Clinical effect of press-needle combined with auricular pressure in the treatment of knee osteoarthritis
梁丽娟 1王秋凤 1别双桂 1李俊洁 1李继萍 1傅利霞
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作者信息
1. 郑州大学第五附属医院中医科，郑州 450000
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摘要
目的 探讨揿针联合耳穴压豆治疗膝关节骨性关节炎的临床效果。 方法 抽取郑州大学第五附属医院2021年1月至2022年5月收治的膝关节骨性关节炎患者82例，按随机数字表法分为揿针组与常规组，每组41例。常规组采用常规康复治疗，揿针组采用揿针联合耳穴压豆治疗。比较两组临床疗效、膝关节体征评分、C反应蛋白(CRP)水平、红细胞沉降率(ESR)水平、西安大略和麦克马斯特骨关节炎指数(WOMAC)评分、视觉模拟评分法(VAS)评分及不良反应。 结果 揿针组总有效率(95.12%，39/41)高于常规组(80.49%，33/41)，P<0.05；治疗后，揿针组肿胀、活动度评分低于常规组(P<0.05)；治疗后，揿针组CRP、ESR水平低于常规组(P<0.05)；治疗后，揿针组疼痛、僵硬评分低于常规组(P<0.05)；治疗后，揿针组VAS评分低于常规组(P<0.05)；揿针组不良反应发生率(9.76%，4/41)与常规组(7.32%，3/41)比较差异未见统计学意义(P>0.05)。 结论 揿针联合耳穴压豆治疗膝关节骨性关节炎能提高临床疗效，减轻患者膝关节炎症状，缓解患者疼痛感及炎症活动度，存在安全性。 Objective To investigate the clinical effect of press-needle combined with auricular pressure in the treatment of knee osteoarthritis. Methods A total of 82 patients with knee osteoarthritis treated in the Fifth Affiliated Hospital of Zhengzhou University from January 2021 to May 2022 were selected and divided into press-needle group and routine group according to the random number table method, with 41 cases in each group. The routine group received routine rehabilitation therapy, and the press-needle group received press-needle combined with auricular pressure. The clinical efficacy, knee joint sign score, C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) level, Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, visual analogue scale (VAS) score and adverse reactions were compared between the two groups. Results The total effective rate of the press-needle group was 95.12% (39/41), which was higher than that of the routine group (80.49%, 33/41), P<0.05. After treatment, the swelling and activity scores of the press-needle group were lower than those of the routine group (P<0.05). After treatment, the CRP and ESR levels in the press-needle group were lower than those in the routine group (P<0.05). After treatment, the pain and stiffness scores in the press-needle group were lower than those in the routine group (P<0.05). After treatment, the VAS score of the press-needle group was lower than that of the routine group (P<0.05). There was no significant difference in the incidence of adverse reactions between the press-needle group (9.76%, 4/41) and the routine group (7.32%, 3/41),P>0.05. Conclusions Press-needle combined with auricular pressure in the treatment of knee osteoarthritis can improve the clinical efficacy, relieve the symptoms of knee osteoarthritis, relieve the pain and inflammatory activity of patients, and it is safe.
Abstract
Objective To investigate the clinical effect of press-needle combined with auricular pressure in the treatment of knee osteoarthritis. Methods A total of 82 patients with knee osteoarthritis treated in the Fifth Affiliated Hospital of Zhengzhou University from January 2021 to May 2022 were selected and divided into press-needle group and routine group according to the random number table method, with 41 cases in each group. The routine group received routine rehabilitation therapy, and the press-needle group received press-needle combined with auricular pressure. The clinical efficacy, knee joint sign score, C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR) level, Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, visual analogue scale (VAS) score and adverse reactions were compared between the two groups. Results The total effective rate of the press-needle group was 95.12% (39/41), which was higher than that of the routine group (80.49%, 33/41), P<0.05. After treatment, the swelling and activity scores of the press-needle group were lower than those of the routine group (P<0.05). After treatment, the CRP and ESR levels in the press-needle group were lower than those in the routine group (P<0.05). After treatment, the pain and stiffness scores in the press-needle group were lower than those in the routine group (P<0.05). After treatment, the VAS score of the press-needle group was lower than that of the routine group (P<0.05). There was no significant difference in the incidence of adverse reactions between the press-needle group (9.76%, 4/41) and the routine group (7.32%, 3/41),P>0.05. Conclusions Press-needle combined with auricular pressure in the treatment of knee osteoarthritis can improve the clinical efficacy, relieve the symptoms of knee osteoarthritis, relieve the pain and inflammatory activity of patients, and it is safe.
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