中国中西医结合外科杂志2026，Vol.32Issue(1)：9-13,5.DOI:10.3969/j.issn.1007-6948.2026.01.002
蠲痹汤联合调督通脉针刺治疗风寒湿痹兼血瘀型膝关节骨性关节炎急性期的临床效果
Efficacy of modified Juanbi decoction combined with Tiaodu Tongmai acupuncture in acute knee osteoarthritis with wind-cold-dampness obstruction and blood stasis syndrome
摘要
Abstract
Objective To investigate the clinical efficacy of modified Juanbi decoction combined with Tiaodu Tongmai acupuncture in treating acute knee osteoarthritis(KOA)with wind-cold-dampness obstruction and blood stasis syndrome and its effects on C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR).Methods Ninety patients with acute KOA and the aforementioned syndrome admitted to our hospital from January 2023 to January 2025 were randomly divided into two groups(45 cases each).The control group was treated with modified Juanbi decoction,while the observation group was combined with Tiaodu Tongmai acupuncture on this basis for a course of 2 weeks.Efficacy,knee pain severity,functional outcomes,joint mobility,and CRP/ESR levels were compared between the two groups.Results The total effective rate in the observation group was higher than that in the control group after treatment(88.89％vs 64.44％,P＜0.05).Immediately after treatment and at 1 week post-treatment,the visual analog scale(VAS)score,brief pain inventory(BPI)score,Western Ontario and McMaster universities osteoarthritis index(WOMAC)score,as well as CRP and ESR levels decreased in both groups compared with those before treatment(P＜0.05).Meanwhile,the Lysholm score,lower extremity functional scale(LEFS)score,and range of motion(flexion,extension,internal rotation,and external rotation)of the knee joint increased in both groups(P＜0.05).And the improvement amplitudes of the observation group were all better than those of the control group(P＜0.05).Conclusion Modified Juanbi decoction combined with Tiaodu Tongmai acupuncture effectively inhibits inflammatory responses,alleviates pain,and improves knee joint function in patients with acute KOA presenting wind-cold-dampness obstruction and blood stasis syndrome.关键词
膝关节骨性关节炎/风寒湿痹兼血瘀型/蠲痹汤/调督通脉针刺/临床疗效/C反应蛋白/红细胞沉降率Key words
Knee osteoarthritis/wind-cold-dampness obstruction with blood stasis syndrome/Juanbi decoction/Tiaodu Tongmai acupuncture/clinical efficacy/C-reactive protein/erythrocyte sedimentation rate分类
医药卫生引用本文复制引用
张明,赵学良,范长海,赵一雄,刘荣顺..蠲痹汤联合调督通脉针刺治疗风寒湿痹兼血瘀型膝关节骨性关节炎急性期的临床效果[J].中国中西医结合外科杂志,2026,32(1):9-13,5.基金项目
河北省中医药管理局科研计划项目(2021359) （2021359）
