火龙罐联合通络止痛酊溻渍对膝骨性关节炎患者疼痛和睡眠质量的影响

Effects of Huolong Jar combined with Tongluo Zhitongting Tazi on pain and sleep quality in patients with knee osteoarthritis

目的探究火龙罐联合通络止痛酊溻渍对膝骨性关节炎(knee osteoarthritis,KOA)患者疼痛和睡眠质量的影响。方法择取河南中医药大学第三附属医院2022年7月至2023年7月就诊的KOA患者90例,按随机数字表法分为研究组与对照组,45例/组。对照组行通络止痛酊溻渍干预,研究组则行火龙罐联合通络止痛酊溻渍干预,每一疗程7 d,均干预两个疗程。干预前、干预1周及2周后通过视觉模拟评分法(Visual Analogue Scale,VAS)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评估患者膝关节疼痛程度、睡眠质量,且对比两组干预前、干预2周后中医证候积分、膝关节功能恢复及生活质量。结果研究组干预1周、2周VAS评分、PSQI评分均低于对照组,差异具有统计学意义(P<0.05);研究组干预2周中医证候总积分、西安大略麦马斯特大学骨关节炎指数量表(Western Ontario and McMaster University Osteoar-thritis Index,WOMAC)评分均低于对照组,差异具有统计学意义(P<0.05),Lysholm膝关节功能量表评分(Lysholm Knee Score Scale,LKSS)、关节炎生活质量测量量表2-短卷(Arthritis Impact Measurement Scales 2-Short Form,AIMS2-SF)各项评分均高于对照组,差异具有统计学意义(P<0.05)。结论火龙罐联合通络止痛酊溻渍能明显缓解KOA患者疼痛,改善其睡眠质量、膝关节功能及生活质量。

Objective To explore the effects of Huolong Jar combined with Tongluo Zhitongting Tazi on pain and sleep quality in patients with knee osteoarthritis(KOA).Methods A total of 90 KOA patients from the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from July 2022 to July 2023 were selected and divided into the study group and the control group by the random number table method,with 45 cases in each group.The control group was treated with Tongluo Zhitongting Tazi,while the study group was treated with Huolong Jar combined with Tongluo Zhitongting Tazi.Each course lasted for 7 days,and all patients were inter-vened for 2 courses.Visul analogue scale(VAS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the degree of knee pain and sleep quality of the patients before the intervention,1 week and 2 weeks after the intervention.TCM syndrome scores,knee function recovery and quality of life of the two groups were compared before the intervention and 2 weeks after the intervention.Results VAS scores and PSQI scores in the study group were lower than those in the control group at 1 and 2 weeks after the intervention,with statistically significant difference(P<0.05).The total TCM syndrome score and the Western Ontario and McMaster University Osteo-arthritis Index(WOMAC)in the study group were lower than those in the control group,with statistically significant difference(P<0.05).Lysholm Knee Score Scale(LKSS)and Arthritis Impact Measurement Scales 2-Short Form(AIMS2-SF)scores were higher than those in the control group,with statistically significant difference(P<0.05).Conclusions Huolong Jar combined with Tongluo Zhitongting Tazi could significantly relieve pain in KOA patients,improve sleep quality,knee joint function and quality of life.