针刀松解法对膝骨关节炎关节周围压痛影响的效果评价  

Effects of Acupotomy Therapy on Tenderness Point Arounding Knee Joint in Patients with Knee Osteoarthritis:a Randomized Controlled Clinical Trial

作　　者：郭长青[1] 张秀芬[2] 司同[3] 温建民[4] 蒋昭霞[1] 朱汉章[1] 权伍成[2] 梁朝[4] 宋美扬[1] 张义[1] 刘乃刚[1] 陈占禄[1] 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]武警北京总队第二医院,北京100037 [3]中国康复研究中心北京博爱医院,北京100068 [4]中国中医科学院望京医院,北京100102

出　　处：《成都中医药大学学报》2010年第3期3-5,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划"973"计划课题(No.2006CB504508)资助;国家中医药管理局"针灸特色疗法评价"重点研究室资助;教育部"高等学校本科教学质量与教学改革工程"高等学校专业建设点项目北京市教育委员会共建项目

摘　　要：目的:评价针刀松解法对膝骨关节炎关节周围压痛的影响。方法:180例膝骨关节炎患者随机分入针刀组和电针组,每组各90例,分别给予针刀松解法和电针干预,共3周。采用11点数字评分法测量两组治疗前、治疗后及治疗后6月随访时膝关节周围压痛。结果:两组治疗后和随访时膝关节周围压痛评分较治疗前均明显减轻,有极显著性差异(P<0.01);两组压痛评分差值,治疗后与治疗前压痛差值比较两组间无统计学差异(P>0.05),但随访时与治疗前压痛差值比较针刀组优于电针组,有显著性差异(P<0.05)。结论:针刀松解法可减轻膝骨关节炎关节周围压痛,且远期疗效优于电针治疗。Objective：To evaluate the effect of acupotomy therapy on relieving tenderness around knee joints in patients with knee osteoarthritis.Methods：180 patients were randomly assigned to receive acupotomy therapy（n=90） and electro-acupuncture therapy（n=90） for 3 weeks.tenderness were evaluated by NRS-11 at baseline and after treatment and following-up of 6 months.Results：The tenderness evaluated after treatment and following-up of 6 months were relieved much than baseline（P0.01）.There were no difference of the two groups in D-value between after treatment and baseline（P0.05）,and significance difference between following-up of 6 months and baseline（P0.05）.Conclusion：Acupotomy therapy can relieve tenderness around knee joints,and later result of acupotomy therapy exceled electro-acupuncture therapy.

关 键 词：针刀松解法 膝骨关节炎 压痛 随机对照临床研究 

分 类 号：R245.3[医药卫生—针灸推拿学]