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针灸治疗膝骨关节炎研究进展

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针灸治疗膝骨关节炎(knee osteoarthritis,KOA)主要包括普通针刺、艾灸、火针、电针、针刀、浮针、平衡针、综合疗法、针刺联合其他疗法等.现有研究分析表明,针灸治疗KOA效果好,不良反应较少.针灸治疗缓解KOA患者膝关节疼痛是从外周和中枢层次调控以发挥治疗作用,但是其治疗KOA的科学机制仍不明确,且存在以下问题:(1)部分研究没有将患者进行分型论治或者根据病情程度进行分级,存在疗效上的差异,造成研究结果有偏差;(2)患者的纳入标准及疗效判定标准不统一;(3)研究对象的样本数量较少,会降低实验结果的可信度和认可度.在今后的研究中,应该更好地完善相关试验,从根本上研究针灸治疗KOA的机制,标本兼顾,更好地运用针灸联合其他疗法的复合式疗法治疗KOA.
Research Progress of Acupuncture and Moxibustion in the Treatment of Knee Osteoarthritis
Acupuncture and moxibustion in the treatment of knee osteoarthritis(KOA)mainly includes ordinary acupuncture,moxibus-tion,fire needling therapy,electro-acupuncture therapy,acupotomy,superficial needling therapy,balance needling therapy,comprehen-sive therapy,acupuncture combined with other therapies.The analysis of existing studies shows that acupuncture and moxibustion have good effect on KOA and few adverse reactions.The knee pain in patients with KOA is relieved by acupuncture treatment from peripheral and central levels to exert therapeutic effects.However,the scientific mechanism of acupuncture and moxibustion in the treatment of KOA is still unclear,and there are the following problems:(1)Some studies have not classified the patients or grade them according to the degree of the disease,which results in differences in efficacy and deviations in the research results;(2)The inclusion criteria and efficacy criteria of patients are not unified;(3)The small number of samples of the research subjects will reduce the credibility and rec-ognition of the experimental results.In future research,the relevant experiments should be better improved,the mechanism of acupunc-ture and moxibustion in the treatment of KOA should be fundamentally studied,the disease should be considered from many aspects,manifestations and root cause should be taken into concurrently,and the compound therapy of acupuncture and moxibustion combined with other therapies should be better used to treat KOA.

knee osteoarthritis(KOA)acupuncture and moxibustionacupuncturemoxibustionfire needling therapyelectro-acupunc-ture therapyacupotomysuperficial needling therapybalance needling therapy

王羽、郭敏、于梅、姜国华

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黑龙江中医药大学,黑龙江 哈尔滨 150040

黑龙江省中医药科学院,黑龙江 哈尔滨 150001

膝骨关节炎 针灸 针刺 艾灸 火针 电针 针刀 浮针 平衡针

黑龙江省中医药管理局资助项目

ZHY2020-039

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(3)
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