温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果观察-桂林医学院《华夏医学》编辑部

当前位置：本站首页 > 期刊在线 > 期刊总目 > 正文

温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果观察

【来源：《华夏医学》编辑部 | 作者：《华夏医学》编辑部 | 编辑：李佳睿 | 发布日期：2022-08-04】

温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果观察^①

吴钱红

(广西壮族万博水晶宫南溪山医院中医科,广西桂林 541002)

摘要目的:观察温针灸联合瑶药膏治疗寒湿痹阻型膝骨关节炎的效果。方法:选取寒湿痹阻型膝骨关节炎患者 80 例,将其随机分为观察组和对照组,每组 40 例。对照组予以普通针刺治疗,观察组予以温针灸和瑶药膏治疗。两组患者于治疗前及治疗 3 周后进行临床症状评分,包括膝关节WOMAC 评分、目测类比评分(VAS)、静息痛指数分级、疗效和安全性评价。结果:治疗组患者WOMAC 评分、VAS 评分、静息痛指数分级、临床疗效及中医证候疗效均优于对照组(P<0.05)。结论:对于寒湿痹阻型膝骨关节炎患者,温针灸联合瑶药膏可以充分缓解肢体疼痛,消除关节水肿和改善关节活动度。

关键词: 温针灸;瑶药膏;寒湿痹阻;膝骨关节炎

中图分类号:R684.3 文献标志码:A 文章编号:1008-2409(2022)03-0081-05

Effect of warm acupuncture combined with Yao ointment on patients with cold and dampness obstruction type knee osteoarthritis ①

WU Qianhong.(Dept. of Traditional Chinese Medicine, Nanxishan Hospital of Guangxi Zhuang Autonomous Region, Guilin 541002, China)

Abstract Objective: To observe the effect of warm acupuncture combined with Yao ointment on patients with cold and dampness obstruction type knee osteoarthritis. Methods: A total of 80 patients with cold and dampness obstruction type knee osteoarthritis with were randomized into the observation group and control group, each with 40 cases. The control group were given general acupuncture therapy, while the observation group were treated with warm acupuncture combined with Yao ointment. Clinical symptom scores, including WOMAC score, visual analogue scale(VAS), resting pain index, clinical efficacy and safety evaluation, were compared between both groups before treatment and 3 weeks after treatment. Results: WOMAC score, VAS score, resting pain index grade, clinical efficacy and TCM symptoms efficacy in the observation group were better than those in the control group(P<0.05). Conclusion: For patients with cold and wet obstruction type knee osteoarthritis, warm acupuncture combined with Yao ointment can fully relieve limb pain, eliminate joint edema and improve joint range of motion.

Keywords: warm acupuncture; Yao ointment; cold and wet obstruction; knee osteoarthritis

参考文献:

[1] PARK Y,PARK S,LEE M Y.The relationship between pain and quality of life among adults with knee osteoarthritis:the mediating effects of lower extremity functional status and depression[J].Orthop Nurs,2021,40(2):73-80.

[2] 李艳,朱晓萌.中药塌渍法治疗老年膝骨性关节炎的临床观察[J].中国中医基础医学,2015,21(10):1317-1319.

[3] YAZICI Y,MCALINDON T E,GIBLFSKY A,et al. Lorecivivint,a novel intraarticular cdc-like kinase 2 and dualspecificity tyrosine phosphorylation-regulated kinase 1a inhibitor and wnt pathway modulatorfor the treatment of knee osteoarthritis:a phase II randomized trial[J].Arthritis Rheumatol,2020,72(10):1694-1706.

[4] 赵宝祥,孙丙银,邹季,等.复方威灵仙熏洗联合臭氧关节腔内注射治疗老年膝骨关节炎临床疗效研究[J].风湿病与关节炎,2015,4(7):18-21.

[5] 庞青民,赵欲晓,王承惠,等.针灸联合独活寄生汤加减治疗膝骨性关节炎患者疗效观察及对炎症因子和血液流变学影响[J].辽宁中医杂志,2017,44(4):782-785.

[6] BELLAMY N.Pain assessment in osteoarthritis:experience with the WOMAC osteoarthritis index[J]. Semin Arthritis Rheum,1989,18(4 Suppl 2):14-17.

[7] 国家食品药品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:61-364.

[8] 国家中医药管理局.中医病证诊断疗效标准(中华人民共和国中医药行业标准) [S]. 南京:南京大学出版社,1994:29-30.

[9] 敖金波,郭俐宏,吴松.温针灸疗配合外敷自制威灵仙浸膏治疗膝骨性关节炎临床研究[J].针灸临床杂志,2017,33(6):25-29.

[10] 庞青民,赵欲晓,王承惠,等.针灸联合独活寄生汤加减治疗膝骨性关节炎患者疗效观察及对炎症因子和血液流变学影响[J].辽宁中医杂志,2017,44(4):782-785.

[11] 李彤,唐农,秦胜军,等.实用瑶医学[M].北京:中国医药科技出版社,2005:25-52.

[12] 覃迅云,李彤.中国瑶医学[M].北京:民族出版社,200l:215-217.

[13] 韦刚,贝光明,李海强.瑶医膏药治疗脾胃虚寒型门脉高压性胃病的临床观察[J].世界中医药,2016,11(9):1807-1810.

[14] 余红超,孙菊,董博,等.针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎临床观察[J].中国医药导报,2017,14(3):169-172.

[15] KANG D G,LEE H J,KIM K T,et al.Effect of oleanolic acid on the activity,secretion and gene expression of matrix metalloprote inase-3 in articular chondrocytes in vitro and the production of atrix metalloproteinase-3 in vivo [J].Korean J Physiol Pharmacol,2017,21(2):197-204.

PDF下载：点击下载

关闭打印