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温针灸结合康复训练治疗膝骨关节炎远期疗效观察 预览 被引量:2

Long-term effect observation of warm acupuncture combined with rehabilitation training in treatment of knee osteoarthritis
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摘要 目的:探讨温针灸结合康复训练治疗膝骨关节炎的远期疗效,为临床膝骨关节炎治疗提供参考。方法:选取某院收治的96例膝骨关节炎患者为研究对象,随机分为2组。其中对照组48例,行针刺加康复训练治疗,观察组48例,行温针灸加康复训练治疗。对比2组患者治疗后血清学指标、症状体征积分变化及安全性指标情况。结果:治疗后,2组患者CRP,MMP-3,TNF-α,IL-1等血清学指标均低于治疗前,且观察组上述指标改善优于对照组,差异均有统计学意义(P〈0.05);治疗后,2组患者的僵硬、疼痛、压痛、日常生活能力、关节活动度、肿胀等症状体征积分改善优于治疗前,且观察组优于对照组,2组比较差异均有统计学意义(P〈0.05);2组患者的HGB,ALT,AST,Cr等安全性指标与治疗前比较无差异,且治疗后2组间比较,差异无统计学意义(P〉0.05)。结论:温针灸结合康复训练治疗膝骨关节炎,可有效改善患者的血清学指标,缓解其临床症状,且安全性高,值得在临床上推广。 Objective :To explore the long-term effect of warm acupuncture combined with rehabilitation training in the treatment of knee osteoarthritis, so as to provide a reference for the treatment of the disease. Methods:96 cases of knee osteoarthritis patients were selected in a hospital and were randomly divided into 2 groups,48 cases in each. Those in the control group were given needle puncture and rehabilitation treatment, while the observation group underwent warm acupuncture plus rehabilitation training therapy. The serologi- cal indexes, the changes of symptom and sign integrals and the safety indexes of the two groups were compared. Rcsnits : After the treat- ment, the serological indexes of the two groups such as CRP, MMP-3 ,TNF-alpha and IL-1 were lower than before the treatment,and the indexes were better improved in the observation group than in the control group, the differences being statistically significant ( P 〈 0.05 }. After the treatment, the symptom and sign integrals of the two groups such as pain, stiffness, tenderness,daily life ability,joint activity and swelling were better than before the treatment, with the observation group superior to the control group, the differences being statistically significant (P 〈 0.05 ). The safety indicators of the two groups such as HGB, ALT, AST, and Cr manifested no differences before and after the treatment, and there was no statistical difference between the two groups after the treatment ( P 〉 0.05 ). Conclusion: Warming acupuncture combined with rehabilitation training for the treatment of knee osteoarthritis can effectively improve serological indexes and relieve clinical symptoms. It is safe and worthy of promotion in clinic.
作者 赵鲜艳 ZHAO Xian-yan. ( Traditional Chinese Medicine Hospital of Gongyi City,Henan 451200, China)
出处 《淮海医药》 CAS 2018年第2期165-167,共3页 Journal of Huaihai Medicine
关键词 骨关节炎 温针灸 康复训练 针灸疗法 Osteoarthritis, knee Warm acupuncture Rehabilitation training Acupuncture therapy
作者简介 赵鲜艳(1972-),女,主治医师,大学。
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