围针刺结合推拿治疗膝骨性关节炎的临床疗效  

Observation on the Clinical Effects of Surrounding Acupuncture Combined with Massage on Treating Knee Osteoarthritis

作　　者：贺晶 苏茁威 郭凡 李守栋[1] HE Jing;SU Zuowei;GUO Fan;LI Shoudong(Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学,南京210029

出　　处：《世界中医药》2020年第16期2478-2481,共4页World Chinese Medicine

基　　金：国家中医药要管理局重点学科开放课题(TNGF2013-02)。

摘　　要：目的:探讨围针刺推拿治疗膝骨性关节炎的临床疗效及其作用机制。方法:选取2017年11月至2018年12月南京中医药大学国医堂门诊、栖霞区仙林医院门诊及江苏省中医院治疗的膝骨性关节炎患者62例作为研究对象进行回顾性研究,按照治疗方不同分为对照组(n=30)和观察组(n=32),对照组采用常规针灸推拿的方法,主穴:阳陵泉、阿是穴、大杼、膝眼、血海、梁丘,配穴随证加减,平补平泻,结合推拿。观察组采取膝关节周围腧穴及阿是穴密集围针刺结合推拿。6次为1个疗程,连续治疗2个疗程后记录2组症状、体征积分及治疗有效率,2个月后随访再次评估。结果:2个疗程后,观察组治疗有效率达93.75%(30/32),高于对照组86.67%(26/30)。2组治疗前VAS评分比较差异无统计学意义(P>0.05)。治疗后VAS评分均较治疗前下降,差异有统计学意义(P<0.02)。围针刺推拿组治疗后VAS评分低于常规针推组,差异有统计学意义(P<0.02)。2组治疗前WOMAC比较差异无统计学意义(P>0.05);治疗后WOMAC评分均较治疗前下降,观察组WOMAC评分低于对照组,差异有统计学意义(P<0.05)。结论:采用围针刺结合推拿治疗膝骨性关节炎操作简便,可快速改善患者症状,恢复关节功能活动,提高生命质量,远期疗效肯定。Objective:To explore the clinical efficacy and action mechanism surrounding acupuncture combined with massage for the treatment of knee osteoarthritis(KOA).Methods:A total of 62 patients with knee osteoarthritis admitted to the outpatient clinic of Guoyitang,Nanjing University of Chinese Medicine,Xianlin Hospital of Qixia District and Jiangsu Provincial Hospital of Chinese Medicine from Nov.2017 to Dec.2018 were selected and were divided into a control group and an observation group according to different treatment methods,with 32 cases in each group.In the control group,the mainly acupoints were:Yanglingquan(GB34),Ashi point,Dazhu(BL11),Xiyan(EX-LE4),Xuehai(SP10),Liangqiu(St34),the matching points changed with symptoms,mild reinforcing and attenuating,combined with massage.The observation group chose acupoints around the knee joint and Ashi point and surrounding acupuncture combined massage.6 times were one course.After 2 consecutive courses,the symptom,sign score and the effective rates of the 2 groups were recorded,follow-up assessment was conducted again after 2 month.Results:After 2 courses,the effective rate was 93.75%(30/32)in treatment group,which was higher than 86.67%(26/30)in control group.Conclusion:The use of surrounding acupuncture and massage on treating knee osteoarthritis is simple and convenient,which can relieve the symptoms of patients quickly and recover the function of joint movement and improve the quality of their life.The long-term efficacy is also positive.

关 键 词：围针刺法 膝骨性关节炎 临床观察 推拿 症状 联合治疗 回顾性分析 随机对照试验 生命质量 

分 类 号：R245[医药卫生—针灸推拿学] R684[医药卫生—中医临床基础]