针灸临床杂志2025，Vol.41Issue(12)：32-36,5.DOI:10.19917/j.cnki.1005-0779.025233
温阳通络针灸法联合运动康复训练治疗寒凝血瘀型膝骨关节炎患者临床研究
Clinical Study of Warming-Yang and Activating-Meridian Acupuncture Combined with Exercise Rehabilitation Training in Treating KOA of Cold Congealed and Blood Stasis Pattern
摘要
Abstract
Objective:To observe the clinical efficacy of warming-Yang and activating-meridian acupuncture combined with exercise rehabilitation training in treating knee osteoarthritis(KOA)of cold congealed and blood stasis pattern.Methods:A total of 104 KOA patients with cold congealed and blood stasis pattern were randomly assigned to the study group and the control group,with 52 patients in each group.The control group received exercise rehabilitation training;on which basis,the study group was also treated with warming-Yang and activating-meridian acupuncture.Clinical efficacy,scale scores,knee joint muscle strength,range of motion for flexion and extension,and laboratory indicators were compared between the two groups.Results:The total effective rate in the study group was 92.31％(48/52),which was significantly higher than 71.15％(37/52)in the control group(P＜0.05).Both groups showed decreased pain scores on the Visual Analog Scale(VAS)and increased Lysholm scores after the treatment,with greater improvements observed in the study group(P＜0.05).Muscle strength and knee joint flexion-extension range of motion increased in both groups after the treatment,and the improvements in the study group were more significant than those in the control group(P＜0.05).The levels of interleukin-6(IL-6)were decreased,whereas the levels of superoxide dismutase(SOD)and fibroblast growth factor 2(FGF-2)were increased after the treatment in the two groups,with the study group demonstrating superior improvements compared with the control group(P＜0.05).Conclusion:Warming-yang and activating-meridian acupuncture combined with exercise rehabilitation training effectively improves clinical outcomes in KOA patients with cold congealed and blood-stasis pattern,which can alleviate pain,and enhance overall knee function,making it worthy of clinical promotion.关键词
膝骨关节炎/温阳通络针灸法/运动康复训练/寒凝血瘀型Key words
Knee osteoarthritis/Warming-Yang and activating-meridian acupuncture/Exercise rehabilitation training/Cold congealed and blood stasis pattern分类
医药卫生引用本文复制引用
艾柯,王雷,杨军,陈杰能..温阳通络针灸法联合运动康复训练治疗寒凝血瘀型膝骨关节炎患者临床研究[J].针灸临床杂志,2025,41(12):32-36,5.基金项目
湖北省卫生健康委员会科研项目,编号:WJ2021Q063. （）
