温针灸联合补肾壮筋汤治疗肝肾不足型膝骨关节炎临床研究
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R274.9

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Clinical Study on Warming- Needle Moxibustion Combined with Bushen Zhuangjin Tang for Knee Osteoarthritis of Liver and Kidney Insufficiency Type
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    摘要:

    目的:观察温针灸联合补肾壮筋汤治疗肝肾不足型膝骨关节炎患者的临床疗效。方法:选择82 例膝骨关节炎患者为研究对象,以随机数字表法分为研究组与对照组各41 例。对照组给予补肾壮筋汤治疗,研究组在对照组基础上联合温针灸治疗。比较治疗前后2 组白细胞介素-8(IL-8)、维生长因子-2(FGF-2)、转化生长因子-β (TGF-β)、血管内皮生长因子(VEGF) 水平及疼痛数字评价量表(NRS)、现时疼痛强度(PPI)、西安大略和麦克马斯特大学骨关节炎调查量表(WOMAC) 评分,并比较2 组临床疗效。结果:与同组治疗前比较,治疗后2 组IL-8、VEGF 水平及WOMAC、NRS、PPI 评分均降低(P<0.05),FGF-2、TGF-β 水平升高(P<0.05);与对照组治疗后比较,研究组治疗后IL-8、VEGF 水平及WOMAC、NRS、PPI评分均较低(P<0.05), FGF-2、TGF-β 水平较高(P<0.05)。研究组总有效率97.56%, 高于对照组85.37%(P<0.05)。结论:温针灸联合补肾壮筋汤治疗肝肾不足型膝骨关节炎,可抑制患者炎症,降低VEGF水平,提升FGF-2、TGF-β 水平,缓解疼痛,提升膝关节功能和临床疗效。

    Abstract:

    Abstract: Objective: To observe the clinical effects of warming- needle moxibustion combined with Bushen Zhuangjin tang on patients with knee osteoarthritis of liver and kidney insufficiency type. Methods: A total of 82 patients with knee osteoarthritis were selected as the research objects,and divided into the study group and the control group by random number table method, with 41 cases in each group. The control group was treated with Bushen Zhuangjin tang,and the study group was additionally treated with warming- needle moxibustion based on the treatment of the control group. The levels of interleukin- 8 (IL- 8), fibroblast growth factor- 2(FGF- 2), transforming growth factor- β(TGF- β), vascular endothelial growth factor(VEGF) and scores of Numerical Rating Scale(NRS), present pain intensity(PPI), Western Ontario and McMaster Universities Arthritis Index(WOMAC) before and after treatment and the clinical effects were compared in the two groups. Results:Compared with those before treatment,the levels of IL- 8,VEGF,WOMAC,NRS and PPI in the two groups were decreased after treatment(P<0.05),and the levels of FGF- 2 and TGF- β were increased(P<0.05). Compared with those in the control group after treatment, the levels of IL- 8, VEGF, WOMAC, NRS and PPI were lower in the study group after treatment(P<0.05),and the levels of FGF-2 and TGF-β were higher(P<0.05). The total effective rate was 97.56% in the study group, higher than that of 85.37% in the control group(P<0.05). Conclusion: warming- needle moxibustion combined with Bushen Zhuangjin tang can inhibit inflammation,reduce the VEGF level, increase FGF- 2 and TGF- β levels, relieve pain, improve knee joint function and clinical effects in the treatment of knee osteoarthritis of liver and kidney insufficiency type.

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白永生,王龙飞,张学辉,宋永达.温针灸联合补肾壮筋汤治疗肝肾不足型膝骨关节炎临床研究[J].新中医,2022,54(13):177-180

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  • 在线发布日期: 2022-07-07
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