首页|期刊导航|中国中医急症|浮针联合膝舒胶囊治疗膝关节骨性关节炎的临床观察

浮针联合膝舒胶囊治疗膝关节骨性关节炎的临床观察OA

Clinical Study on Floating Acupuncture Combined with Xishu Capsules in Treating Knee Osteoarthritis

中文摘要英文摘要

目的 观察浮针疗法联合膝舒胶囊对膝关节骨性关节炎患者的临床治疗效果.方法 纳入膝骨性关节炎患者110例,采用随机数字表法分为观察组56例(浮针联合膝舒胶囊)、对照组54例(常规电针联合膝舒胶囊),两组均治疗3周.记录两组患者治疗前后的疼痛视觉模拟量表(VAS)评分、膝关节功能量表(Lysholm)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分,运用肌骨超声检测两组患者治疗前后膝关节积液量和患肌增厚情况.结果 治疗后,观察组VAS评分、Lysholm评分和WOMAC评分的改善显著优于对照组,组间差异均具统计学意义(P<0.05);观察组膝关节积液量少于对照组(P<0.05),且患肌增厚改善情况亦显著优于对照组(P<0.05),观察组临床总有效率达94.64%,显著高于对照组的81.48%(P<0.05).结论 在口服膝舒胶囊基础上联合浮针疗法能有效改善膝关节骨性关节炎患者的临床症状,减轻疼痛,恢复关节功能,相比于传统电针更具优势.

Objective:To observe the clinical effect of floating acupuncture combined with Xishu Capsules on patients with knee osteoarthritis.Methods:A total of 110 patients meeting the diagnostic criteria were enrolled and randomly divided into the observation group(56 cases)receiving floating acupuncture combined with Xishu Capsules,and control group(54 cases)receiving conventional electroacupuncture combined with Xishu Capsules.Both groups were treated for 3 weeks.The Visual Analogue Scale(VAS)score,Lysholm knee score and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score were observed and recorded before and af-ter treatment in both groups.Musculoskeletal ultrasound was used to observe the volume of knee joint effusion and the thickening of affected muscles before and after treatment.Results:After treatment,the improvement ranges of VAS score,Lysholm score and WOMAC score in the observation group were significantly superior to those in the control group,with statistically significant differences between groups(P<0.05).The knee joint effusion in the ob-servation group was significantly better than that in the control group(P<0.05),and the improvement of affected muscle thickening was also significantly less than that in the control group(P<0.05).The total clinical effective rate of the observation group was 94.64%,which was significantly higher than 81.48%of the control group(P<0.05).Conclusion:On the basis of oral administration of Xishu Capsules,floating acupuncture can effectively im-prove clinical symptoms,relieve pain and restore joint function in patients with knee osteoarthritis,which has more advantages than traditional electroacupuncture.

林枫毓;彭文忠;张文斌;周煜;刘渝松

重庆市中医骨科医院,重庆 400010重庆市中医骨科医院,重庆 400010重庆市中医骨科医院,重庆 400010重庆市中医骨科医院,重庆 400010重庆市中医骨科医院,重庆 400010

医药卫生

膝关节骨性关节炎浮针膝舒胶囊肌骨超声

Knee osteoarthritisFloating acupunctureXishu CapsulesMusculoskeletal ultrasound

《中国中医急症》 2026 (5)

557-560,4

2024年度重庆市科卫联合中医药科研项目(2024ZYYB031)

10.3969/j.issn.1004-745X.2026.05.013

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