养肝肾强筋骨中药热敷联合小针刀针刺肌筋膜触发点治疗肝肾亏虚型膝关节骨性关节炎的临床研究OA

Objective To analyze the effect of liver and kidney strengthening Chinese medicine heat therapy combined with small needle knife acupuncture of muscle and fascia trigger points in the treatment of patients with liver and kidney deficiency type knee osteoarthritis.Methods Eighty patients with knee osteoarthritis of liver-kidney deficiency type were enrolled from our hospital between January and December.The 40 patients in group A were administered celecoxib capsules and glucosamine hydrochloride tablets,while the 40 patients in group B received herbal hot compress for nourishing the liver and kidney and strengthening tendons and bones,combined with small needle-knife acupuncture at myofascial trigger points.The efficacy and safety were compared between the two groups.Results The total effective rate of group B was higher than that of group A(P<0.05);After treatment,the scores of knee joint pain or dull pain,waist and knee soreness,limb weakness,joint movement difficulty,insomnia and frequent dreams,dizziness and tinnitus,and frequent nocturnal urination in group B were all lower than those in group A(P<0.05);After treatment,the pain,stiffness,and daily activity function scores of group B were lower than those of group A(P<0.05);The incidence of adverse reactions between the two groups was compared(5.00%VS0.00%)(P>0.05).Conclusion Liver and kidney strengthening Chinese medicine heat therapy combined with small needle knife acupuncture of muscle and fascia trigger points can alleviate the symptoms of patients with liver and kidney deficiency type knee osteoarthritis,improve knee joint function,enhance therapeutic efficacy,and have high safety.