针灸临床杂志2024,Vol.40Issue(5) :51-55.DOI:10.19917/j.cnki.1005-0779.024093

经筋理论指导可视化针刀松解治疗膝骨关节炎临床对照研究

Clinical Controlled Study on Treatment of KO A with Visualized Acupotomy Releasing Therapy Guided by Meridian Sinew Theory

安康 张照庆 尹晶 李凯 张哲
针灸临床杂志2024,Vol.40Issue(5) :51-55.DOI:10.19917/j.cnki.1005-0779.024093

经筋理论指导可视化针刀松解治疗膝骨关节炎临床对照研究

Clinical Controlled Study on Treatment of KO A with Visualized Acupotomy Releasing Therapy Guided by Meridian Sinew Theory

安康 1张照庆 2尹晶 2李凯 1张哲1
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作者信息

  • 1. 湖北中医药大学,湖北武汉 430061
  • 2. 武汉市第三医院,湖北武汉 430061
  • 折叠

摘要

目的:为探讨超声引导下针刀疗法治疗膝骨关节炎的临床疗效.方法:将50例膝骨关节炎的患者随机分为观察组与对照组,各25例.观察组接受超声引导下针刀疗法,每周1次共5周;对照组接受传统针刀治疗,每周1次共5周.在治疗第2周和治疗结束时以及结束后间隔7周,分别比较两组治疗前后视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数评分(WOMAC)、膝关节Lysholm评分系统评分及焦虑自评量表(SAS)得分.结果:干预第2周观察组各项评分明显优于对照组,差异具有统计学意义(P<0.01);干预结束时观察组关节功能评分、SAS评分低于对照组,差异具有统计学意义(P<0.05);而其他评分比较差异无统计学意义(P>0.05);7周后随访时观察组各项评分优于对照组,差异具有统计学意义(P<0.01).结论:与传统针刀疗法比较,超声引导下针刀疗法可以快速有效地缓解患者的疼痛焦虑症状、改善关节功能且远期疗效显著.

Abstract

Objective:To explore the clinical efficacy of ultrasound-guided acupotomy therapy in treatment of knee osteoarthritis(KOA).Methods:50 patients with KOA were randomly assigned into the observation group and the control group,with 25 patients in each group.The observation group received ultrasound-guided acupotomy therapy,once a week for 5 weeks;whereas the control group received traditional acupotomy therapy,once a week for 5 weeks.Scores of Visual Analog Scale(VAS),Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Lysholm knee assessment and Self-Rating Anxiety Scale(SAS)were compared between the two groups at the second week of treatment,at the end of treatment,and at 7-week follow-up after the treatment.Results:At the second week of treatment,the observation group showed significantly better scores compared to the control group(P<0.01).There were no significant differences in scores between the observation group and the control group at the end of treatment(P>0.05).However,at the 7-week follow-up visit,the observation group demonstrated superior scores compared to the control group(P<0.01).Conclusion:Ultrasound-guided acupotomy therapy is more effective than traditional acupotomy therapy in rapidly relieving pain and anxiety symptoms,improving joint function,and achieving significant long-term efficacy for patients with KOA.

关键词

超声引导/针刀/经筋理论/膝骨关节炎

Key words

Ultrasound-guided/Acupotomy/Meridian sinew theory/Knee osteoarthritis

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基金项目

武汉市卫生健康委医学科研项目(WZ21Q28)

出版年

2024
针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
参考文献量27
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