海桐皮汤穴位贴敷治疗早期风寒湿痹型膝骨关节炎的临床效果分析

Clinical Effect Analysis of Haitongpi Decoction Acupoint Plastering in the Treatment of Early-stage Wind-cold damp Paralysis Type Knee Osteoarthritis

目的:分析海桐皮汤穴位贴敷治疗早期风寒湿痹型膝骨关节炎(KOA)的临床效果。方法:选取2022年1月—2023年11月于上海市闵行区江川社区卫生服务中心中医门诊就诊的KOA患者80例作为研究对象,按照随机数字表法分成试验组和对照组,每组40例。对照组给予远红外穴位贴敷治疗,试验组给予海桐皮汤穴位贴敷治疗。比较两组疼痛评分、骨关节炎指数量表评分及治疗效果。结果:治疗前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分均低于治疗前,且试验组低于对照组(P<0.05)。治疗前,两组疼痛、僵硬、躯体功能评分及总分比较,差异无统计学意义(P>0.05);治疗后,两组疼痛、僵硬、躯体功能评分及总分低于治疗前,且试验组低于对照组(P<0.05)。试验组治疗总有效率高于对照组(P=0.007)。结论:海桐皮汤穴位贴敷治疗早期风寒湿痹型KOA的临床效果较好,可减轻患者疼痛症状,改善其膝关节功能。

Objective:To analyze the clinical effect of Haitongpi decoction acupoint plastering in the treatment of early-stage wind-cold-damp paralysis type knee osteoarthritis(KOA).Methods:Eighty cases of KOA patients who attended the Chinese medicine outpatient clinic of Shanghai Minhang District Jiangchuan Community Health Service Center from January 2022 to November 2023 were selected as the study subjects,and were divided into the experimental group and the control group according to the method of randomized numerical table,with forty cases in each group.The control group was given far-infrared acupoint plastering treatment,and the experimental group was given Haitongpi decoction acupoint plastering treatment.The two groups were compared in terms of pain score,Osteoarthritis Index Scale score and treatment effect.Results:Before treatment,the visual analog scale(VAS)scores of the two groups were compared,the difference was not statistically significant(P>0.05);after treatment,the VAS scores of the two groups were lower than those before treatment,and the experimental group was lower than that of the control group(P<0.05);before treatment,the pain,stiffness,somatic function scores and the total scores of the two groups were compared,the difference was not statistically significant(P>0.05);after treatment,the pain,stiffness,somatic function scores and total scores of the two groups were lower than those before treatment,and the experimental group was lower than that of the control group(P<0.05);the total effective rate of treatment of the experimental group was higher than that of the control group(P=0.007).Conclusion:The clinical effect of Haitongpi decoction acupoint plastering in the treatment of early wind-cold-damp paralysis type KOA is better,which can reduce the pain symptoms of the patients and improve the function of their knee joints.