【摘要】 目的 探讨体外冲击波联合温通刮痧疗法治疗膝骨关节炎（KOA）的临床效果。方法 选取2021年6月至2023年6月九江市中医医院收治的94例KOA患者作为研究对象，采用随机数字表法将其分为对照组（47例）和观察组（47例）。对照组采用体外冲击波治疗，观察组在对照组方法的基础上加用温通刮痧疗法治疗，两组均连续治疗4周。比较两组患者的临床疗效、膝关节功能（Lysholm膝关节评分）、疼痛程度[视觉模拟评分法（VAS）]、血液流变学指标和生活质量。结果 观察组的总有效率高于对照组，差异有统计学意义（P<0.05）。治疗前，两组患者的Lysholm膝关节评分、VAS评分、各血液流变学指标水平、健康调查简表（SF-36）评分比较，差异无统计学意义（P>0.05）；治疗后，两组患者的Lysholm膝关节评分、SF-36评分均高于本组治疗前，且观察组的Lysholm膝关节评分、SF-36评分均高于对照组，两组患者的VAS评分、各血液流变学指标水平均低于本组治疗前，且观察组的VAS评分、各血液流变学指标水平均低于对照组，差异有统计学意义（P<0.05）。结论 KOA患者应用体外冲击波联合温通刮痧疗法治疗具有良好的效果，利于减轻疼痛，改善膝关节功能及血液循环，提高生活质量，值得临床推广应用。更多还原

【Abstract】 Objective To investigate the clinical effect of extracorporeal shock wave therapy combined with warm scraping therapy in the treatment of knee osteoarthritis(KOA). Methods A total of 94 patients with KOA admitted to Jiujiang Traditional Chinese Medicine Hospital from June 2021 to June 2023 were selected as the research objects, and they were divided into control group(47 cases) and observation group(47 cases) by random number table method. The control group was treated with extracorporeal shock wave therapy, and the observation group was treated with warm scraping therapy on the basis of the control group. Both groups were treated for 4 weeks. The clinical efficacy, knee function(Lysholm knee score),pain degree(visual analogue scale [VAS]), hemorheology indexes and quality of life were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Before treatment, there were no statistically significant differences in Lysholm knee scores,VAS scores, hemorheology indexes level, and the MOS item short form health survey(SF-36) scores between the two groups(P>0.05). After treatment, the Lysholm knee scores and SF-36 scores of the two groups were higher than those before treatment, and the Lysholm knee score and SF-36 score of the observation group were higher than those of the control group, and the VAS scores and hemorheological index levels of the two groups were lower than those before treatment. The VAS score and hemorheological indexes of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). Conclusion The application of extracorporeal shock wave combined with warm scraping therapy in the treatment of KOA patients has a good effect, which is conducive to reducing pain, improving knee joint function and blood circulation, and improving the quality of life, which is worthy of clinical application.更多还原