留置针刀后自然放血法治疗瘀血留滞型膝关节滑囊炎的临床研究  

Clinical Research on the Treatment of Gonarthromeningitis of Static Blood Type with Natural Exsanguination Method after Indwelling Needle-knife

作　　者：赵磊[1,2] 李建军[2] 王学华[1] 刘国芹[1] 张茂林[1] 

机构地区：[1]国际关系学院,北京100091 [2]北京朝阳中医院,北京100020

出　　处：《中医药导报》2018年第2期88-90,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：首批北京市中医药学科团队基地建设项目(京中医科字[2013]78)

摘　　要：目的:探讨在疼痛囊壁理论指导下,留置针刀后自然放血法治疗瘀血留滞型膝关节滑囊炎的效果。方法:将118例瘀血留滞型膝关节滑囊炎患者随机分为治疗组59例和对照组59例。治疗组在留置针刀过程中的第5分钟和第15分钟各行针刀手法1次,拔出针刀后自然流血30 s后无菌敷料压迫止血;对照组用普通留置针灸治疗,留置针灸过程中的第5分钟和第15分钟各行针灸手法1次。比较两组治疗前后的症状、体征积分变化。结果:治疗组总有效率为89.8%,对照组为71.2%,差异有统计学意义(P<0.05)。结论:疼痛囊壁可能存在,留置针刀治疗瘀血留滞型膝关节滑囊炎效果显著。Objective： To observe the clinical effect of natural exsanguination method after indwelling needle-knife in the treatment of gonarthromeningitis of static blood type under the guidance of capsule wall pain theory. Methods： Totally 118 patients were randomly divided into the control group （59 cases） and the treatment group （59 cases）. Patients in the treatment group were treated with acupotomology twice, one at the fifth minute and another at fifteenth minute. The needle knife was then pulled out. After 30 seconds of natural bleeding, a sterile dressing and compression hemostasis was applied. Patients in the control group took acupuncture with indwelling needle. They were treated with acupuncture twice, one at fifth minute and another at fifteenth minute. Changes of clinical symptoms and cumulative scores were detected in the two groups before and after treatment. Results： Total effective rate of treatment group was 89.8%, total effective rate of control group was 71.2%. There was statistical difference in curative effect between the two groups （P〈0.05）. Conclusions： Capsule wall pain may exist. Indwelling needle-knife has satisfactory therapeutic effect on gonarthromeningitis of static blood type.

关 键 词：膝关节滑囊炎 针刀 留置 疼痛囊壁理论 

分 类 号：R255.6[医药卫生—中医内科学]