摘要
目的:根据膝骨关节炎患者膝压痛点,分别按照中医循经近部选穴和现代解剖结构选点,对比两种不同选点方法治疗早中期膝骨关节炎(knee osteoarthritis,KOA)的临床疗效。方法:选取2019年9月~2020年12月就诊于北京中医药大学第三附属医院微创关节科的70例早中期KOA患者,男性31例,女性39例,年龄(57.41±11.33)岁。采用随机数字表法分为试验组(n=35)和对照组(n=35),试验组采用膝压痛点针刀循经近部选穴治疗,对照组采用膝压痛点解剖选点进针刀四部规程治疗(定点、定向、加压、分离、刺入)。观察治疗前及治疗后3、6、12周的视觉模拟疼痛(visual analogue scale,VAS)评分、Lysholm评分、西安大略和麦克马斯特大学骨关节炎指数(the Western Ontario and McMaster Universities Osteoarthritis Index,WOMAC)评分、膝关节活动度(range of motion,ROM),记录患者膝关节疼痛、功能障碍与骨关节炎症状、膝关节活动度的改善程度。结果:两组VAS评分、Lysholm评分、WOMAC评分、ROM在治疗后3、6、12周较治疗前均有明显差异(P<0.05)。治疗后3周两组VAS评分、Lysholm评分、WOMAC评分未见明显差异(P>0.05),治疗后6、12周有明显差异(P<0.05);治疗后3、6、12周试验组ROM均较对照组有明显差异(P<0.05)。结论:膝压痛点针刀循经近部选穴治疗早中期KOA的近期临床疗效优于循解剖结构选点进针刀四部规程治疗,能够有效缓解早中期KOA的膝关节疼痛、功能障碍、骨关节炎症状与提高膝关节活动度。
Objective:To compare the clinical efficacy of neddle knife at acupoints selected from recent regions along meridians and according to anatomical structures in treating early and middle stage knee osteoarthritis. Method:A total of 70 knee os-teoarthritis patients were randomly( Random Number Tables)divided into the test group(acupoints selected from recent regions along meridians,n=35)and the control group(acupoints selected according to anatomical structures,n=35). Visual analogue scale(VAS),Lysholm,the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and rang of motion (ROM)were compared between the two groups 3,6,12 week after treatment. The improvement of knee joint’s pain,dysfunc-tion and symptoms of osteoarthritis, and ROM were recorded. Results:In both group,the VAS,Lysholm,WOMAC,and ROM scores were significantly different between that before treatment and that in the 3,6 and 12 weeks after treatment(P< 0.05). No significant difference was observed in VAS,Lysholm,WOMAC scores between the two groups 3 weeks after treat-ment( P>0.05). However,there were significant differences in the 3 scores between the two groups 6 and 12 weeks after treat-ment( P<0.05);Compared with the control group,the ROM scores of the test group were significantly different 3,6,12 weeks after treatment(P<0.05). Conclusion:The clinical efficacy of stimulating corresponding acupoints selected from recent regions along meridians was superior to acupoints selected according to anatomical structures in treating early and middle stage knee osteo-arthritis, and can effectively relieve pain,dysfunction,symptoms of osteoarthritis of knee joint,and improve ROM.
作者
丁天送
田向东
黄叶
谭冶彤
朱光宇
韩昶晓
陈汉东
张伟
DING Tian-song;TIAN Xiang-dong;HUANG Ye;TAN Ye-tong;ZHU Guang-yu;HAN Chang-xiao;CHEN Han-dong;ZHANG Wei(Beijing Traditional Chinese Medicine University,Beijing 100029,China;Department of Minimally Invasive Joint Surgery,the Third Affiliated Hospital,Beijing Traditional Chinese Medicine University,Beijing 100029,China;Orthopedic Center,the Third Affiliated Hospital,Beijing Traditional Chinese Medicine University,Beijing 100029,China)
出处
《海南医学院学报》
CAS
2021年第22期1698-1703,共6页
Journal of Hainan Medical University
基金
北京中医药大学重点攻关项目(2020-JYB-ZDGG-142-5)。
关键词
膝骨关节炎
膝痹症
针刀
循经近部选穴
解剖结构
压痛点
Knee osteoarthritis
Knee arthralgia
Needle knife
Acupoints selected from recent regions along meridians
Anatomical structures
Tenderness points
