首页|恢刺温针灸联合经筋手法治疗膝关节骨性关节炎的临床研究

恢刺温针灸联合经筋手法治疗膝关节骨性关节炎的临床研究

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目的:观察恢刺温针灸联合经筋手法对膝关节骨性关节炎(KOA)的临床疗效.方法:将患者随机分为对照组21例和观察组21例,对照组施以普通针刺,观察组予恢刺温针灸联合经筋手法.以视觉模拟疼痛(VAS)评分、膝关节功能Lysholm评分、可视化量表WOMAC评分和血清中炎症因子(IL-1β和TNF-α)为观察指标,观察两组治疗前后各指标评分及临床疗效,并对血清中炎症因子水平进行了比较.结果:治疗前两组KOA患者的VAS评分、血清中炎症因子(IL-1β和TNF-α)等各项观察指标比较差异无统计学意义(P>0.05),与治疗前比较,治疗后两组患者VAS评分均显著降低,Lysholm显著升高、WOMAC评分显著降低,血清中IL-1β和TNF-α水平显著降低,差异均具有统计学意义(P<0.05),且观察组各项指标优于对照组,观察组总有效率显著高于对照组,差异有统计学意义(P<0.05).结论:恢刺温针灸联合经筋手法治疗膝关节骨性关节炎可能通过降低KOA患者血清中IL-1β和TNF-α水平以缓解疼痛、改善关节功能和提高生活质量,临床疗效显著,且明显优于普通针刺组.
Clinical Study on Lateral Needle-Warming Moxibustion Combined with Meridian-Sinew Manipulations in Treatment of KOA
Objective:To observe the clinical effect of lateral needle-warming moxibustion combined with meridian-sinew manipulations in treatment of knee osteoarthritis(KOA).Methods:KOA patients were randomly divided into the control group(n=21)and the observation group(n=21).The control group was treated with conventional needling,whereas the observation group was treated with lateral needle-warming moxibustion combined with meridian-sinew manipulations.The scores of VAS,Lysholm and WOMAC,as well as the serum inflammatory factors of IL-1β and TNF-α were observed before and after the treatment in the two groups.Clinical efficacy was compared between the two groups.Results:There were no statistical differences in the scores of VAS,Lysholm and WOMAC,as well as in the levels of IL-1β and TNF-αbetween the two groups before the treatment(P>0.05).The scores of VAS and WOMAC were decreased,the score of Lysholm was increased,and the levels of IL-1β and TNF-α were reduced after the treatment compared with those before the treatment in the two groups(P<0.05),of which the improvements were more significant in the observation group than those in the control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:Lateral needle-warming moxibustion combined with meridian-sinew manipulations can alleviate pain,improve knee joint function and life quality of the KOA patients through decreasing the serum levels of IL-1β and TNF-α,with a more significant therapeutic effect than conventional needling.

Lateral needlingNeedle-warming moxibustionMeridian-sinew manipulationsKnee osteoarthritisClinical research

阴祖新、郝唯、吴海峥、马彦旭、程五中

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首都医科大学附属北京中医医院,北京 100010

恢刺 温针灸 经筋手法 膝关节骨性关节炎 临床研究

京津冀协同创新共同体建设专项首都卫生发展科研专项项目

19245709D首发2020-2-2231

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
年,卷(期):2024.40(7)
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