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全息经络刮痧疗法对膝骨关节炎的治疗作用及机制研究

Investigation of the Therapeutic Effect and Mechanism of Holographic Meridian Scraping Therapy on Knee Osteoarthritis.

作者信息

Deng Yulong, Zhang Man, Li Wei, Cui Shuguo, Dong Junge, Mu Chenglin, Zheng Zhiyuan, Yang Jiaxiang

出版信息

Altern Ther Health Med. 2023 Oct;29(7):440-443.

PMID:37573584
Abstract

OBJECTIVE

This study aimed to investigate the efficacy of holographic meridian scraping therapy on patients with knee osteoarthritis (KOA) and its impact on serum IL-1β and TNF-α levels.

METHODS

A prospective study was conducted, enrolling seventy KOA patients admitted to the Hebei Provincial Hospital of Traditional Chinese Medicine between August 2021 and April 2022. The patients were divided into two groups using the random number table method: control group (n = 35) and treatment group (n = 35). The control group received oral celecoxib capsules (100 mg, twice daily), while the treatment group received an additional daily holographic meridian scraping session (20 minutes/day). Throughout the two-week study, the researchers continuously monitored the visual analogue scale (VAS) score, the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, and the changes in serum IL-1β and TNF-α expression.

RESULTS

The treatment group demonstrated significantly better overall efficiency and efficacy compared to the control group (P < .05). Both groups exhibited decreased VAS and WOMAC scores after treatment in comparison to pre-treatment levels (P < .05), with the treatment group showing lower scores than the control group after treatment (P < .05). Furthermore, serum TNF-α and IL-1β levels in both groups decreased after treatment compared to pre-treatment levels within the same group (P < .05). The treatment group had significantly lower serum TNF-α and IL-1β levels than the control group after treatment (P < .05).

CONCLUSIONS

Combining holographic meridian scraping therapy with celecoxib effectively treats KOA and significantly improves patient conditions, along with reductions in serum TNF-α and IL-1β levels.

摘要

目的

本研究旨在探讨全息经络刮痧疗法对膝骨关节炎(KOA)患者的疗效及其对血清白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)水平的影响。

方法

进行一项前瞻性研究,纳入2021年8月至2022年4月在河北省中医院收治的70例KOA患者。采用随机数字表法将患者分为两组:对照组(n = 35)和治疗组(n = 35)。对照组口服塞来昔布胶囊(100 mg,每日两次),治疗组在此基础上每天增加一次全息经络刮痧治疗(20分钟/天)。在为期两周的研究中,研究人员持续监测视觉模拟评分(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分以及血清IL-1β和TNF-α表达的变化。

结果

治疗组的总体有效率和疗效明显优于对照组(P <.05)。与治疗前相比,两组治疗后的VAS和WOMAC评分均降低(P <.05),且治疗组治疗后的评分低于对照组(P <.05)。此外,与治疗前相比,两组治疗后血清TNF-α和IL-1β水平均降低(P <.05)。治疗组治疗后的血清TNF-α和IL-1β水平明显低于对照组(P <.05)。

结论

全息经络刮痧疗法联合塞来昔布可有效治疗KOA,显著改善患者病情,并降低血清TNF-α和IL-1β水平。

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