| 内热针联合推拿对膝骨性关节炎患者疼痛及关节功能的影响 |
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| 引用本文： | 陈勤,赵新,余帅江,曾雪莲,兰谢.内热针联合推拿对膝骨性关节炎患者疼痛及关节功能的影响[J].针灸临床杂志,2019(7):27-31. |
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| 作者姓名： | 陈勤 赵新 余帅江 曾雪莲 兰谢 |
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| 作者单位： | 成都市第三人民医院重庆医科大学附属医院成都第二临床学院 |
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| 摘 要： | 目的:探讨内热针联合推拿对膝骨性关节炎患者疼痛及关节功能的影响。方法:选取我院收治的70例膝骨性关节炎患者,随机分为对照组和观察组,各35例。对照组给予双氯芬酸钠缓释片治疗,观察组在对照组的基础上给予内热针联合推拿治疗,两组患者进行6周的治疗。采用视觉模拟评分量表(VAS)及膝关节功能(Lysholm)量表评估两组患者治疗前及治疗1、3、6周后关节疼痛及膝关节功能情况;检测治疗前、治疗6周后患者血清炎性因子水平变化;统计两组治疗6周后临床疗效。结果:与治疗前比较,治疗1~6周后两组关节VAS评分均呈逐渐降低趋势(P<0.01),且治疗1、3、6周后观察组均显著低于对照组(P<0.05或P<0.01);与治疗前比较,治疗1~6周后两组Lysholm评分均呈逐渐升高趋势(P<0.01),且治疗1、3、6周后观察组均显著高于对照组(P<0.01);与治疗前比较,治疗6周后两组血清TNF-α、IL-6、IL-1β、hs-CRP水平显著降低(P<0.01),且观察组显著低于对照组(P<0.01);治疗6周后观察组临床总有效率为97.14%,显著高于对照组的62.86%(P<0.01)。结论:内热针联合推拿可显著缓解膝骨性关节炎患者疼痛症状,抑制炎性反应,恢复关节功能,且疗效优于单纯西药治疗。
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| 关 键 词： | 膝骨性关节炎 内热针 推拿 疼痛 关节功能 炎性因子 |
Effect of Internal Heated Needle Combined with Tuina on Pain and Joint Function in the Treatment of KOA |
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| CHEN Qin,ZHAO Xin,YU Shuaijiang,ZENG Xuelian,LAN Xie.Effect of Internal Heated Needle Combined with Tuina on Pain and Joint Function in the Treatment of KOA[J].Journal of Clinical Acupuncture and Moxibustion,2019(7):27-31. |
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| Authors: | CHEN Qin ZHAO Xin YU Shuaijiang ZENG Xuelian LAN Xie |
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| Institution: | (Chengdu Third People's Hospital,Affiliated Hospital of chongqing Medical University,The Second Affiliated Clinical Hospital of Medical University of Chongqing,Chengdu 610031,China) |
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| Abstract: | CHEN Qin;ZHAO Xin;YU Shuaijiang;ZENG Xuelian;LAN Xie(Chengdu Third People's Hospital,Affiliated Hospital of chongqing Medical University,The Second Affiliated Clinical Hospital of Medical University of Chongqing,Chengdu 610031,China) |
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| Keywords: | Knee osteoarthritis Internal heated needle Tuina Pain Joint function Inflammatory factors |
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