摘要
目的:探讨评价中医针灸联合西医治疗膝关节炎的临床效果和安全性。方法:选取2022年5月—2023年5月在什邡第二医院康复科就诊的100例膝关节炎患者作为研究样本,采用随机分组方式,将其分为对照组与观察组,各50例。对照组接受常规的西医治疗,观察组在此基础上联合应用针灸干预。经过连续治疗4周后,对两组患者的疼痛程度、膝关节功能以及不良反应发生情况进行对比分析。结果:在治疗第2周、治疗结束时(第4周)以及随访阶段(第8周),两组疼痛评分相较治疗前均明显下降,膝关节功能评分则明显提升,且观察组改善程度优于对照组,差异有统计学意义(P<0.05)。此外,在生理功能、身体疼痛、社会活动能力、整体健康水平以及心理健康等方面,观察组评分均明显高于对照组,差异有统计学意义(P<0.05)。治疗总有效率方面,观察组也明显高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中医针灸与西医联合治疗膝关节炎临床疗效明显,特别是对减轻疼痛、改善功能效果明显,安全性好,可以为临床治疗提供一种有效的选择。
Objective:To explore and evaluate the clinical efficacy and safety of combining traditional Chinese medicine acupuncture with Western medicine in the treatment of knee osteoarthritis.Method:A total of 100 patients with knee osteoarthritis who visited the Rehabilitation Department of Shifang Second Hospital from May 2022 to May 2023 were selected as the study sample.They were randomly divided into a control group and an observation group,with 50 cases in each group.The control group received conventional Western medical treatment,while the observation group received acupuncture intervention in addition to this treatment.After a continuous treatment period of 4 weeks,a comparative analysis was conducted on the pain levels,knee joint function,and the occurrence of adverse reactions between the two groups.Result:At the second week of treatment,at the end of treatment(4th week),and during the follow-up phase(8th week),pain scores in both groups significantly decreased compared to before treatment,while knee joint function scores notably improved.The improvement in the observation group was superior to the control group,with statistically significant differences(P<0.05).Additionally,the observation group had significantly higher scores than the control group in terms of physiological function,bodily pain,social activity ability,overall health,and mental health(P<0.05).The total effective treatment rate was also significantly higher in the observation group compared to the control group(P<0.05).Regarding the incidence of adverse reactions,no significant difference was observed between the two groups(P>0.05).Conclusion:The combined treatment of traditional Chinese medicine acupuncture and Western medicine for knee osteoarthritis shows significant clinical efficacy,especially in pain reduction and functional improvement,with good safety.It can provide an effective treatment option for clinical practice.
作者
黄瑜
杜升阳
HUANG Yu;DU Shengyang(Shifang Second Hospital,Shifang 618400,China;不详)
出处
《中外医学研究》
2025年第26期157-161,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
膝关节炎
针灸
西医结合治疗
Knee arthritis
Acupuncture
Combined treatment of western medicine
