摘要
目的:比较"膝六针"和传统经穴治疗膝骨关节炎的临床疗效差异,寻求针刺治疗膝骨关节炎的优势选穴方案.方法:采用随机对照的方法,将 80 例受试者随机分配到"膝六针"组和常规经穴组,治疗每周 5 次,连续两周,共治疗10 次.分别在治疗前、治疗后1 周、治疗结束后、治疗后1 个月、治疗后2 个月及治疗后3 个月时进行骨性关节炎指数量表(WOMAC)评分、视觉模拟评分(VSA)及膝关节活动度测量.结果:两组治疗前后组内比较在WOMAC 评分、VSA评分、膝关节活动度、IL-6 及TNF-α方面均有显著差异.组间比较两组VAS评分在治疗 1 周、治疗结束后、治疗后1 月、治疗后2 月、治疗后3 月具有显著差异;WOMAC评分在治疗结束后、治疗后2 月、治疗后3 月具有显著差异.两组在疗效等级评价方面差异显著.结论:"膝六针"较传统经穴治疗膝骨关节炎在改善疼痛及膝关节功能方面疗效更佳,是针刺治疗膝骨关节炎的优势选穴方案.
Abstract
Objective:To compare the clinical efficacy of"six knee needles"and traditional meridian points in the treatment of osteoarthritis of the knee,and to seek the advantageous selection of acupuncture points for the treatment of osteoarthritis of the knee.Methods:Using a randomized controlled method,80subjects were randomly assigned to the"Six Knee Acupuncture"group and the conventional meridian point group,and were treated five times a week for two weeks for a total of 10treatments.The Osteoarthritis In-dex Scale(Western Ontario and McMaster Universities(WOMAC))score,VSA score and knee mobility were measured before treat-ment,1week after treatment,at the end of treatment,1month after treatment,2months after treatment and 3months after treatment,respectively.Results:There were significant differences in WOMAC scores,VSA scores,knee mobility between the two groups before and after treatment in intra-group comparisons.Between-group comparisons between the two groups had significant differences in VAS scores at 1week of treatment,at the end of treatment,at 1month after treatment,at 2months after treatment,and at 3months after treatment;WOMAC scores at the end of treatment,at 2months after treatment,and at 3months after treatment.There was a significant difference between the two groups in terms of efficacy grade evaluation.Conclusion:The"Six Knee Acupuncture"is more effective than the traditional meridian points in treating osteoarthritis of the knee in improving pain,knee function and inflammatory indexes,and it is an advantageous selection of acupoints for the treatment of osteoarthritis of the knee by acupuncture.
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