针刀联合中药热敷与单纯针刀治疗寒湿痹阻型膝骨关节炎的随机平行对照研究
发布时间：2019-08-02 19:47
【摘要】：目的探讨针刀联合中药热敷治疗寒湿痹阻型膝骨关节炎的临床疗效及安全性。方法采用前瞻性、区组随机、平行对照的研究方法,选取2016年1月至2017年1月于北京市宣武中医医院诊断为膝骨关节炎的60例患者,采用区组随机,信封法隐藏,将其分为治疗组和对照组,每组各30例。治疗组患者根据中医辨证论治理论和寒者热之的治疗原则,采用针刀疗法配合伤筋痹痛散热敷,对照组患者单纯采用针刀疗法。两组患者治疗周期均为2周,治疗前、治疗末(第15天)及疗程结束后1个月共3次随访,进行疗效评价,症状评分采用西安大略和曼特考斯特大学骨性关节炎(WOMAC)指数量表(2015OARS指南)进行判定。结果两组患者在治疗末的治疗有效率分别为针刀组93. 33%(28/30)、针刀联合中药热敷组96. 67%(29/30)(χ~2=0. 351,P=0. 554),治疗1个月后两组的治疗有效率分别为针刀组93. 33%(28/30)、针刀联合中药热敷组96. 67%(29/30)(χ~2=0. 351,P=0. 554),差异均无统计学意义。两组患者治疗后疗效的优良程度比较,治疗组疗效优良程度在治疗末和治疗后1个月均好于对照组(治疗末P=0. 033,治疗1个月后P=0. 037),差异具有统计学意义。结论两组患者治疗后与治疗前相比,各项指标改善显著,均取得了一定的近期效果,但有效率差异无统计学意义。而疗效的优良程度与治疗方法有关,针刀联合中药热敷疗法优良程度显著好于单纯针刀疗法。
[Abstract]:Objective to investigate the clinical efficacy and safety of acupuncture and knife combined with hot compress of traditional Chinese medicine in the treatment of knee osteoarthritis with cold dampness arthralgia. Methods A prospective, random, parallel control study was conducted to select 60 patients with knee osteoarthritis diagnosed in Xuanwu Hospital of traditional Chinese Medicine from January 2016 to January 2017. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). According to the theory of syndrome differentiation and treatment of cold people in the treatment group, the patients in the treatment group were treated with needle knife therapy combined with the heat dissipation of injury tendons and pain, while the patients in the control group were treated with needle knife therapy alone. The treatment cycle of the two groups was 2 weeks. Before treatment, at the end of treatment (15th day) and one month after treatment, the curative effect was evaluated. The symptom scores were evaluated by Xi'an Dailuo and Mandcoster University osteoarthritis (WOMAC) Index scale (2015OARS Guide). Results the effective rates of the two groups at the end of treatment were 93. 3% in the acupuncture and knife group, respectively. 33% (28 / 30), acupuncture and knife combined with traditional Chinese medicine hot dressing group 96. 5% (28 / 30). 67% (29 鈮，
本文编号：2522325
[Abstract]:Objective to investigate the clinical efficacy and safety of acupuncture and knife combined with hot compress of traditional Chinese medicine in the treatment of knee osteoarthritis with cold dampness arthralgia. Methods A prospective, random, parallel control study was conducted to select 60 patients with knee osteoarthritis diagnosed in Xuanwu Hospital of traditional Chinese Medicine from January 2016 to January 2017. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). According to the theory of syndrome differentiation and treatment of cold people in the treatment group, the patients in the treatment group were treated with needle knife therapy combined with the heat dissipation of injury tendons and pain, while the patients in the control group were treated with needle knife therapy alone. The treatment cycle of the two groups was 2 weeks. Before treatment, at the end of treatment (15th day) and one month after treatment, the curative effect was evaluated. The symptom scores were evaluated by Xi'an Dailuo and Mandcoster University osteoarthritis (WOMAC) Index scale (2015OARS Guide). Results the effective rates of the two groups at the end of treatment were 93. 3% in the acupuncture and knife group, respectively. 33% (28 / 30), acupuncture and knife combined with traditional Chinese medicine hot dressing group 96. 5% (28 / 30). 67% (29 鈮，
本文编号：2522325
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