穴位埋针联合中药内服外敷治疗湿热痹阻型膝关节滑膜炎临床研究
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R686.7

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Clinical Study on Point Needle- Embedding Therapy Combined with Oral Administra⁃ tion and External Application of Chinese Herbal Medicine for Knee Synovitis of Damp⁃ ness-Heat Obstruction Type
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    摘要:

    目的:观察穴位埋针联合中药内服外敷治疗湿热痹阻型膝关节滑膜炎的临床疗效。方法:将60 例湿热痹阻型膝关节滑膜炎患者按随机数字表法分为治疗组和对照组各30 例。治疗组给予穴位埋针联合三妙汤加味内服、金黄膏外敷治疗,对照组给予三妙汤加味内服、金黄膏外敷治疗。观察2 组患者症状、血沉(ESR)、关节腔积液的改善情况,对比2 组临床疗效。结果:治疗后,2 组除关节肿胀积分无统计学意义外,治疗组其余各项症状积分均低于对照组(P<0.05,P<0.01)。治疗后,2 组ESR 水平均较治疗前降低(P<0.01),治疗组ESR 水平低于对照组(P<0.01)。治疗后,2 组关节腔积液评分均较治疗前降低(P<0.01),治疗组关节腔积液评分低于对照组(P<0.01)。治疗组总有效率90.0%,对照组总有效率73.3%,2 组比较,差异有统计学意义(P<0.05)。结论:穴位埋针联合中药内服外敷可有效减轻湿热痹阻型膝关节滑膜炎患者的临床症状,降低ESR 水平,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of point needle-embedding therapy combined with oral administration and external application of Chinese herbal medicine for knee synovitis of dampness-heat obstruction type. Methods:A total of 60 cases of patients with knee synovitis of dampness-heat obstruction type were divided into the treatment group and the control group according to the random number table method, 30 cases in each group. The control group was given oral administration of modified Sanmiao tang, and external application of Jinhuang plaster, and the treatment group was additionally given needle- embedding therapy based on the treatment of the control group. The improvement of symptoms, erythrocyte sedimentation rate(ESR) and joint effusion in the two groups were observed, and the clinical effect was compared between the two groups. Results: After treatment, there was no significant difference being found in the comparison of the score of joint swelling between the two groups,and the scores of other symptoms in the treatment group were lower than those in the control group(P<0.05,P<0.01). After treatment,the levels of ESR in the two groups were decreased when compared with those before treatment(P<0.01),and the level in the treatment group was lower than that in the control group(P<0.01). After treatment,the scores of joint effusion in the two groups were decreased when compared with those before treatment(P<0.01),and the level in the treatment group was lower than that in the control group(P<0.01). The total effective rate was 90.0% in the treatment group,and 73.3% in the control group,the difference being significant (P<0.05). Conclusion:In the treatment for patients with knee synovitis of dampness-heat obstruction type,point needleembedding therapy combined with oral administration and external application of Chinese herbal medicine can effectively relieve their clinical symptoms,decrease the level of ESR,and improve the clinical effect.

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常新斗.穴位埋针联合中药内服外敷治疗湿热痹阻型膝关节滑膜炎临床研究[J].新中医,2020,52(13):137-140

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  • 在线发布日期: 2020-07-10
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