不同进针方向针刺治疗膝关节骨性关节炎60例观察  

作　　者：邱曼丽 

机构地区：[1]上海市普陀区中医医院针灸科210室,上海200062

出　　处：《实用中医药杂志》2016年第7期711-712,共2页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察不同进针方向针刺治疗膝关节骨性关节炎的临床疗效。方法:60例随机分为治疗组30例和对照组30例,治疗组的进针方向为斜刺45°针向病所,对照组的进针方向为直刺,治疗时间均为4周。结果:治疗后7天、14天、28天两组膝关节视觉模拟评分较治疗前均显著降低(P<0.05);14天、28天治疗组视觉模拟评分明显低于对照组(P<0.05);治疗后7天、14天、28天两组膝关节功能评分较治疗前均显著升高(P<0.05);14天、28天治疗组膝关节功能评分明显高于对照组(P<0.05)。结论:斜刺进针法针向病所治疗膝关节骨性关节炎的疗效优于常规直刺进针法。Objective ： To observe the clinical curative effect of the different needle direction on knee osteoarthritis. Method： 60 patients were randomly divided into treatment group and control group, 30 cases in each group. The needle insertion direction of the treatment group was oblique 45° to disease location while that of the control group was perpendicular. The treatment time was 4 weeks. Result： 7d, 14 d and 28 d after the treatment, two groups of patients with knee pain VAS score before treatment were significantly reduced （ P〈0.05 ） . 14 d and 28 d after the treatment, VAS score of the treatment group was obviously lower than that of the control group （P〈0.05） .7d, 14 d and 28 d after the treatment, knee functional score of two groups was significantly higher than that before treatment （ P〈0.05 ） .14 d and 28 d after the treatment, knee functional score of the treatment group was obviously higher than that of the control group （ P〈0.05 ） .Conclusion： The therapeutic effect of oblique insertion is superior to that of the conventional perpendicular insertion in the treatment of knee osteoarthritis.

关 键 词：膝关节骨性关节炎 针刺 进针方法 对照治疗观察 

分 类 号：R246.984.3[医药卫生—针灸推拿学]