温针灸联合医用几丁糖治疗老年膝骨关节炎患者的临床疗效

doi:10.3969/j.issn.1671-7171.2025.01.030

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (1171 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To explore the clinical efficacy of warm acupuncture combined with medical chitosan in the treatment of elderly patients with knee osteoarthritis. 【Methods】From January 2020 to June 2024, a total of 300 elderly patients with knee osteoarthritis were selected for treatment. They were randomly divided into the observation group and the control group, with 150 patients in each group. Patients in the control group received conventional treatment, namely intra-articular injection of medical chitosan, while those in the observation group received warm acupuncture in addition to conventional treatment. Clinical efficacy, knee joint range of motion (ROM), pain level [Visual Analogue Scale (VAS)], inflammatory factors [Interleukin-1β (IL-1β), Tumor Necrosis Factor-α (TNF-α), Matrix Metalloproteinase-9 (MMP-9), Hyaluronic Acid (HA), Rheumatoid Factor (RF)], and incidence of adverse reactions were compared between the two groups. 【Results】After treatment, the clinical efficacy and ROM in the observation group were higher than those in the control group (P<0.05), while VAS scores, IL-1β, TNF-α, MMP-9, HA, RF levels and the incidence of adverse reactions were lower than those in the control group (P<0.05). 【Conclusion】Warm acupuncture combined with medical chitosan can significantly improve knee joint mobility, relieve pain, reduce inflammatory factor levels, and has fewer adverse reactions. It showes high clinical value.

Key words： Osteoarthritis,Knee Acupuncture Moxibustion Therapy Chitin Aged Treatment Outcome

Received: 20 September 2024

PACS:

R684.3

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SU Wei
	KE Wei
	LIU Jian
	et al

Cite this article:

SU Wei,KE Wei,LIU Jian, et al. Clinical Efficacy of Warm Acupuncture Combined with Medical Chitosan in the Treatment of Elderly Knee Osteoarthritis[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(1): 105-108.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.01.030 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I1/105

[1] 沈培鑫,赵硕,肖尧,等. PNF训练对膝骨关节炎老年患者的康复效果研究[J].山东体育学院学报,2024,40(2):104-114.
[2] 魏为,邹勇. 关节镜病灶清理术对老年膝关节退行性骨关节炎患者关节功能、疼痛程度的影响[J].湖南师范大学学报(医学版),2022,19(3):166-169.
[3] 曹中正. 电针配合穴位贴敷治疗气滞血瘀型老年膝骨关节炎的临床疗效及对患者膝关节功能、血液流变学和生活质量的影响[J].河北中医,2021,43(7):1183-1186.
[4] 詹晓峰,赵玲. 百草伤膏联合关节腔内注射玻璃酸钠治疗老年膝骨关节炎临床研究[J].新中医,2022,54(6):128-131.
[5] 杨荣荣,郭萍,张惠环. 基于膝关节功能、疼痛程度及生活质量评价温针灸辅助治疗膝关节骨性关节炎的疗效[J].辽宁中医杂志,2024,51(7):152-155.
[6] 孙长乐,张荣宜. 针刀松解联合关节腔双联注射O₃及医用几丁糖治疗老年性膝关节骨性关节炎的临床疗效[J].中国老年学杂志,2022,42(14):3490-3493.
[7] 中华中医药学会骨伤科分会膝痹病(膝骨关节炎)临床诊疗指南制定工作组. 中医骨伤科临床诊疗指南·膝痹病(膝骨关节炎)[J].康复学报,2019,29(3):1-7.
[8] 马登越,葛群,王磊,等. 全膝关节置换术对膝骨关节炎患者的近期疗效[J].中国现代医学杂志,2020,30(3):102-106.
[9] 马偲铭,王连成,张伟业. 膝骨关节炎的发病机制及中医康复研究进展[J].实用医院临床杂志,2021,18(3):194-197.
[10] 李明哲,陶江涛,梁振新. 温针灸联合健脾通络方治疗对类风湿性关节炎患者炎症因子和骨代谢的影响[J].实用医学杂志,2023,39(10):1305-1310.
[11] 赵阳,刘家峰,杨焜. 温针灸联合高能量半导体激光治疗膝骨关节炎的效果及对患者膝关节功能的影响[J].山西医药杂志,2022,51(17):1968-1971.
[12] 孙晓辉,刘洋,崔明星,等. 温针灸联合功能锻炼对膝骨关节炎全膝关节置换术后患者关节疼痛、活动度及炎症因子水平的影响[J].新中医,2021,53(4):152-155.
[13] 王金玉. 中药塌渍联合温针灸在膝关节骨性关节炎患者中的应用[J].国际护理学杂志,2024,43(12):2225-2229.
[14] 阴祖新,郝唯,吴海峥,等. 恢刺温针灸联合经筋手法治疗膝关节骨性关节炎的临床研究[J].针灸临床杂志,2024,40(7):28-32.
[15] 马颖露,廖子龙. 缪刺法联合膝三针温针灸对膝关节骨性关节炎临床疗效以及IL-1β、TNF-α水平的影响[J].中医药学报,2021,49(11):73-77.