针刺联合铺灸疗法应用于寒湿型膝骨关节炎患者中的临床效果

Clinical Effect of Acupuncture Combined with Spread Moxibustion Therapy in the Application of Patients with Colddamp Type Knee Osteoarthritis

目的:探讨针刺联合铺灸疗法应用于寒湿型膝骨关节炎(KOA)患者中的临床效果。方法:选取2022年6月—2023年6月贵阳市花溪区中医院收治的82例寒湿型KOA患者。根据随机数表法将其分为观察组和对照组,各41例。两组均给予抗炎镇痛药物治疗,对照组给予针刺,观察组在对照组基础上给予铺灸疗法。比较两组治疗后临床疗效,治疗前、治疗8周后膝关节功能、疼痛程度、日常生活能力、生活质量。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗8周后,观察组日常生活、疼痛、关节僵硬、总分评分均低于对照组,差异有统计学意义(P<0.05)。治疗8周后,观察组巴氏指数量表(BI)评分高于对照组,视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。治疗8周后,观察组生理、心理、社会、环境评分均高于对照组,差异有统计学意义(P<0.05)。结论:针刺联合铺灸疗法可提高寒湿型KOA治疗效果,减轻患者膝部疼痛,加快膝关节功能恢复,利于改善生活质量。

Objective:To study the clinical effect of acupuncture combined with spread moxibustion therapy in the application of patients with cold-damp type knee osteoarthritis(KOA).Method:A total of 82 patients with cold-damp type KOA treated in Guiyang Huaxi District Hospital of Traditional Chinese Medicine from June 2022 to June 2023 were selected.They were divided into observation group and control group according to random number table method,with 41 cases in each group.Both groups were given anti-inflammatory and analgesic drugs treatment,the control group was given acupuncture,and the observation group was given spread moxibustion therapy on the basis of the control group.The clinical efficacy after treatment,knee joint function,pain degree,daily living ability and quality of life before treatment and after 8 weeks of treatment of the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 8 weeks of treatment,the scores of daily life,pain,joint stiffness and total score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 8 weeks of treatment,the Barthel index scale(BI)score of the observation group was higher than that of the control group,and the visual analogue scale(VAS)score was lower than that of the control group,the differences were statistically significant(P<0.05).After 8 weeks of treatment,the physiological,psychological,social and environmental scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Acupuncture combined with spread moxibustion therapy can improve the effect of cold-damp KOA treatment,reduce the knee pain,accelerate the recovery of knee function,and improve the quality of life.