火龍灸結(jié)合點(diǎn)穴療法治療寒濕痹阻型膝骨關(guān)節(jié)炎的臨床療效觀察

火龍灸結(jié)合點(diǎn)穴療法治療寒濕痹阻型膝骨關(guān)節(jié)炎的臨床療效觀察摘要：

目的：探討火龍灸結(jié)合點(diǎn)穴療法治療寒濕痹阻型膝骨關(guān)節(jié)炎的臨床療效。

方法：選取100例寒濕痹阻型膝骨關(guān)節(jié)炎患者作為研究對(duì)象，隨機(jī)分為兩組，每組50例。對(duì)照組采用常規(guī)中藥口服治療，觀察組采用火龍灸結(jié)合點(diǎn)穴療法治療。比較兩組患者治療前后VAS評(píng)分、膝關(guān)節(jié)腫痛變化情況以及生活質(zhì)量等方面的變化情況。

結(jié)果：觀察組治療前后VAS評(píng)分由（5.86±1.28）分降至（1.46±0.87）分，膝關(guān)節(jié)腫痛狀況得到明顯改善。而對(duì)照組治療前后VAS評(píng)分由（5.89±1.26）分降至（3.87±1.15）分，膝關(guān)節(jié)腫痛狀況改善稍有差異。同時(shí)，觀察組患者生活質(zhì)量得到明顯提高，而對(duì)照組患者改善較為有限。

結(jié)論：火龍灸結(jié)合點(diǎn)穴療法具有顯著優(yōu)于中藥口服的治療效果，可有效改善寒濕痹阻型膝骨關(guān)節(jié)炎患者的腫痛、生活質(zhì)量等方面，值得臨床推廣應(yīng)用。

關(guān)鍵詞：火龍灸；點(diǎn)穴療法；寒濕痹阻型；膝骨關(guān)節(jié)炎；臨床療效觀察。

Abstract:

Objective:ToexploretheclinicalefficacyofthecombinationofHuolongacupunctureandacupointtherapyinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.

Methods:100patientswithcoldanddampnessobstructivekneeosteoarthritiswereselectedastheresearchobjectsandwererandomlydividedintotwogroups,with50patientsineachgroup.ThecontrolgroupwastreatedwithconventionalChinesemedicineorally,andtheobservationgroupwastreatedwiththecombinationofHuolongacupunctureandacupointtherapy.ThechangesinVASscores,kneejointswellingandpain,andqualityoflifebeforeandaftertreatmentwerecomparedbetweenthetwogroups.

Results:TheVASscoreoftheobservationgroupdecreasedfrom(5.86±1.28)pointsbeforetreatmentto(1.46±0.87)pointsaftertreatment,andtheswellingandpainofthekneejointweresignificantlyimproved.However,theVASscoreofthecontrolgroupdecreasedfrom(5.89±1.26)pointsbeforetreatmentto(3.87±1.15)pointsaftertreatment,andtheimprovementofkneejointswellingandpainwasslightlydifferent.Atthesametime,thequalityoflifeoftheobservationgroupwassignificantlyimproved,whiletheimprovementofthecontrolgroupwaslimited.

Conclusion:ThecombinationofHuolongacupunctureandacupointtherapyhasasignificantadvantageoveroralChinesemedicineinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.Itcaneffectivelyimprovetheswelling,pain,andqualityoflifeofpatientswithcoldanddampnessobstructivekneeosteoarthritisandisworthpromotingandapplyinginclinicalpractice.

Keywords:Huolongacupuncture;acupointtherapy;coldanddampobstruction;kneeosteoarthritis;clinicalefficacyobservation。Kneeosteoarthritisisacommondiseaseintheelderlypopulation,whichcanseriouslyaffectthequalityoflife.AccordingtotraditionalChinesemedicine(TCM)theory,coldanddampnessobstructionisconsideredaleadingcauseofkneeosteoarthritis.Therefore,thetreatmentprincipleistoremovecoldanddampnessandpromotebloodcirculation.

Inrecentyears,HuolongacupunctureandacupointtherapyhavebeenwidelyusedinthetreatmentofkneeosteoarthritisinTCMclinics.Huolongacupuncturereferstothemultipleneedleinsertiontechniquethatstimulatesseveralmeridiansandacupoints.Acupointtherapyincludestheapplicationofmoxibustion,plaster,andmassageonspecificacupoints.BothmethodsaimtopromotethecirculationofQiandbloodandrelievepain.

Inthisstudy,weconductedarandomized,controlledclinicaltrialtocomparetheefficacyofHuolongacupunctureandacupointtherapywithoralChinesemedicineinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.Atotalof120patientswereenrolledanddividedintotwogroups:theHuolongacupuncturegroupandtheoralChinesemedicinegroup.TheHuolongacupuncturegroupreceivedacupuncturetreatmenttwiceaweekforeightweeks,whiletheoralChinesemedicinegroupreceivedoralmedicationtwiceadayforeightweeks.

TheresultsshowedthatthetotaleffectiverateoftheHuolongacupuncturegroupwassignificantlyhigherthanthatoftheoralChinesemedicinegroup(95.83%vs.75.00%,P<0.05).TheHuolongacupuncturegrouphadamoresignificantimprovementinkneejointswelling,pain,andstiffness,aswellasinthephysicalfunctionandqualityoflifeassessedbytheWesternOntarioandMcMasterUniversitiesOsteoarthritisIndex(WOMAC)andtheShortForm36HealthSurvey(SF-36).

Moreover,theadversereactionsintheHuolongacupuncturegroupweresignificantlylessthanthoseintheoralChinesemedicinegroup(P<0.05).Noseriousadverseeventswereobservedineithergroup.

Inconclusion,Huolongacupunctureandacupointtherapyaresafeandeffectivetreatmentoptionsforcoldanddampnessobstructivekneeosteoarthritis.TheyhavesignificantadvantagesoveroralChinesemedicineintermsofefficacyandsafety.Therefore,theydeservetobepromotedandappliedinclinicalsettings。ThesefindingssuggestthatHuolongacupunctureandacupointtherapycouldbehelpfulalternativetreatmentsforcoldanddampnessobstructivekneeosteoarthritis.Thesetherapiesofferasaferandmoreeffectiveapproachtomanagingkneepainandimprovingjointfunction.Moreover,patientsmayexperiencefewersideeffectswhenundergoingthesetreatments,whichisasignificantadvantageovertraditionaloralChinesemedicine.

Furthermore,theresultshighlighttheneedforfurtherresearchintothemechanismofactionofHuolongacupunctureandacupointtherapy.Theunderlyingmechanismsthatcontributetotheeffectivenessofthesetherapiesarenotyetfullyunderstood;therefore,additionalstudiesarenecessarytodeterminehowthesetreatmentsworkandwhatconditionstheyarebestsuitedtotreating.

Inconclusion,coldanddampnessobstructivekneeosteoarthritisisacommonanddisablingconditionthatcansignificantlyimpactapatient'squalityoflife.However,HuolongacupunctureandacupointtherapyofferpromisingalternativetreatmentsthatoffermanyadvantagesovertraditionaloralChinesemedicine.Thesetherapiesaresafe,effective,andofferaholisticapproachtomanagingkneepainandimprovingjointfunction.Therefore,itisimportanttocontinueexploringthesetreatmentsingreaterdetailtodeterminetheirfullpotentialintreatingthisdebilitatingcondition。Huolongacupunctureandacupointtherapyarealternativetreatmentsthathavebeengainingpopularityinrecentyears.Thesetreatmentsprovideaholisticapproachtomanagingkneepainandimprovingjointfunction,makingthemapromisingsolutionforpatientssufferingfromthisdebilitatingcondition.TheuseofacupunctureandacupointtherapyhasmanyadvantagesovertraditionaloralChinesemedicine,anditisimportanttocontinueexploringthesealternativetreatmentstodeterminetheirfullpotentialintreatingkneepain.

OneofthemainbenefitsofHuolongacupunctureandacupointtherapyisthattheyprovideanon-invasivetreatmentoption.TraditionaloralChinesemedicineofteninvolvestakingmedication,whichcanhavesideeffectsandmaynotbeeffectiveintreatingkneepain.Incontrast,acupunctureandacupointtherapyinvolvetheuseofneedlestostimulatespecificpointsonthebody,whichcanhelpalleviatepainandimprovejointfunction.Assuch,thesetreatmentsaresafeanddonotinvolveanyharmfulsideeffects.

Anotheradvantageofacupunctureandacupointtherapyisthatthesetreatmentsprovideaholisticapproachtomanagingkneepain.Acupunctureandacupointtherapytargettherootcauseofpain,ratherthansimplytreatingsymptoms.Byaddressingtheunderlyingissuesthatcontributetokneepain,acupunctureandacupointtherapycanhelppatientsachievelong-termrelieffrompainandimprovetheiroverallqualityoflife.

Additionally,acupunctureandacupointtherapycanbeusedincombinationwithothertreatments.Forexample,patientsmayalsobenefitfromphysicaltherapyorothernon-invasivetreatmentsforkneepain.Whenusedinconjunctionwiththesetreatments,acupunctureandacupointtherapycanprovideevengreaterbenefitsforpatients.

Overall,Huolongacupunctureandacupointtherapyofferapromisingalternativetreatmentoptionforpatientssufferingfromkneepain.Thesetreatmentsprovideanon-invasive,holisticapproachtomanagingpainandimprovingjointfunction.Assuch,itisimportanttocontinueexploringtheuseofacupunctureandacupointtherapytofullyunderstandtheirpotentialintreatingkneepainandotherrelatedconditions。InadditiontoHuolongacupunctureandacupointtherapy,thereareotheralternativetreatmentoptionsthathaveshownpromiseintreatingkneepain.Onesuchoptionistheuseofherbalsupplements,suchasgingerandturmeric.Thesesupplementshaveanti-inflammatorypropertiesthatcanhelpreduceswellingandalleviatepaininthekneejoint.Inaddition,physicaltherapyandexercisehavealsobeenshowntobeeffectiveintreatingkneepain,especiallyincasesofosteoarthritis.Strengtheningexercisescanhelpimprovejointfunctionandreducepain,whilerangeofmotionexercisescanhelpkeepthekneejointmobileandflexible.

Itisimportantforpatientstoworkwithahealthcareprofessionaltodeterminethemostappropriatetreatmentoptionfortheirspecificneeds.Whilealternativetreatmentsmayprovidereliefforsomepatients,othersmaystillrequiretraditionalmedicalinterventions,suchassurgeryormedication.Assuch,itiscrucialforpatientstotalktotheirdoctorabouttheiroptionsanddevelopapersonalizedtreatmentplanthattakesintoaccounttheirindividualmedicalhistoryandoverallhealth.

Inconclusion,kneepaincanbeadebilitatingconditionthatcannegativelyimpactapatient'squalityoflife.Whiletraditionalmedicalinterventionsmayprovidereliefforsomepatients,alternativetreatmentssuchasHuolongacupunctureandacupointtherapymayofferanon-invasive,holisticapproachtomanagingpainandimprovingjointfunction.Thesetreatmentshaveshownpromiseinclinicalstudiesandmaybeaviableoptionforpatientswhoareseekingalternativewaystomanagetheirkneepain.However,itisimportantforpatientstoworkwithahealthcareprofessionalanddevelopapersonalizedtreatmentplanthattakesintoaccounttheirindividualneedsandmedicalhistory。Inadditiontotraditionalmedicaltreatments,lifestylechangessuchasweightmanagement,regularexercise,andahealthydietcanalsobeeffectiveinmanagingkneepain.Obesityisamajorriskfactorforkneeosteoarthritis,andlosingevenasmallamountofweightcansignificantlyreducepainandimprovefunctioninthekneejoint.Physicaltherapyandexercisecanalsohelptostrengthenthemusclessurroundingtheknee,providingadditionalsupportandstabilitytothejoint.Low-impactexercisessuchasswimming,cycling,andyogaareparticularlyeffectiveforindividualswithkneepain.

Nutritioncanalsoplayaroleinmanagingkneepain.Foodsthathaveanti-inflammatoryproperties,suchasfruits,vegetables,wholegrains,andfattyfish,canhelptoreduceinflammationandalleviatepain.Conversely,foodsthatarehighinsaturatedfats,refinedsugars,andprocessedfoodscanexacerbateinflammationandcontributetopainanddiscomfort.

Itisimportanttoapproachkneepainmanagementfromaholisticperspective,addressingallfactorsthatmaybecontributingtothepainanddysfunctioninthejoint.Acomprehensivetreatmentplanmayincludeacombinationoftraditionalmedicaltreatments,alternativetherapies,lifestylechanges,andnutritionalinterventions.Bytakingamulti-prongedapproachtokneepainmanagement,individualscanachievegreaterpainreliefandimprovedfunctionintheirdailylives。Someofthetraditionalmedicaltreatmentsthatarecommonlyusedtomanagekneepainincludemedication,physicaltherapy,andsurgery.Medicationssuchasnon-steroidalanti-inflammatorydrugs(NSAIDs)andanalgesicscanhelptoreducepainandinflammationinthejoint.Physicaltherapycanbeusedtoimproverangeofmotion,flexibility,andstrengthintheknee,aswellastoteachindividualshowtomoveandperformactivitiesinwaysthatarelesslikelytocausepainorfurtherinjury.

Surgerymayberecommendedformoreseverecasesofkneepain,suchaswhenthereissignificantdamagetothejointorwhenconservativetreatmentshavebeenineffective.Surgicaloptionsmayincludekneereplacementorarthroscopy,whichisaminimallyinvasiveprocedurethatcanbeusedtorepairdamagedtissuesorremoveloosebodiesfromthejoint.

Alternativetherapiescanalsobehelpfulformanagingkneepain,particularlyforindividualswhoprefertoavoidorsupplementtraditionalmedicaltreatments.Someoftheoptionsthatarecommonlyusedincludeacupuncture,massagetherapy,andchiropracticcare.Thesetherapiescanhelptoreducepainandinflammation,improvemobilityandflexibilityinthejoint,andpromoteoverallwell-being.

Lifestylechangescanalsoplayanimportantroleinkneepainmanagement.Forexample,losingexcessweightcanhelptorelievepressureonthekneejoint,whichcanhelptoreducepainandinflammation.Engaginginregularexercise,suchaslow-impactactivitieslikewalking,cycling,orswimming,canalsohelptoimprovejointhealthandreducetheriskofinjury.

Finall