针刀松解法改善膝骨关节炎疼痛症状的随机对照临床研究  

Effects of acupotomy therapy on the pain symptoms in patients with knee osteoarthritis:a randomized controlled clinical trial

作　　者：郭长青[1] 司同[2,3] 温建民[4] 张秀芬[5] 蒋昭霞[1] 朱汉章[1] 梁朝[2,3] 权伍成[5] 刘乃刚[1] 宋美扬[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]中国康复研究中心 [3]北京博爱医院康复科,北京100068 [4]中国中医科学院望京医院骨科,北京100102 [5]武警北京总队第二医院康复理疗科,北京100037

出　　处：《天津中医药》2012年第1期35-38,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划"973"计划资助项目(2006CB504508)

摘　　要：[目的]评价针刀松解法缓解膝骨关节炎疼痛症状的疗效和安全性。[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。采用日常生活活动能力(ADL)评分法评价两组治疗前、治疗后及治疗后6月随访时行走疼痛和上下楼梯疼痛的疗效,同时评价治疗期间的安全性。[结果]两组治疗后和随访时行走疼痛和上下楼梯疼痛评分均较治疗前升高,差异有统计学意义(P<0.01);组间比较治疗后和随访时ADL评分与治疗前的差值,针刀组在两个时间点的行走疼痛和上下楼梯疼痛评分差值均大于电针组,差异有统计学意义(P<0.01);组间比较治疗后及随访时疗效等级分布,差异有统计学意义(P<0.01),针刀组的疗效优于电针组。[结论]针刀松解法对缓解膝骨关节炎疼痛症状安全有效。[Objective] To evaluate the effect and safety of acupotomy for improving the pain symptom in patients with knee osteoarthritis.[Methods] One hundred and eighty patients were randomly assigned to acupotomy group（n=90） and electro-acupuncture（EA） group（n=90）,and received acupotomy and EA treatment for 3 weeks respectively.Walking pain and stair activity pain were evaluated at baseline and after treatment and a following-up of 6 months using the ADL scoring method,the safety of acupotomy was evaluated at the same time.[Results] Walking pain and stair activity pain score were raised after treatment and at following-up period of 6 months than baseline（P〈0.01）.The D-value between after treatment or a following-up of 6 months and baseline in acupotomy group were greater than EA group on walking pain and stair activity pain（P〈0.01）.The curative effect level distribution after treatment and at a following-up period of 6 months of acupotomy group were better than EA group（P〈0.01）.[Conclusion] Acupotomy therapy can effectively and safely improve the pain symptom of knee osteoarthritis.

关 键 词：针刀松解法 膝骨关节炎 疼痛 

分 类 号：R684.3[医药卫生—骨科学]