摘要
目的:观察十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎的临床疗效。方法:选取2020年1月至2022年2月会理县中医医院针灸科门诊和住院治疗的肝肾亏虚型退行性膝关节炎患者60例,按照随机数字表法分为对照组和观察组,每组30例。对照组给予膝关节腔内注射玻璃酸钠治疗,观察组给予十穴八针、透灸联合加味养筋汤治疗。观察两组患者治疗前后疼痛视觉模拟评分(visual analogue scale,VAS)、西安大略和麦克马斯特大学骨关节炎指数(western ontario and mcmaster university osteoarthritis index,WOMAC)、膝关节髌底周径及临床疗效。结果:观察组有效率为100.0%,对照组有效率为80.0%,观察组有效率高于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均明显降低,且观察组治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均低于对照组,差异具有统计学意义(P<0.05)。结论:十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎,能改善患者临床症状,减轻膝关节肿胀度,改善膝关节功能。
Objective:To observe the clinical efficacy of needling at ten points with eight filiform needles and penetrating moxibustion and Supplemented Tendon-Nourishing Decoction on degenerative knee arthritis of liver and kidney deficiency type.Methods:A total of 60 patients with degenerative knee arthritis of liver and kidney deficiency type who were treated in the outpatient and inpatient departments of acupuncture and moxibustion in Huili Hospital of Traditional Chinese Medicine from January 2020 to February 2022 were selected and divided into the control group and the observation group according to the random number table,with 30 cases in each group.The control group was treated by intra-articular injection of sodium hyaluronate into the knee joint,while the observation group was treated with needling at ten points with eight filiform needles and penetrating moxibustion and Supplemented Tendon-Nourishing Decoction.The visual analog scale(VAS),Western Ontario and Mcmaster University Osteoarthritis Index(WOMAC),patellar base circumference of knee joint and clinical efficacy were observed before and after treatment.Results:The effective rate of the observation group was 100.0%,and that of the control group was 80.0%.The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,VAS score,tenderness point VAS score,patellar base circumference of knee joint and WOMAC score of patients in both groups decreased significantly during exercise,and VAS score,tenderness point VAS score,patellar base circumference of knee joint and WOMAC score of patients in the observation group were lower than those in the control group after treatment,and all the differences were statistically significant(P<0.05).Conclusion:Needling at ten points with eight filiform needles combined with Supplemented Tendon-Nourishing Decoction can improve the clinical symptoms of patients with degenerative knee arthritis of liver and kidney deficiency type,reduce the swelling degree of knee joint,and improve the function of knee joint.
作者
王家鑫
王江
胡昌芸
赵农云
WANG Jia-xin;WANG Jiang;HU Chang-yun;ZHAO Nong-yun(Huili Hospital of Traditional Chinese Medicine,Huili,Sichuan,China,615000)
出处
《河南中医》
2023年第5期783-787,共5页
Henan Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项课题项目(2020jc0066)。
关键词
退行性膝关节炎
肝肾亏虚证
十穴八针
透灸
加味养筋汤
degenerative knee arthritis
syndrome of liver-kidney deficiency
needling at ten points with eight filiform needles
penetrating moxibustion
Supplemented Tendon-Nourishing Decoction
