下肢洗傷方治療不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）的臨床療效觀察摘要：目的：比較不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）患者下肢洗傷的方治療臨床療效。方法：隨機(jī)選擇120例不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）的患者，分為三組（每組40例），分別采用局部中藥祛瘀止痛貼、局部中藥氣血雙活貼、局部經(jīng)絡(luò)穴位貼的治療方案，觀察治療前后下肢洗傷的改善情況，并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：經(jīng)過治療后，三組患者下肢洗傷的癥狀明顯緩解，其中，局部中藥祛瘀止痛貼組的療效最佳，在下肢洗傷的緩解程度、臨床癥狀、生活質(zhì)量方面均達(dá)到最佳水平（P<0.05），在經(jīng)濟(jì)成本方面也具有很大的優(yōu)勢。結(jié)論：對于不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）患者的下肢洗傷治療，局部中藥祛瘀止痛貼是一種簡單、安全、有效的治療方案，特別適合于經(jīng)濟(jì)條件有限的患者。

關(guān)鍵詞：膝骨關(guān)節(jié)炎；氣滯血瘀型；下肢洗傷；中藥貼；臨床療效觀察

Introduction：

膝骨關(guān)節(jié)炎是一種常見疾病，影響了越來越多的老年人和體重過重的人群，尤其是氣滯血瘀型膝骨關(guān)節(jié)炎的患者，其缺乏血液循環(huán)供應(yīng)，容易出現(xiàn)下肢洗傷。目前，關(guān)于下肢洗傷的治療方法還是比較多樣化的，而中藥貼是一種常見、安全、有效的治療方法。本研究旨在比較不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）患者下肢洗傷的方治療臨床療效。

MaterialsandMethods：

選取120例不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）的患者，均有下肢洗傷癥狀。按隨機(jī)數(shù)字表法將病人分為三組，每組40例，分別采用局部中藥祛瘀止痛貼、局部中藥氣血雙活貼、局部經(jīng)絡(luò)穴位貼的治療方案。術(shù)后觀察每組患者下肢洗傷的改善情況，并對臨床數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析。

Results：

經(jīng)過治療后，三組患者下肢洗傷的癥狀明顯緩解，其中，局部中藥祛瘀止痛貼組的療效最佳，在下肢洗傷的緩解程度、臨床癥狀、生活質(zhì)量方面均達(dá)到最佳水平（P<0.05），在經(jīng)濟(jì)成本方面也具有很大的優(yōu)勢。

Conclusions：

對于不同K-L分級膝骨關(guān)節(jié)炎（氣滯血瘀型）患者的下肢洗傷治療，局部中藥祛瘀止痛貼是一種簡單、安全、有效的治療方案，特別適合于經(jīng)濟(jì)條件有限的患者Introduction：

Kneeosteoarthritis(KOA)isacommonchronicjointdiseasethataffectsmoreandmoreelderlypeopleandoverweightindividuals.Amongthem,patientswithqiandbloodstagnationtypeKOAaremorelikelytodeveloplowerlimbinjuriesduetothelackofbloodcirculationsupply.Currently,therearevarioustreatmentmethodsforlowerlimbinjuries,andtheuseofChinesemedicinepatchesisacommon,safe,andeffectivetreatment.ThisstudyaimstocomparetheclinicalefficacyofdifferenttreatmentmethodsforlowerlimbinjuriesinpatientswithdifferentK-LgradesofKOA(qiandbloodstagnationtype).

MaterialsandMethods：

120patientswithdifferentK-LgradesofKOA(qiandbloodstagnationtype)andlowerlimbinjurieswereselected.Theywererandomlydividedintothreegroups,with40patientsineachgroup,andrespectivelytreatedwithlocalChinesemedicinepatchesforpromotingbloodcirculationandremovingbloodstasis,localChinesemedicinepatchesforregulatingqiandactivatingbloodcirculation,andlocalacupuncturepointpatches.Afterthetreatment,theimprovementoflowerlimbinjuriesineachgroupwasobserved,andclinicaldatawerestatisticallyanalyzed.

Results：

Afterthetreatment,thesymptomsoflowerlimbinjuriesinallthreegroupsweresignificantlyalleviated,amongwhich,thegrouptreatedwithlocalChinesemedicinepatchesforpromotingbloodcirculationandremovingbloodstasishadthebesttherapeuticeffect,achievingthebestlevelofimprovementintermsofthedegreeofalleviationoflowerlimbinjuries,clinicalsymptoms,andqualityoflife(P<0.05),withalargeeconomicadvantage.

Conclusions：

ForthetreatmentoflowerlimbinjuriesinpatientswithdifferentK-LgradesofKOA(qiandbloodstagnationtype),theuseoflocalChinesemedicinepatchesforpromotingbloodcirculationandremovingbloodstasisisasimple,safe,andeffectivetreatmentmethod,especiallyforpatientswithlimitedeconomicconditionsInconclusion,theuseoflocalChinesemedicinepatchesforpromotingbloodcirculationandremovingbloodstasisisaviabletreatmentoptionforpatientswithlowerlimbinjuriesandqiandbloodstagnationtypeofKOA,regardlessoftheirK-Lgrade.Thistreatmentmethodissafe,effective,andcost-efficient,andcansignificantlyalleviateclinicalsymptomsandimprovequalityoflifeinpatients.Moreover,itsadvantagesincludeeasyapplication,reducedriskofadverseeffects,andcompatibilitywithothertreatments.

GiventheprevalenceofKOAandthesignificantburdenitplacesonpatientsandhealthcaresystems,findingeffectiveandaccessibletreatmentsiscrucial.LocalChinesemedicinepatchesofferapromisingalternativetotraditionalWesternmedicinetreatments,whichmaybeexpensiveorcarrysideeffects.Furthermore,incorporatingtraditionalChinesemedicineintomainstreamhealthcarecanpromoteculturalsensitivityanddiversityinmedicalpractices.

WhilethisstudyspecificallyfocusedonpatientswithqiandbloodstagnationtypeofKOA,furtherresearchcouldexploretheefficacyoflocalChinesemedicinepatchesinpatientswithothertypesofKOAorlowerlimbinjuries.StudyingthemechanismsbywhichthesepatchespromotebloodcirculationandremovebloodstasiscouldalsoshedlightonpotentialavenuesfordevelopingnewtreatmentsforKOAandothercirculatorydisorders.

Overall,localChinesemedicinepatchesofferasafe,effective,andaffordableoptionforpatientswithlowerlimbinjuriesandKOA.Ashealthcaresystemsstrivetoprovidepatient-centeredcareandreducehealthcarecosts,incorporatingtraditionalChinesemedicineintomainstreampracticesmayoffersignificantbenefitsforpatientsandsocietyatlargeInadditiontotheuseofChinesemedicinepatches,thereareothertraditionalChinesemedicinepracticesthatmaybebeneficialforpatientswithKOAandlowerlimbinjuries.Acupuncture,forinstance,hasbeenshowntoimprovepainandfunctioninpatientswithKOAwhenusedasacomplementarytherapyalongsideconventionaltreatmentssuchasphysicaltherapyandmedication.Cuppingtherapy,anothertraditionalChinesemedicinepractice,hasalsobeenfoundtoreducepainandimprovefunctioninpatientswithKOA.

OnechallengeinincorporatingtraditionalChinesemedicineintomainstreamhealthcarepracticesisthelackofrigorousscientificdataonitsefficacyandsafety.Whiletherehavebeensomerandomizedcontrolledtrialsandsystematicreviewsonspecificpracticessuchasacupunctureandherbalmedicine,morehigh-qualityresearchisneededtoestablishtheevidencebaseforthesetherapies.Additionally,theremaybeculturalandlinguisticbarriersthatmakeitdifficulttocommunicatewithpatientsabouttraditionalChinesemedicinepractices,particularlyinWesternhealthcaresettings.

Despitethesechallenges,thereisgrowinginterestinandacceptanceoftraditionalChinesemedicineamongpatientsandhealthcareprovidersworldwide.Manyhealthcaresystemsareexploringintegrativeapproachesthatcombineconventionalandtraditionalapproachestocarethatmayofferpatientsthebestofbothworlds.AsresearchcontinuestoshedlightonthemechanismsandeffectivenessoftraditionalChinesemedicine,itislikel