小针刀联合激痛点疗法治疗膝骨性关节炎临床观察  

Clinical Effect of Acupotomy Combined with Trigger Pointtherapy on Knee Osteoarthritis

作　　者：张欣[1] 李开平[2] ZHANG Xin;LI Kaiping(Shuyang County Hospital Affiliated to Nanjing University of Chinese Medicine,Shuyang 223600,Jiangsu,China;Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu,China)

机构地区：[1]南京中医药大学附属沭阳县中医院,江苏沭阳223600 [2]南京中医药大学,江苏南京210029

出　　处：《辽宁中医药大学学报》2020年第11期169-172,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：宿迁市指导性科技计划项目(Z2018131)。

摘　　要：目的探讨小针刀联合激痛点疗法治疗膝骨性关节炎的临床疗效。方法纳入宿迁市沭阳县中医院针灸推拿科、疼痛科2018年6月—2019年6月收治的膝骨性关节炎患者60例,根据随机数字表法将患者均分为两组,各30例。对照组给予小针刀治疗,观察组给予小针刀联合激痛点疗法治疗,治疗4周后,对比两组治疗效果、两组治疗前后的NRS评分、Lysholm膝关节功能评分、膝关节活动度、肿胀程度、血清IL-6和ESR水平。结果观察组治疗总有效率较对照组显著提高(93.33%vs 76.67%)(P<0.05)。与治疗前比较,两组治疗后的NRS评分均显著减少(P<0.05),Lysholm评分显著提高(P<0.05),膝关节活动度显著增加(P<0.05),肿胀程度显著降低(P<0.05),血清IL-6和ESR水平显著降低(P<0.05),且两组组间数据比较,观察组均显著优于对照组(P<0.05)。结论小针刀联合激痛点疗法治疗膝骨性关节炎疗效显著,相对于单独小针刀治疗而言,可显著提高临床疗效,改善患者膝关节功能,减轻患者疼痛程度,减少血清炎症因子水平。Objective To explore the clinical effect of acupotomy combined with trigger point therapy on knee osteoarthritis.Methods 60 patients with knee osteoarthritis treated in the acupuncture and massage department and the pain department of Liyang county traditional Chinese medicine hospital in Suqian city from June 2018 to June 2019 were included.The patients were divided into 2 groups according to the random number table method,each with 30 patients.The control group was treated with a acupotomy,and the observation group was treated with a acupotomy combined with trigger point therapy.After 4 weeks of treatment,the two groups were compared for treatment effects,NRS scores before and after treatment,Lysholm knee function score,knee mobility,Degree of swelling,serum IL-6 and ESR levels.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(93.33%vs 76.67%,P<0.05).Compared with before treatment,the NRS score after treatment was significantly reduced in both groups(P<0.05),the Lysholm score was significantly improved(P<0.05),the knee joint mobility was significantly increased(P<0.05),and the degree of swelling was significantly reduced(P<0.05),serum IL-6 and ESR levels were significantly reduced(P<0.05),and the data between the two groups were significantly better in the observation group than in the control group(P<0.05).Conclusion Acupotomy combined with trigger point therapy has a significant effect on knee osteoarthritis.Compared with acupotomy treatment alone,it can significantly improve clinical efficacy,improve knee function,reduce pain and reduce serum inflammatory factors.

关 键 词：膝骨性关节炎 临床疗效 小针刀 疼痛 激痛点疗法 

分 类 号：R246[医药卫生—针灸推拿学]