穴位埋线治疗膝骨关节炎临床观察  

Clinical Observation on Acupoint Catgut Embedding in the Treatment of Knee Osteoarthritis

作　　者：潘媛媛 唐侠军 崔文强 李璟[4] 孙文善 PAN Yuanyuan;TANG Xiajun;CUI Wenqiang;LI Jing;SUN Wenshan(Department of Traditional Chinese Medicine,Meilong Community Health Service Center,Shanghai 201104,China;Department of Traditional Chinese Medicine,Yanghang Community Health Service Center,Shanghai 201901,China;Department of Integrative Medicine and Neurobiology,School of Basic Medical Sciences,Fudan University,Shanghai 200032,China;Department of Acupuncture,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai200437,China;Department of Endocrinology,the Tenth People’s Hospital of Shanghai 200072,China)

机构地区：[1]上海市闵行区梅陇社区卫生服务中心中医科,上海201104 [2]上海市宝山区杨行社区卫生服务中心中医科,上海201901 [3]复旦大学基础医学院中西医结合与神经生物学系,上海200032 [4]上海中医药大学附属岳阳中西医结合医院针灸科,上海200437 [5]上海市第十人民医院内分泌科,上海200072

出　　处：《中国中医药现代远程教育》2020年第9期90-92,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察穴位埋线治疗膝骨关节炎的临床疗效,并比较埋线组与针刺组之间的疗效差异。方法把70例膝骨关节炎患者随机分为2组,其中埋线组35例,针刺组35例。2组选穴均选患侧血海、梁丘、阴陵泉、阳陵泉、内外膝眼、阿是穴进行治疗。针刺组采用普通针刺,留针30 min,每周治疗3次,连续治疗3周;埋线组采用穴位埋线,每周1次,连续治疗3周。治疗前后分别进行指标测定。按照视觉模拟评分法(VAS)疼痛程度评分和KOOS量表评分分别计算针刺疗法和埋线疗法的疼痛、症状、日常活动、运动和娱乐功能以及膝关节相关的生活质量等5个维度的评分变化。结果治疗后,针刺组与埋线组VAS疼痛评分均有明显降低,差异有统计学意义(P<0.05);治疗后,针刺组与埋线组KOOS量表总评分均有明显升高,差异有统计学意义(P<0.05);治疗后,针刺组与埋线组之间VAS疼痛评分及KOOS总评分无明显差异(P>0.05)。结论穴位埋线能够很好地缓解膝骨关节炎患者的疼痛,并减轻相关症状。埋线组与针刺组相比,疗效无明显差异。Objective To observe and compare the clinical efficacy of acupoint catgut embedding and acupuncture in patients with knee osteoarthritis(KOA).Methods Seventy patients with KOA were randomly divided into two groups,including 35 patients in the AcuE group and 35 patients in the acupuncture group.In the two groups,Xuehai(SP10),Liangqiu(ST34),Yinglingquan(SP9),Yanglingquan(GB34),Waixiyan(EX-LE5),Neixiyan(EX-LE4)and ashi acupoints were selected for treatment.Acupuncture group was treated with ordinary acupuncture for 30 minutes,3 times per week,for 3 weeks.AcuE was used in the embedding group,once a week,for 3 weeks.Indicators were measured before and after treatment.Five elements,including pain,clinical symptoms,daily life,athletic ability and entertainment function and knee related quality of life,were evaluated by visual simulation score(VAS)and KOOS scores.Results Both APE and acupuncture significantly reduced the VAS scores and increased the KOOS scores of KOA patients.Meanwhile,there was no significant difference in the VAS and KOOS scores between AcuE and acupuncture.Conclusion AcuE significantly attenuated the chronic pain and improved the clinical symptoms of patients with KOA.No significant difference occurred in the AcuE and acupuncture groups.

关 键 词：膝骨关节炎 穴位埋线疗法 针刺疗法 痹证 

分 类 号：R246.9[医药卫生—针灸推拿学]