刃针联合中药蜡疗对阳虚寒凝型膝骨性关节炎的疗效观察

Observation of the Efficacy of Acupotomy Combined with Traditional Chinese Medicine Wax Therapy on Yang-Deficient Cold-Stagnation Type Knee Osteoarthritis

摘要: 目的：探究刃针疗法辅以中药蜡疗对阳虚寒凝证膝骨性关节炎(KOA)的干预效果，并分析该综合方案相较于单一西药治疗的临床优势。方法：纳入本院2023年7月~2025年6月接诊的80例该证型KOA患者，依据随机数字表分为两组，每组各40例。对照组采用塞来昔布胶囊口服方案，观察组则实施刃针与中药蜡疗联合外治。通过对比两组受试者治疗前后的膝关节骨性关节炎指数(WOMAC)、C反应蛋白(CRP)及血红细胞沉降率(ESR)变化，统计并评估临床总有效率。结果：两组患者基线资料对比无统计学差异(P > 0.05)。完成一个疗程干预后，观察组临床总有效率达到95.0%，显著优于对照组的80.0%(P < 0.05)。在症状改善方面，观察组的WOMAC疼痛、僵硬及功能受限评分均明显低于对照组(P < 0.05)；实验室检测亦证实，观察组血清ESR与CRP指标的降幅更显著(P < 0.05)。结论：刃针联合中药蜡疗治疗阳虚寒凝型KOA疗效确切，在缓解疼痛、改善功能及抗炎方面均优于单纯口服西药，是一种安全高效的中医特色适宜技术。

Abstract: Objective: To investigate the intervention effect of acupotomy combined with Chinese herbal wax therapy on Knee Osteoarthritis (KOA) presenting with Yang-deficiency and Cold-coagulation syndrome, and to analyze the clinical advantages of this comprehensive regimen compared to monotherapy with Western medicine. Methods: A total of 80 patients with KOA fitting this syndrome pattern, admitted to our hospital between July 2023 and June 2025, were enrolled. Using a random number table, patients were divided into two groups, with 40 cases in each. The control group received oral Celecoxib capsules, while the observation group was treated with acupotomy combined with external Chinese herbal wax therapy. The clinical total effective rate was evaluated by comparing the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), C-reactive protein (CRP), and Erythrocyte Sedimentation Rate (ESR) before and after treatment. Results: There were no statistically significant differences in baseline characteristics between the two groups (P > 0.05). After one course of intervention, the total effective rate in the observation group reached 95.0%, which was significantly superior to the 80.0% observed in the control group (P < 0.05). Regarding symptom improvement, the scores for WOMAC pain, stiffness, and physical function in the observation group were significantly lower than those in the control group (P < 0.05). Furthermore, laboratory tests confirmed that the reduction in serum ESR and CRP levels was more significant in the observation group (P < 0.05). Conclusion: Acupotomy combined with Chinese herbal wax therapy demonstrates distinct curative efficacy for KOA with Yang-deficiency and Cold-coagulation syndrome. It demonstrates superior efficacy to oral Western medicine alone in alleviating pain, improving joint function, and reducing inflammation. This approach represents a safe and highly efficient Traditional Chinese Medicine (TCM) technique suitable for clinical application.