针刺经筋病灶点联合自拟消肿止痛外敷剂治疗膝骨性关节炎临床观察

Clinical Observation of Reinforced Lesion Point Acupuncturing Combined with Self-made Relieving Swelling and Pain External Application Treating Knee Osteoarthritis

目的 :探讨采用针刺经筋病灶点联合自拟消肿止痛外敷剂治疗膝骨性关节炎(KOA)的临床疗效。方法:将符合相应标准的86例KOA病人按就诊顺序随机分入联合组与基础组各43例,基础组给予病人单纯的西医综合疗法进行治疗,联合组在除基础组治疗外,再加入针刺经筋病灶点联合自拟消肿止痛外敷剂进行治疗;两组治疗均10 d为1个疗程,治疗3个疗程。结果 :两组治疗后膝关节滑液中各项炎性细胞因子水平均有所下降(P<0.05),且联合组较基础组的下降更为明显(P<0.05);两组治疗后KOA严重程度评分均有所下降(P<0.05),且联合组较基础组的下降更为明显(P<0.05);两组治疗后膝关节运动功能评分均有所下降(P<0.05),且联合组较基础组的下降更为明显(P<0.05);在中医证候疗效的比较上,联合组的总有效率要优于基础组(P<0.05),且联合组的痊愈情况亦要明显优于基础组(P<0.01)。结论 :针刺经筋病灶点联合自拟消肿止痛外敷剂治疗KOA的临床疗效显著。

Objective:To explore the clinical efficacy of reinforced lesion point the tendon puint acupuncturing combined with self-made relieving swelling and pain external application for the treatment of KOA.Methods:The 86 patients with KOA who met the corresponding criteria were randomly assigned to the combined group and the basic group according to the order of treatment.The basic group was treated with simple Western medicine combined therapy.The combined group was treated with acupuncture in addition to the basic group.Treatment of tendon points combined with self-made relieving swelling and pain external application;treatment in both groups was 10 days for 1 course,3 courses for treatment.Results:The levels of inflammatory cytokines in the synovial fluid of knee joints were decreased after treatment(P<0.05),and the decrease in the combined group was more significant than that in the basic group(P<0.05).The severity of KOA scores after treatment in both groups were all decreased(P<0.05),and the decrease in the combined group was more significant than that in the basic group(P<0.05).The knee motor function scores decreased after treatment(P<0.05),and the combined group decrease was more obvious than that of the basic group(P<0.05).In the comparison of the efficacy of TCM syndromes,the total effective rate of the combined group was better than that of the basic group(P<0.05),and the recovery of the combined group was also better than the basic group(P<0.01).Conclusion:The clinical efficacy of acupuncture through reinforced lesion point combined with self-made relieving swelling and pain external application for the treatment of KOA is remarkable.