Clinical Observation on the Treatment of Knee Osteoarthritis of Spleen and Kidney Yang Deficiency Type with Jingfang Zhenwu Tang Combined with Acupoint Application
经方真武汤配合穴位贴敷治疗脾肾阳虚型膝关节骨性关节炎的临床观察

摘要

目的 探究经方真武汤配合穴位贴敷治疗脾肾阳虚型膝关节骨性关节炎的临床效果。方法 选取我院2022年1月～2023年1月收治的80例脾肾阳虚型膝关节骨性关节炎患者，按照随机数字表分组方法分为对照组与观察组，两组均40例，对照组-穴位贴敷法治疗，观察组-经方真武汤配合穴位贴敷治疗。比较治疗效果、中医证候积分、血液流变学指标、炎症因子及满意度。结果 观察组患者治疗效果显著、满意度高于对照组（P＜0.05）；治疗前两组患者中医证候积分、血液流变学指标、炎症因子水平无显著差异，治疗后观察组优于对照组（P＜0.05）。结论 在脾肾阳虚型膝关节骨性关节炎治疗中实施经方真武汤配合穴位贴敷治疗效果显著，值得推广实施。

Abstract

Objective: To explore the clinical effect of Zhenwu Tang combined with acupoint application in the treatment of knee osteoarthritis with spleen kidney yang deficiency. Method: 80 patients with knee osteoarthritis of spleen kidney yang deficiency type admitted to our hospital from January 2022 to January 2023 were selected and divided into a control group and an observation group according to a random number table grouping method. Both groups had 40 cases. The control group was treated with acupoint application method, while the observation group was treated with Jingfang Zhenwu Tang combined with acupoint application. The therapeutic effect, TCM syndrome score, hemorheology indicators, inflammatory factors and satisfaction were compared. Result: The treatment effect of the observation group patients was significant, and their satisfaction was higher than that of the control group (P<0.05); There was no significant difference in TCM syndrome score, hemorheology index and inflammatory factor level between the two groups before treatment, but the observation group was better than the control group after treatment (P<0.05).
Conclusion  : The application of Jingfang Zhenwu Tang combined with acupoint application in the treatment of knee osteoarthritis with spleen kidney yang deficiency has a significant effect and is worth promoting and implementing.