温针灸联合小针刀对膝关节骨关节炎寒湿证的临床疗效

Clinical Effect of Warm Acupuncture and Moxibustion Combined with Small Needle-knife on Cold Dampness Syndrome of Knee Osteoarthritis

目的:探讨温针灸联合小针刀对膝关节骨关节炎(KOA)寒湿证的临床疗效。方法:选取2021年2月—2023年2月独山县人民医院中医科收治的共计138例KOA寒湿证患者,以随机数字表法分成温针灸组(n=46,温针灸治疗)、小针刀组(n=46,小针刀)与联合组(n=46,温针灸联合小针刀),均治疗1个月,比较三组临床疗效、症状评分、膝关节功能[西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC)]、膝关节活动度(ROM)、疼痛程度。结果:联合组治疗总有效率(97.83%)较温针灸组(78.26%)、小针刀组(82.61%)更高,差异有统计学意义(P<0.05);治疗后三组症状评分均降低(P<0.05),联合组评分较温针灸组、小针刀组更低,差异均有统计学意义(P<0.05);治疗后三组WOMAC评分均下降(P<0.05),联合组评分较温针灸组、小针刀组更低,差异均有统计学意义(P<0.05);治疗后三组ROM均提高(P<0.05),视觉模拟评分法(VAS)评分均降低(P<0.05),联合组ROM较温针灸组、小针刀组更高(P<0.05),VAS评分更低(P<0.05)。结论:温针灸联合小针刀用于治疗KOA寒湿证,能够提高临床效果,缓解临床症状,改善膝关节功能及活动度,减轻疼痛感。

Objective:To explore the clinical effect of warm acupuncture and moxibustion combined with small needle-knife on cold dampness syndrome of knee osteoarthritis(KOA).Method:A total of 138 patients with cold dampness syndrome of KOA who were admitted in Department of Traditional Chinese Medicine,Dushan County People's Hospital from February 2021 to February 2023 were selected,and they were randomly divided into warm acupuncture and moxibustion group(n=46,warm acupuncture and moxibustion treatment),small needle-knife group(n=46,small needle-knife)and combined group(n=46,warm acupuncture and moxibustion combined with small needle-knife).All patients were treated for 1 month.The clinical efficacy,symptom score,knee joint function[Western Ontario and McMaster University osteoarthritis index(WOMAC)],knee range of motion(ROM)and degree of pain of the three groups were compared.Result:The total effective rate of the combined group(97.83%)was higher than those of the warm acupuncture and moxibustion group(78.26%)and the small needle-knife group(82.61%),the difference was statistically significant(P<0.05).After treatment,the symptom scores of the three groups were decreased(P<0.05),the score of the combined group was lower than those of the warm acupuncture and moxibustion group and the small needle-knife group,the differences were statistically significant(P<0.05).After treatment,the WOMAC scores of the three groups were decreased(P<0.05),and the WOMAC score of the combined group was lower than those of the warm acupuncture and moxibustion group and the small needle-knife group,the differences were statistically significant(P<0.05).After treatment,the ROM of the three groups were increased(P<0.05),and the visual analogue scale(VAS)scores were decreased(P<0.05).The ROM of the combined group was higher than those of the warm acupuncture and moxibustion group and the small needle-knife group(P<0.05),and the VAS score was lower than that of the warm acupuncture and moxibustion group and the small needle-knife group(P<0.05).Conclusion:Warm acupuncture and moxibustion combined with small needle-knife can improve the clinical efficacy,alleviate clinical symptoms,improve knee joint function and range of motion bone,and reduce pain in the treatment of KOA cold dampness syndrome.