床效果。方法:选取2021年1-12月济南市中西医结合医院针灸科收治的膝骨关节炎患者120例为观察对象,使用随机数字表法分成研究组和对照组,各60例。对照组给予温针灸治疗,研究组给予温针灸、推拿联合中药治疗,比较两组患者的膝骨关节功能评分、炎性反应指标及生活质量。结果:治疗后,两组患者膝关节休息疼痛、膝关节运动疼痛、肿胀、压痛、晨僵及行走能力评分均降低,研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者白细胞介素-6、肿瘤坏死因子-α、超敏C反应蛋白水平均降低,研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者生理功能、一般状况、精力水平、精神健康、情感功能、社会功能评分均提升,研究组高于对照组,差异有统计学意义(P<0.05)。结论:温针灸、推拿联合中药治疗膝骨关节炎具有显著效果,可明显降低患者膝骨关节疼痛程度,改善炎性因子水平,提高患者日常生活质量。 Objective:To investigate the clinical effect of warm acupuncture,tuina combined with traditional Chinese medicine in the treatment of osteoarthritis of the knee.Methods:120 patients with knee osteoarthritis admitted to the Department of Acupuncture and Moxibustion of Jinan Hospital of Integrated Chinese and Western Medicine from January to December 2021 were selected as observation subjects and divided into study group and control group using random number table method,60 cases each.The control group was treated with warm acupuncture,and the study group was treated with warm acupuncture and tuina combined with traditional Chinese medicine.The functional scores of knee bone and joint,inflammatory response index and quality of life of the patients in the two groups were compared.Results:After treatment,the rest pain,knee motion pain,swelling,pressure pain,morning stiffness and walking ability scores of the knee joint were reduced in both groups.The study group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin-6,tumor necrosis factor-αand ultrasensitive C-reactive protein were reduced in both groups,and the study group was lower than the control group.The difference was statistically significant(P<0.05).After treatment,physical function,general condition,energy level,mental health,emotional function,and social function scores were elevated in both groups,and the study group was higher than the control group.The difference was statistically significant(P<0.05).Conclusion:Warm acupuncture and tuina combined with traditional Chinese medicine has significant effect in treating knee osteoarthritis,which can significantly reduce the degree of knee osteoarthritis pain,improve the level of inflammatory factors and enhance the quality of daily life of patients.
作者 孙继文 Sun Ji-wen(Department of Acupuncture and Moxibustion,Jinan Hospital of Integrated Chinese and Western Medicine,Jinan 271100,Shandong Province,China)
出处 《中外医药研究》 2022年第9期63-65,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 温针灸 推拿 中药 膝骨关节炎 Warm acupuncture Tuina Traditional Chinese medicine Knee osteoarthritis
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