揿针扬刺辅助缓解慢性膝部疼痛疗效观察  

Therapeutic effect observation of chronic knee joint pain assisted with the central-square needling technique of the thumb-tack needles

作　　者：杨扬[1] 戚思 刘梦阅[1] 赵雨[1] 李宁[1] YANG Yang QI Si LIU Mengyue ZHAO Yu LI Ning(Department of Integrated Chinese and Western Medicine, West China Hospital Affiliated to Sichuan University, Chengdu 610041, China School of Acupuncture, Moxibustion and Tuina, Chengdu University of TCM)

机构地区：[1]四川大学华西医院中西医结合科,成都610041 [2]成都中医药大学针灸推拿学院

出　　处：《中国针灸》2017年第10期1052-1056,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较常规针灸推拿加揿针扬刺与常规针灸推拿治疗慢性膝部疼痛的临床疗效差异。方法:将120例慢性膝部疼痛患者随机分为观察组和对照组,每组60例。对照组采用常规针灸推拿治疗;观察组在常规针灸推拿治疗结束后在距主穴"阿是穴"上下左右各1~1.5 cm处将1.2 mm长揿针埋入皮下24~48 h。两组患者均隔天治疗1次,每周治疗3次,共治疗2周,随访3个月。观察比较两组患者每次治疗前视觉模拟量表(VAS)评分、治疗前与随访结束时Lequesne指数评分,及随访期主动使用止痛药物或再次针灸治疗患者例数。结果:治疗后两组患者VAS评分呈逐渐下降趋势,均自治疗2次后VAS评分与治疗前比较差异有统计学意义(均P<0.05),其中观察组自治疗3次后VAS评分较对照组改善明显(均P<0.05);两组随访结束时Lequesne指数评分均较治疗前改善(均P<0.05),且改善程度两组相当(P>0.05);随访期间观察组、对照组主动使用药物治疗例数分别为0例、9例(P<0.05),再次使用针灸治疗分别为5例、1例(P>0.05)。结论:揿针扬刺辅助下的针灸推拿治疗方案对慢性膝关节区域疼痛症状改善明显,能更持续稳定每次针灸止痛疗效,提高患者治疗依从性。Objective To compare the differences in the clinical therapeutic effects on chronic knee joint pain between the combination of the central-square needling technique of thumb-tack needles with the routine therapy of acupuncture,moxibustion and tuina and the routine therapy of acupuncture,moxibustion and tuina.Methods One hundred and twenty patients of chronic knee joint pain were randomized into an observation group and a control group,60 cases in each one.In the control group,the routine therapy of acupuncture,moxibustion and tuina was adopted.In the observation group,at the end of treatment with the routine therapy of acupuncture,moxibustion and tuina,the subcutaneous embedding therapy was followed with four thumb-tack needles at the sites 1 to 1.5 cm above,below and bilateral to the main point（ashi point） separately,and the needles were retained for 24 h to 48 h.The treatment was given once every two days,three times a week,totally 6 times in two weeks;and the follow-up visit was done for 3 months in patients of the two groups.The visual analogue scale（VAS） score before and after each treatment,Lequesne index score before treatment and at the end of follow-up and the case numbers of proactive use of painkillers or receiving acupuncture treatment in the follow-up stage were compared and observed in the patients of the two groups.Results The VAS score was reduced gradually after treatment in the patients of the two groups.The differences were significant statistically after the second treatment as compared with those before the treatment in the two groups（all P〈0.05）,in which,the improvements in VAS scores after the third treatment in the observation group were more obvious than those in the control group（all P〈0.05）.At the end of follow-up visit,Lequesne index scores were all improved as compared with those before treatment in the two groups（both P〈0.05） and the improvements were similar between the two groups（P〉0.05）.In the follow-up stage,there were 0 case in the observation gro

关 键 词：慢性膝部疼痛 揿针 扬刺 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]