留置针刀治疗气虚湿阻型和瘀血留滞型膝关节滑囊炎的临床疗效对比研究  

Treatment of Qi-deficiency Due to Damp Retention Type and Blood Stagnation Type Gonarthromeningitis with Indwelling Needle-knife: A Clinical Comparative Study

作　　者：赵磊[1,2] 李建军[2] 赵宗良[2] 刘国芹 王学华[1] 张茂林[1] 丁建中[3] 

机构地区：[1]国际关系学院社区卫生服务站,北京市100091 [2]北京市朝阳区中医医院骨伤科,100020 [3]北京中医药大学东方医院骨伤科,北京市100078

出　　处：《中国全科医学》2017年第34期4331-4334,共4页Chinese General Practice

基　　金：国际关系学院中央高校基本科研业务费专项资金资助项目(3262017T25)

摘　　要：目的比较留置针刀治疗气虚湿阻型和瘀血留滞型膝关节滑囊炎的临床疗效。方法选取2015—2017年在北京市朝阳区中医医院确诊的气虚湿阻型膝关节滑囊炎患者68例、瘀血留滞型膝关节滑囊炎患者59例。两种证型患者均接受留置针刀治疗,并采用半导体激光、红光辅助治疗。比较两种证型患者治疗前和治疗3周后的中医证候积分、中医证候疗效及舌脉疗效。结果治疗前后两种证型患者中医证候积分比较,差异无统计学意义(P>0.05)。治疗后两种证型患者中医证候疗效比较,差异无统计学意义(P>0.05)。两种证型患者舌脉改善率比较,差异无统计学意义(P>0.05)。结论留置针刀治疗气虚湿阻型和瘀血留滞型膝关节滑囊炎的临床疗效无差异,在治疗过程中可忽略辨证分型。Objective To compare the clinical effect of indwelling needle-knife in the treatment of qi-deficiency due to damp retention type versus blood stagnation type gonarthromeningitis. Methods The enrolled participants were 68 cases of qi-deficiency due to damp retention type gonarthromeningitis（ qi-deficiency group） and 59 cases of blood stagnation type gonarthromeningitis（ blood stagnation group） diagnosed and treated in Beijing Chaoyang Hospital of TCM from 2015 to 2017. Both groups received treatment with indwelling needle-knife supplemented by semiconductor laser therapy and red light therapy. TCM symptom complex scores were measured before treatment and after 3 weeks of treatment. The improvements in TCM syndromes and conditions of tongue and pulse were assessed after 3 weeks of treatment. Results Both groups demonstrated similar TCM symptom complex scores before treatment as well as after 3 weeks of treatment（ P 0. 05）. The improvements in TCM symptoms in the qi-deficiency group were not significantly different from those of the blood stagnation group（ P 0. 05）. The improvements in conditions of tongue and pulse in qi-deficiency group were found to be similar to those in the blood stagnation group（ P 0. 05）. Conclusion The treatment with indwelling needle-knife produces similar effects on qi-deficiency due to damp retention type and blood stagnation type gonarthromeningitis. Therefore, it seems that there is no need to consider syndrome differentiation when use this therapy to treat the two types of gonarthromeningitis.

关 键 词：滑囊炎 留置针刀 气虚湿阻 瘀血留滞 

分 类 号：R686.7[医药卫生—骨科学]