平衡针灸配合中药外敷治疗20例膝关节损伤的效果观察
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摘要
目的探讨平衡针灸配合中药外敷治疗40例膝关节损伤的效果。方法选取2016年3月～2018年3月膝关节损伤患者40例随机分为观察组和对照组,每组20例,对照组给予中药外敷治疗,观察组采取平衡针灸配合中药外敷治疗方案,于治疗前及治疗后第1、3、6周采用视觉模拟疼痛(VAS)评分法行疼痛程度评分及膝关节功能Lysholm评分,并评定疗效。结果观察组治疗总有效数为19例,对照组治疗总有效数为17例,差异有统计学意义(P<0.05),治疗后第1、3、6周观察组疼痛评分均低于对照组,膝关节功能评分均高于对照组,差异有统计学意义(P<0.05)。结论平衡针灸配合中药外敷治疗用于膝关节损伤可明显缓解患者疼痛,改善膝关节功能,疗效显著。
Objective To examine the effects of balance acupuncture combined with external application of traditional Chinese medicine on knee joint injury based on 40 cases. Methods Forty patients with knee injuries, recruited from March 2016 to March 2018, were randomly divided into treatment group and control group, 20 patients for each group.Control group was treated with external application of traditional Chinese medicine. Treatment group was treated with balance acupuncture combined with external application of traditional Chinese medicine. Using visual analogue scale(VAS), degree of pain and Lysholm score of knee joint function were measured before treatment, and 1, 3, and 6 weeks after treatment, respectively. Results The number of patients that witnessed positive response to treatment was19 for treatment group and 17 for control group. The difference was statistically significant(P<0.05). Treatment group had lower pain scores and better knee functions than controls at 1, 3, and 6 weeks after treatment(P<0.05). Conclusion Balance acupuncture combined with external application of traditional Chinese medicine for knee joint injury can significantly alleviate pain and improve knee function.
Objective To examine the effects of balance acupuncture combined with external application of traditional Chinese medicine on knee joint injury based on 40 cases. Methods Forty patients with knee injuries, recruited from March 2016 to March 2018, were randomly divided into treatment group and control group, 20 patients for each group.Control group was treated with external application of traditional Chinese medicine. Treatment group was treated with balance acupuncture combined with external application of traditional Chinese medicine. Using visual analogue scale(VAS), degree of pain and Lysholm score of knee joint function were measured before treatment, and 1, 3, and 6 weeks after treatment, respectively. Results The number of patients that witnessed positive response to treatment was19 for treatment group and 17 for control group. The difference was statistically significant(P<0.05). Treatment group had lower pain scores and better knee functions than controls at 1, 3, and 6 weeks after treatment(P<0.05). Conclusion Balance acupuncture combined with external application of traditional Chinese medicine for knee joint injury can significantly alleviate pain and improve knee function.
引文
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[19]侯建鹏,何劲鹏,李敬孝,等.电针结合运动康复训练干预兔膝骨关节损伤的抗炎、抗氧化作用[J].针灸临床杂志,2017,33(7):64-67.
[20]杨银凯,路晓红,屈玉明.中药外敷配合针刺治疗膝关节炎42例疗效观察[J].四川中医,2016,34(12):160-162.
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[3]余磊,赵斌,左进步,等.中药外敷联合温针灸治疗急性运动性踝关节损伤的疗效观察[J].陕西中医,2016,37(10):1360-1361.
[4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:30-31.
[5]麦伟良.地佐辛与氟比洛芬酯对乳腺癌围术期镇痛效果与免疫抑制的影响[J].重庆医学,2015,(14):1970-1972.
[6]王占荣,冯兴中.膝关节骨性关节炎中西医结合非手术疗法疗效评价[J].中华中医药杂志,2018,33(4),1645-1648.
[7]孙岳.针灸联合中频电疗法对篮球运动员膝关节创伤性滑膜炎临床疗效[J].中国运动医学杂志,2015,34(9):903-904.
[8]宁凯,郭瑞.针刺联合康复训练对运动性膝关节损伤周围肌肉的组织构建和生物力学的治疗研究[J].世界中医药,2017,12(8):173-176,180.
[9]孙洪林.强筋健骨散对膝关节韧带损伤患者膝关节功能的影响[J].陕西中医,2017,38(8):1045-1046.
[10]曹谦,曹慎,杨韵琴.杨氏活血祛瘀组方对膝关节半月板损伤患者术后生活质量及近期疗效的影响[J].中医药导报,2016,22(7):83-85.
[11]鄯科明,滕中秋.血竭活血化瘀作用的GC-MS代谢组学初步研究[J].药物分析杂志,2016,36(7):1169-1177.
[12]张金龙,黄雨婷,严国俊,等.乳香挥发油成分的GC-MS分析[J].中南药学,2016,14(4):375-377.
[13]尹文哲,张小玲,叶义杰,等.骨碎补对微重力下共培养骨细胞中成骨细胞分化的影响[J].中医药学报,2017,45(4):16-20.
[14]崔一然,刘欣,申丹,等.《中医方剂大辞典》含丹参、红花药对组方规律数据挖掘分析[J].中国中药杂志,2016,41(3):528-531.
[15]焦娟,唐晓颇,员晶,等.复方雷公藤外敷剂对类风湿关节炎患者关节疼痛的影响[J].中国中西医结合杂志,2016,36(1):29-34.
[16]郑晓斌,林伟容,林远万.推拿手法配合温针灸调整膝关节肌力平衡治疗膝骨性关节炎的临床效应分析[J].广州中医药大学学报,2016,33(6):822-827.
[17]时高波,白慧.平衡针配以动气疗法治疗急性腰扭伤临床研究[J].中医学报,2015,30(5):759-760.
[18]张林.功能训练联合温针灸法在膝关节半月板损伤关节镜成形术后康复治疗中的临床观察[J].陕西中医,2016,37(8):1074-1076.
[19]侯建鹏,何劲鹏,李敬孝,等.电针结合运动康复训练干预兔膝骨关节损伤的抗炎、抗氧化作用[J].针灸临床杂志,2017,33(7):64-67.
[20]杨银凯,路晓红,屈玉明.中药外敷配合针刺治疗膝关节炎42例疗效观察[J].四川中医,2016,34(12):160-162.