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

(广西壮族自治区南溪山医院中医科,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

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