北京中医药2026，Vol.45Issue(3)：333-337,5.DOI:10.16025/j.1674-1307.2026.03.009
骨科洗药熏洗治疗膝关节滑膜炎痰饮流注证的临床疗效及安全性观察
Clinical efficacy and safety of Guke Xiyao Fumigation treatment for patients with phlegm-fluid abscess type knee synovitis
摘要
Abstract
Objective To observe the clinical efficacy and safety of Guke Xiyao Fumigation in the treatment of knee synovitis with phlegm-fluid abscess syndrome.Methods A total of 72 patients with knee synovitis of phlegm-fluid abscess type,admitted to the Department of Orthopedics,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,from December 2022 to December 2023,were enrolled and randomly divided into an observation group and a control group using a random number table,with 36 cases in each group.The observation group received Guke Xiyao Fumigation once daily for 5 consecutive days followed by a 2-day rest,repeated for a total of 4 weeks.The control group received topical application of Daiwen Moxibustion Plaster,applied for 5 consecutive days followed by a 2-day rest,for a total treatment duration of 4 weeks.Clinical outcomes were compared between the two groups before and after treatment,including the Numerical Rating Scale(NRS)score,Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),floating patella test grading,knee circumference,and safety evaluation.Results After treatment,NRS scores in both groups were significantly lower than those before treatment(P<0.05).The improvement difference between pre-and post-treatment was greater in the observation group than in the control group(P<0.05).WOMAC scores in both groups were also significantly reduced after treatment(P<0.05),with greater improvement in the observation group(P<0.05).Knee circumference was reduced in both groups after treatment;however,the between-group difference was not statistically significant(P>0.05),while the within-group improvement difference was greater in the observation group than in the control group(P<0.05).After treatment,the proportion of grade I floating patella test and overall improvement in the observation group were higher than those in the control group,but the difference was not statistically significant(P>0.05).The total incidence of adverse reactions in the observation group was 8.33%,which was lower than 30.56%in the control group(P<0.05).Conclusion Guke Xiyao Fumigation is effective in relieving pain,improving knee joint function,and reducing swelling in patients with knee synovitis of phlegm-fluid abscess syndrome,with good safety.关键词
骨科洗药/膝关节滑膜炎/痰饮流注证/有效性/安全性Key words
Guke Xiyao Fumigation/knee synovitis/phlegm-dampness abscess syndrome/efficacy/safety引用本文复制引用
张硕,柳根哲,孙佩宇,韦竑宇,刘清泉..骨科洗药熏洗治疗膝关节滑膜炎痰饮流注证的临床疗效及安全性观察[J].北京中医药,2026,45(3):333-337,5.基金项目
首都临床特色诊疗技术研究及转化应用项目(Z221100007422122) （Z221100007422122）
