针灸临床杂志
針灸臨床雜誌
침구림상잡지
Journal of Clinical Acupuncture and Moxibustion
2015年
11期
11-13
,共3页
吴三梅%张卉%周敏%章燕萍%杨琴%余婷婷%程翠年
吳三梅%張卉%週敏%章燕萍%楊琴%餘婷婷%程翠年
오삼매%장훼%주민%장연평%양금%여정정%정취년
膝关节%骨质增生%骨关节病%针灸%推拿%骨关节炎指数%基质金属蛋白酶
膝關節%骨質增生%骨關節病%針灸%推拿%骨關節炎指數%基質金屬蛋白酶
슬관절%골질증생%골관절병%침구%추나%골관절염지수%기질금속단백매
Knee joint%Osteoproliferation%Osteoarthropathy%Acupuncture%Massage%Osteoarthritis index%Ma-trix metalloproteinase
目的:探讨中药联合针灸推拿治疗膝关节增生性骨关节病的临床效果.方法:选择96例膝关节增生性骨关节病患者为研究对象,采用随机数字表法分为观察组和对照组各48例.对照组采用针灸推拿治疗,观察组联合中药补肾活血汤治疗.比较两组临床疗效、疼痛程度( VAS)、骨关节炎指数( WOM-AC)、关节液中基质金属蛋白MMP1、MMP3含量.结果:观察组治疗有效率(93.75%)明显高于对照组(77.08%),P<0.05;VAS、关节肿胀、关节压痛度、WOMAC评分观察组明显低于对照组(P<0.05);基质蛋白酶MMP1、MMP3含量观察组明显低于对照组( P<0.01 ).结论:中药治疗联合针灸推拿有助于改善患者临床症状,降低关节液中基质金属蛋白酶MMP1、MMP3含量,提高治疗效果.
目的:探討中藥聯閤針灸推拿治療膝關節增生性骨關節病的臨床效果.方法:選擇96例膝關節增生性骨關節病患者為研究對象,採用隨機數字錶法分為觀察組和對照組各48例.對照組採用針灸推拿治療,觀察組聯閤中藥補腎活血湯治療.比較兩組臨床療效、疼痛程度( VAS)、骨關節炎指數( WOM-AC)、關節液中基質金屬蛋白MMP1、MMP3含量.結果:觀察組治療有效率(93.75%)明顯高于對照組(77.08%),P<0.05;VAS、關節腫脹、關節壓痛度、WOMAC評分觀察組明顯低于對照組(P<0.05);基質蛋白酶MMP1、MMP3含量觀察組明顯低于對照組( P<0.01 ).結論:中藥治療聯閤針灸推拿有助于改善患者臨床癥狀,降低關節液中基質金屬蛋白酶MMP1、MMP3含量,提高治療效果.
목적:탐토중약연합침구추나치료슬관절증생성골관절병적림상효과.방법:선택96례슬관절증생성골관절병환자위연구대상,채용수궤수자표법분위관찰조화대조조각48례.대조조채용침구추나치료,관찰조연합중약보신활혈탕치료.비교량조림상료효、동통정도( VAS)、골관절염지수( WOM-AC)、관절액중기질금속단백MMP1、MMP3함량.결과:관찰조치료유효솔(93.75%)명현고우대조조(77.08%),P<0.05;VAS、관절종창、관절압통도、WOMAC평분관찰조명현저우대조조(P<0.05);기질단백매MMP1、MMP3함량관찰조명현저우대조조( P<0.01 ).결론:중약치료연합침구추나유조우개선환자림상증상,강저관절액중기질금속단백매MMP1、MMP3함량,제고치료효과.
Objective:To discuss the effect of TCM combined with acupuncture and massage in the treatment of knee joint proliferative osteoarthropathy.Methods:96 cases with knee joint proliferative osteoarthropathy were divided into an observation group and a control group.The control group was given acupuncture and massage,and the observation group received Bushen Huoxue decoction on the basis of the therapy in the observation group.Clinical curative effect,VAS,WOMAC,MMP1 and MMP3 were compared between two groups.Re-sults:In the observation group the efficiency was 93.75%,which was significantly higher than that of control group with 77.08%(P<0.05);VAS,joint swelling,joint tenderness,WOMAC score were significantly lower than those in the control group ( P<0.05 );MMP1,MMP3 levels were significantly lower than those in the con-trol group(P<0.01).Conclusion:TCM combined with acupuncture and massage can improve clinical symp-toms,lower joint fluid MMP1,MMP3 levels,and improve the effect for the treatment.