蜂针经穴散刺法与直刺法治疗类风湿关节炎的疗效对比研究  

Comparative Study of the Efficacy of Scattered Versus Direct Bee Sting Needling at Acupoints in Treating Rheumatoid Arthritis

作　　者：段晓荣[1] 廖雪[2] 李彩莲[2] 田春艳 管浩 DUAN Xiao-rong1, LIAO Xue2, LI Cai-lian2, TIAN Chun-yan2, GUAN Hao2.(1. The Third Affiliated Hospital of Yunnan University of Traditional Chinese Acupuncture, Kunming 650500, China; 2.Yunnan University of Traditional Chinese Medicine, Kunming 650500, China)

机构地区：[1]云南中医学院第三附属医院,昆明650500 [2]云南中医学院,昆明650500

出　　处：《上海针灸杂志》2018年第7期809-812,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：云南省教育厅科学研究基金项目(2017YJS122)

摘　　要：目的观察蜂针经穴散刺法与直刺法治疗类风湿关节炎的疗效差异。方法将72例类风湿关节炎患者随机分为治疗组和对照组,每组36例。治疗组采用蜂针经穴散刺法治疗,对照组采用蜂针经穴直刺法治疗。两组均每周治疗3次,2周为1个疗程。治疗2个疗程后,观察两组治疗前后关节疼痛程度(VAS评分)、疼痛关节个数及关节功能障碍指数的变化情况,并比较两组临床疗效。结果两组治疗后VAS评分、疼痛关节个数及关节功能障碍指数与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后VAS评分、疼痛关节个数及关节功能障碍指数与对照组比较,差异均无统计学意义(P>0.05)。治疗组总有效率为88.9%,对照组为91.7%,两组比较差异无统计学意义(P>0.05)。结论蜂针经穴散刺法与直刺法均能改善类风湿关节炎患者关节疼痛程度、疼痛关节个数及关节功能障碍指数,且蜂针经穴散刺法更易于被患者接受。Objective To observe and compare the clinical efficacy of scattered versus direct bee sting needling at acupoints in treating rheumatoid arthritis. Method Seventy-two patients with rheumatoid arthritis were randomized to treatment and control groups, with 36 cases in each group. The treatment group received scattered bee sting needling at acupoints and the control group received direct bee sting needling at acupoints. In both groups, treatment was given three times a week, two weeks as a course, for two courses. After two courses, the changes in the degree of joint pain [Visual Analogue Scale（VAS） score], the number of painful joints, and the index of joint dysfunction in the two groups were observed, and the clinical efficacies of the two groups were compared. Result After the treatment, the VAS score, the number of painful joints, and the index of joint dysfunction changed significantly in both groups（P〈0.05）. There were no significant inter-group differences in the VAS score, the number of painful joints, and the Index of joint dysfunction（P〈0.05）. The total efficacy rate was 88.9% in the treatment group and 91.7% in the control group; there was no statistically significant difference between the two groups（P〈0.05）. Conclusion Both scattered and direct bee sting needling at acupoints can ameliorate the degree of joint pain, the number of painful joints, and the index of joint dysfunction in rheumatoid arthritis. Scattered bee sting needling at acupoints is easier for the patients to accept.

关 键 词：关节炎 类风湿 蜂针 散刺法 直刺法 

分 类 号：R246.2[医药卫生—针灸推拿学]