隔姜灸联合静蹲训练法治疗缓解期寒湿痹阻型膝骨关节炎疗效研究

The Clinical Efficacy of Sandwiched Moxibustion and Static Squat Training Method Experimental of Knee Osteoar⁃thritis with Cold and Dampness Impediment in Remission Stage

目的:探讨隔姜灸联合静蹲训练法治疗缓解期寒湿痹阻型膝骨关节炎的临床疗效。方法:选取2022年7月—2023年6月就诊于上海市浦东新区金杨社区卫生服务中心中医针伤科并被确诊为膝骨关节炎的111例患者(均为缓解期),采用简单随机分组法将其分为对照组(n=55)和研究组(n=56)。给予对照组患者美洛昔康片,给予研究组患者隔姜灸联合静蹲训练法,12周后比较两组患者的临床疗效。结果:治疗后,研究组西安大略和麦克马斯特大学骨关节炎指数、50 m快速步行时间、股四头肌萎缩度均显著低于对照组,差异均有统计学意义(t值分别为13.996、4.947、11.325,P<0.05);研究组显效率和总有效率分别为55.36%、96.43%,显著高于对照组(34.55%、78.18%),差异均有统计学意义(χ^(2)值分别为4.855、8.382,P<0.05)。结论:隔姜灸联合静蹲训练法可显著降低膝骨关节炎缓解期患者西安大略和麦克马斯特大学骨关节炎指数和股四头肌萎缩度,提高患者步行速度。

OBJECTIVE To explore the clinical efficacy of sandwiched moxibustion and static squat training method treatment of knee osteoarthritis with cold and dampness impediment in remission stage.METHODS 111 patients(exclusion of exfoliated cases)with knee osteoarthritis with cold and dampness impediment in remission stage were divided into control group(n=55)and experi⁃mental group(n=56).Control group:the patients were given meloxicam tablets treatment,experimental group:the patients were giv⁃en moxibustion and static squat training treatment.The clinical efficacy of the two groups was compared after 12 weeks.RESULTS There were significant difference between two groups on WOMAC scores,atrophy degree of quadriceps and 50m fast walking time of experimental group(t=13.996,4.947,11.325,P<0.05).The effective rate and total effective rate of the study group were 55.36%and 96.43%,respectively,which were significantly higher than those of the control group(34.55%,78.18%),and the differences were statistically significant(χ^(2)=4.855,8.382,P<0.05).CONCLUSION The sandwiched moxibustion and static squat training meth⁃od can reduce the WOMAC scores and atrophy degree of quadriceps,improve clinical efficacy and walking speed.