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[1]林濤,郭艷幸,吳麗芳,等.三伏貼貼敷聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎陽虛寒凝證[J].中醫(yī)正骨,2021,33(07):59-61.
 LIN Tao,GUO Yanxing,WU Lifang,et al.External application of dog-days strapping combined with knee intra-articular injection of medical ozone for treatment of knee osteoarthritis with yang-deficiency and cold-congelation syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(07):59-61.
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三伏貼貼敷聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎陽虛寒凝證()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年07期
頁碼:
59-61
欄目:
臨床報(bào)道
出版日期:
2021-07-20

文章信息/Info

Title:
External application of dog-days strapping combined with knee intra-articular injection of medical ozone for treatment of knee osteoarthritis with yang-deficiency and cold-congelation syndrome
作者:
林濤1郭艷幸2吳麗芳1鄭梓灌1張慧銘1陳燕超1
(1.廈門醫(yī)學(xué)院附屬第二醫(yī)院,福建 廈門 361021; 2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002)
Author(s):
LIN TaoGUO YanxingWU LifangZHENG ZiguanZHANG HuimingCHEN Yanchao
關(guān)鍵詞:
骨關(guān)節(jié)炎 陽虛寒凝證 三伏貼 臭氧
摘要:
目的:探討三伏貼貼敷聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎陽虛寒凝證的臨床療效。方法:2018年6月至2020年6月,采用三伏貼貼敷聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎陽虛寒凝證患者20例。男8例,女12例。年齡40~65歲,中位數(shù)59歲。左膝10例,右膝6例,雙膝4例。按照Kellgren-Lawrence分級(jí)標(biāo)準(zhǔn),Ⅰ級(jí)10膝、Ⅱ級(jí)14膝。病程3個(gè)月至9年,中位數(shù)66個(gè)月。分別于治療前和治療結(jié)束后5周,采用酶聯(lián)免疫吸附法測定膝關(guān)節(jié)液中白細(xì)胞介素(interleukin,IL)-1β、腫瘤壞死因子(tumor necrosis factor,TNF)-α和基質(zhì)金屬蛋白酶(matrix metalloproteinase,MMP)-13的含量,采用膝部疼痛視覺模擬量表(visual analogue scale,VAS)和西安大略和麥克馬斯特大學(xué)(Western Ontario and McMaster Universities,WOMAC)骨關(guān)節(jié)炎指數(shù)評(píng)價(jià)臨床療效。結(jié)果:所有患者均完成治療及療效評(píng)價(jià)。治療結(jié)束后5周,患者膝關(guān)節(jié)液中IL-1β、TNF-α、MMP-13的含量及膝部疼痛VAS評(píng)分、WOMAC骨關(guān)節(jié)炎指數(shù)均低于治療前[(8.75±2.83)ng·L-1,(3.72±2.21)ng·L-1,t=6.252,P=0.000;(89.51±11.76)ng·L-1,(41.83±7.85)ng·L-1,t=15.081,P=0.000;(4.06±1.23)ng·L-1,(2.03±0.67)ng·L-1,t=6.482,P=0.000;(5.63±1.21)分,(2.16±1.09)分,t=9.592,P=0.000;(40.28±13.12)分,(17.14±9.87)分,t=6.303,P=0.000]。結(jié)論:三伏貼貼敷聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎陽虛寒凝證,能夠抑制炎癥反應(yīng)和軟骨基質(zhì)降解,緩解疼痛,改善膝關(guān)節(jié)功能。

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備注/Memo

備注/Memo:
基金項(xiàng)目:廈門市醫(yī)療衛(wèi)生項(xiàng)目(3502Z20189065)
通訊作者:林濤 E-mail:[email protected]
更新日期/Last Update: 1900-01-01