摘要
目的:探讨“子午流注”理论运用于中药蜡疗治疗膝骨关节炎(KOA)患者的临床疗效。方法:将66例KOA患者随机分为试验组(n=33)和对照组(n=33)。试验组患者予子午流注择时中药蜡疗,对照组患者予常规时间中药蜡疗,7次为1个疗程,治疗4个疗程。采用骨性关节炎指数可视化量表(WOMAC评估量表)评价患者膝关节的结构和功能,并评价临床疗效。结果:两组患者干预2周时WOMAC评分均低于干预前,干预4周时WOMAC评分均低干预2周,差异均有统计学意义(P<0.05)。干预2周时,试验组患者膝关节疼痛程度评分低于对照组(P<0.05)。干预2周时,总有效率试验组为67.74%,对照组为54.55%,试验组高于对照组,差异有统计学意义(P<0.05)。干预4周时,试验组患者膝关节疼痛程度、僵硬程度、日常活动能力及WOMAC总分均低于对照组(P<0.05)。干预4周时,总有效率试验组为83.87%,对照组为72.73%,试验组高于对照组,差异有统计学意义(P<0.05)。结论:子午流注择时中药蜡疗治疗KOA患者,能有效缓解疼痛、僵硬程度,提高日常活动能力,改善KOA患者整体症状,效果优于常规时间的中药蜡疗,且随着时间延长疗效增强。
Objective:To explore the effect of"midnight noon ebb flow"theory on the clinical efficacy of traditional Chinese medicine wax therapy for patients with knee osteoarthritis.Methods:66 patients with knee osteoarthritis were randomly divided into experimental group(n=33)and control group(n=33).In experimental group,Chinese medicine wax therapy was carried out based on"midnight noon ebb flow"theory,while the control group received traditional Chinese medicine wax therapy for 7 times for a course of treatment,4 courses of treatment.The structure and function of knee joints of patients in two groups were evaluated by the visual scale of Osteoarthritis Index(WOMAC),and the clinical curative effect was evaluated by the standard of clinical research guiding principle of clinical study of new medicine for osteoarthritis of Chinese medicine.Results:The WOMAC scores of the two groups were lower than that before treatment at 2 weeks,and that at 4 weeks was lower than that at 2 weeks(P<0.05).At the second week of treatment,the score of knee joint pain in the experimental group was lower than that in the control group(P<0.05).At the second week of treatment,the total effective rate of the experimental group was 67.74%and that of the control group was 54.55%,the difference was statistically significant(P<0.05).After 4 weeks of treatment,the pain degree,stiffness degree,daily activity ability and the total score of WOMAC in the experimental group were lower than those in the control group(P<0.05).At 4 weeks of treatment,the total effective rate of the experimental group was 83.87%,and that of the control group was 72.73%,the difference was statistically significant(P<0.05).Conclusion:Wax therapy with traditional Chinese medicine can effectively relieve pain,stiffness,daily activities and improve the overall symptoms of knee osteoarthritis patients,the effect is better than the conventional time of traditional Chinese medicine wax therapy,and with the extension of time the effect is enhanced.
作者
李苏茜
刘宇
王华新
李苏娜
李平宣
曹艳飞
申胜素
沈意娜
LI Su-qian;LIU Yu;WANG Hua-xin;LI Su-na;LI Ping-xuan;CAO Yan-fei;SHEN Sheng-su;SHEN Yi-na(School of Nursing,Beijing University of Chinese Medicine,Beijing 102488 China;Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China;China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中医药导报》
2019年第22期58-61,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
2017年度北京中医药大学自主选题资助项目(2017-JYB-JS-192)
关键词
膝骨关节炎
中药蜡疗
子午流注
WOMAC评分
knee osteoarthritis
wax therapy with traditional Chinese medicine
"midnight noon ebb flow"theory
WOMAC score
