自拟健行汤联合温针灸疗法治疗膝关节痛的临床效果观察

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• Title:自拟健行汤联合温针灸疗法治疗膝关节痛的临床效果观察

• 卷期:2024年22卷1期

• 作者:胡波

• 鄱阳县人民医院中医科 江西上饶 333100

• Author(s):Hu Bo

• Department of Traditional Chinese Medicine, Poyang County People's Hospital, Shangrao, Jiangxi 333100

• 关键词膝关节痛；自拟健行汤；温针灸疗法；疼痛程度；膝关节功能

• Keywords:Knee joint pain; Self-designed Jianxing decoction; Warm acupuncture and moxibustion; Degree of pain; Knee function

• 摘要:目的  探讨膝关节痛患者应用自拟健行汤联合温针灸疗法的效果。方法  纳入2020年1月至2022年3月收治于我院的68例膝关节痛患者，采用随机数字表法分为两组，各34例。对照组予以温针灸治疗，观察组加用自拟健行汤治疗，均连续治疗2周。对两组临床疗效、膝关节功能、疼痛程度及不良反应进行比较。结果  与对照组比，临床总有效率及Lyshom膝部评分量表评分观察组较高，视觉模拟评分（VAS）观察组较低，有统计学差异（P＜0.05）。治疗期间两组未见明显不良反应。结论  膝关节痛患者应用自拟健行汤联合温针灸疗法治疗可减轻疼痛，改善膝关节功能，效果显著，安全可靠，值得借鉴。                                                                                                                                                                                

• Abstract: To investigate the effect of self-designed Jianxing Decoction combined with warm acupuncture and moxibustion in patients with knee joint pain. Methods 68 patients with knee pain admitted to our hospital from July 2020 to January 2022 were enrolled and divided into two groups by random number table method, with 34 cases in each group. The control group was treated with warm acupuncture and moxibustion, and the observation group was treated with self-made Jianxing decoction for 4 weeks. The clinical efficacy, Degree of pain, knee joint function and adverse reactions were compared between the two groups. Results Compared with the control group, the total clinical response rate and Lyshom knee score scale were higher in the observation group, while Visual analog score were lower in the observation group, and the differences were statistically significant (P < 0.05). There were no obvious adverse reactions in the two groups during treatment. Conclusion The self-designed Jianxing Decoction combined with warm acupuncture and moxibustion can relieve pain and improve the function of knee joint in patients with knee joint pain. It is safe and reliable, and worthy of reference.

  膝关节痛是骨科常见病，患者伴膝关节肿胀、疼痛、膝关节功能障碍等症状，在中老年人群中广泛存在，据相关资料显示，膝关节痛在我国60岁以上人群中患病率高达50%，严重损害患者生命健康[1]。手术是治疗该病的主要方式之一，对改善关节痛具有一定的作用，但其创伤大，术后易出现诸多并发症，患者接受度较低。