摘要
目的:分析刺骨放血联合余氏祛瘀通络汤治疗瘀血闭阻型膝骨关节炎的临床疗效。方法:选取2020年7月1日—2023年12月3日龙岩市中医院72例血瘀闭阻型膝关节骨性关节炎患者为研究对象,采用随机数表法分为对照组(n=36,给予余氏祛瘀通络汤+依托考昔胶囊治疗)和观察组(n=36,行余氏祛瘀通络汤+刺骨放血治疗)。比较两组治疗前后疼痛(VAS评分)、膝骨关节功能(WOMAC评分)及血液流变学改变情况。结果:观察组治疗后VAS评分及WOMAC评分明显低于对照组,差异有统计学意义(P<0.05);两组血液流变学相关指标比较,观察组低于对照组,差异有统计学意义(P<0.05)。结论:瘀血闭阻型膝骨关节炎患者应用刺骨放血联合余氏祛瘀通络汤治疗具有较佳的临床效果,疼痛程度明显减轻,膝关节功能明显好转,血液流变学得到明显改善。
Objective:To analyze the clinical efficacy of bone-pricking bloodletting combined with Yu's Quyu Tongluo Decoction in the treatment of knee osteoarthritis(KOA)of the blood stasis obstruction type.Method:A total of 72 patients with blood stasis obstruction-type KOA admitted to the Longyan Hospital of Traditional Chinese Medicine from July 1,2020,to December 31,2023 were selected and randomly divided into the control group(n=36,treated with Yu's Quyu Tongluo Decoction+Etoricoxib capsules)and the observation group(n=36,treated with Yu's Quyu Tongluo Decoction+bone-pricking bloodletting).Pain(VAS score),knee joint function(WOMAC score),and hemorheological parameters were compared between the two groups before and after treatment.Result:The VAS and WOMAC scores of both groups were significantly lower than those of the control group,with statistically significant differences(P<0.05).Compared with the control group,the observation group exhibited a significant reduction in hemorhedogical parameters,with statistically significant differences(P<0.05).Conclusion:The combination of bone-pricking bloodletting and Yu's Quyu Tongluo Decoction demonstrates significant clinical efficacy in treating blood stasis obstruction-type KOA,effectively alleviating pain,improving knee joint function,and optimizing hemorheological parameters.
作者
林天辉
王文静
卢灿娣
李晓燕
余庆阳
梁苏龙
LIN Tianhui;WANG Wenjing;LU Candi;LI Xiaoyan;YU Qingyang;LIANG Sulong(Longyan Hospital of Traditional Chinese Medicine,Longyan 364000,China;不详)
出处
《中外医学研究》
2025年第36期134-137,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
刺骨放血
余氏祛瘀通络汤
瘀血闭阻型
膝骨关节炎
临床效果
Bone-pricking bloodletting
Yu's Quyu Tongluo Decoction
Blood stasis blockage syndrome
Knee osteoarthritis
Clinical effect
