筋膜内热针联合复方倍他米松治疗膝关节骨性关节炎的临床效果及对患者疼痛程度、关节功能的影响

Clinical Effect of Intrafascial Hot Acupuncture Combined with Compound Betamethasone in the Treatment of KneeOsteoarthritis and the Influence on Pain Degree and Joint Function of Patients

目的探讨筋膜内热针联合复方倍他米松治疗膝关节骨性关节炎的临床效果及对患者疼痛程度、关节功能的影响。方法将2020年6月至2022年6月我院收治的120例膝关节骨性关节炎患者随机分为观察组和对照组各60例。对照组仅采用复方倍他米松治疗,观察组采用筋膜内热针联合复方倍他米松治疗,比较两组的临床疗效、疼痛程度[视觉模拟量表(VAS)评分]及膝关节功能[膝关节功能(KOOS)评分]。结果观察组治疗总有效率为91.67%,高于对照组的73.33%(P<0.05)。治疗前,两组的VAS评分、KOOS评分比较无统计学差异(P>0.05)。治疗4周后,两组的VAS评分低于治疗前,KOOS评分高于治疗前,且观察组的VAS评分低于对照组,KOOS评分高于对照组(P<0.05)。结论与复方倍他米松单独治疗相比,筋膜内热针联合复方倍他米松治疗膝关节骨性关节炎的效果更佳,可有效缓解患者的疼痛,改善其关节功能,值得临床推广。

Objective To analyze the clinical effect of intrafascial hot acupuncture combined with compound betamethasone in the treatment of knee osteoarthritis and the influence on pain degree and joint function of patients.Methods 120 patients with knee osteoarthritis admitted to our hospital from June 2020 to June 2022 were selected and randomly divided into observation group and control group,with 60 cases in each group.The control group was only treated with compound betamethasone,and the observation group was treated with intrafascial hot acupuncture combined with compound betamethasone.The clinical efficacy,pain degree(assessed by VAS score)and knee joint function(assessed by KOOS score)of the two groups were compared.Results The total effective rate of the observation group was 91.67%,higher than 73.33%of the control group(P<0.05).Before treatment,no statistical difference shoewed in the VAS and KO0S scores between the two groups(P>0.05).After 4 weeks of treatment,the VAS scores of both groups were lower than those before treatment,and the KOOS scores were higher than those before treatment(P<0.05);The VAS score of the observation group was lower than that of the control group,and the KOOS score was higher than that of the control group(P<0.05).Conclusions Compared with compound betamethasone alone,intrafascial hot acupuncture combined with compound betamethasone has better effect in the treatment of knee osteoarthritis,and can effectively relieve the pain and improve the joint function of patients,which is worthy of clinical promotion.