蜡疗联合中药奄包在治疗风寒湿痹型膝骨关节炎患者中的应用效果

Application effect of wax therapy combined with traditional Chinese medicine Yanbao in the treatment of knee osteoarthritis with wind-cold-dampness impediment type

目的探讨蜡疗联合热奄包在风寒湿痹型膝骨关节炎患者中的应用效果。方法选取2020年1月至2021年11月该院风寒湿痹证患者114例作为研究对象,采用随机分组方法,分为A(对照组)、B(蜡疗组)、C(蜡疗联合中药奄包组)3组,各38例。A组接受常规护理治疗和HYJ炎症消炎机(重庆蜀明科技发展有限公司,HYJ-Ⅲ)、中频治疗(成都千里电子设备有限公司),B组在常规护理治疗的基础上接受蜡疗治疗,C组在常规护理治疗基础上,同时接受蜡疗联合自制中药奄包治疗,2周后对比分析3组患者治疗前后生活质量测量的评分(AIMS2-SF)、疼痛评分及采用加拿大西安大略麦克马斯特大学骨关节炎疗效指数的总评分疗效。结果C组疼痛评分低于前两组,C组的生活质量评定>86分高于其余两组,在治疗后C组的总评分疗效率高达97.3%,B组的总有效率高达76.3%,A组的总有效率达50.0%。结论蜡疗联合自制中药奄包治疗风寒湿痹型膝骨关节炎的患者具有安全性和有效性,能有效提高患者的生活质量。

Objective To investigate the application effect of wax therapy combined with Reyanbao in patients with knee osteoarthritis with wind-cold-dampness impediment type.Methods A total of 114 patients with wind-cold-dampness arthralgia syndrome from January 2020 to November 2021 were randomly divided into three groups:groups A(the control group),B(the wax therapy group)and C(the wax therapy combined with traditional Chinese medicine Yanbao group),with 38 cases in each group.Group A received routine treatment and HYJ anti-inflammatory machine(Chongqing Shuming Technology Development Co.,Ltd.,HYJ-III)and intermediate frequency therapy(Chengdu Qianli Electronic Equipment Co.,Ltd.).Group B received wax therapy on the basis of routine treatment,and group C received wax therapy combined with self-made traditional Chinese medicine Yanbao on the basis of routine treatment.After two weeks,the scores of quality of life measurement(AIMS2-SF),pain score and the total score of osteoarthritis efficacy index of McMaster University in Western Ontario,Canada were compared before and after treatment.Results The pain score of group C was lower than that of the first two groups,and the quality of life score of group C was more than 86,which was higher than that of the other two groups.After treatment,the total treatment efficiency of group C was 97.3%,the total effective rate of group B was 76.3%,and the total effective rate of group A was 50.0%.Conclusion Wax therapy combined with self-made traditional Chinese medicine Yanbao is safe and effective in the treatment of patients with wind-cold-dampness arthritic knee osteoarthritis,and can effectively improve the quality of life of patients.