郑氏热补针法治疗早期原发性膝骨关节炎36例临床观察  

Clinical observation on 36 cases of early primary knee osteoarthritis treated by ZHENG’s heat-reinforcing acupuncture manipulation

作　　者：何文洁 郑欣 王娜娜 张馨予 李梦莘 王金海[2] 杜小正 HE Wenjie;ZHENG Xin;WANG Nana;ZHANG Xingyu;LI Mengxin;WANG Jinhai;DU Xiaozheng(School of Acu-moxibutsion and Massage,Gansu University of Chinese Medicine,Lanzhou,Gansu,730101,China;Department of TCM,the Second Hospital of Lanzhou University,Lanzhou,Gansu,730030,China;School of Postgraduate,Gansu University of Chinese Medicine,Lanzhou,Gansu,730000,China)

机构地区：[1]甘肃中医药大学针灸推拿学院,甘肃兰州730101 [2]兰州大学第二医院中医科,甘肃兰州730030 [3]甘肃中医药大学研究生院,甘肃兰州730000

出　　处：《甘肃中医药大学学报》2021年第3期74-78,共5页Journal of Gansu University of Chinese Medicine

基　　金：国家中医药管理局甘肃郑氏针法学术流派传承工作室项目(2305135901);兰州市科学技术局人才创新创业项目(2016-RC-50)。

摘　　要：目的观察郑氏热补针法治疗早期原发性膝骨关节炎的临床疗效。方法将80例早期原发性膝骨关节炎患者采用随机数字表法分为治疗组和对照组,各40例。治疗组采用郑氏热补针法治疗,对照组采用平补平泻法治疗,2组均每日针刺1次,连续5 d为1个疗程,疗程间休息2 d,4个疗程后比较2组的临床疗效及治疗前后的视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分。结果治疗后2组VAS、WOMAC各项评分及总评分均明显下降,与同组治疗前比较差异有统计学意义(P<0.01),且治疗组下降更明显,与对照组治疗后比较差异有统计学意义(P<0.05);对照组总有效率为81.1%(30/37),治疗组为91.7%(33/36),2组比较差异有统计学意义(P<0.05)。结论热补针法治疗早期原发性膝骨关节炎临床疗效显著,可明显改善患者的临床症状和体征,疗效优于平补平泻法,值得临床推广应用。Objective To observe the clinical efficacy of ZHENG’s heat-reinforcing acupuncture manipulation in the treatment of early primary knee osteoarthritis( KOA). Methods Eighty patients with early primary KOA were divided into treatment group and control group according to random number table method,with 40 cases in each group. The treatment group was treated with ZHENG’s heat-reinforcing acupuncture manipulation,while the control group was treated with mild supplementing and reducing acupuncture manipulation. The 2 groups were treated with acupuncture once a day for 5 consecutive days as 1 course of treatment,with a 2-day rest between the courses. After 4 courses of treatment,the clinical efficacy,visual analogue scale( VAS) score before and after treatment,and the Western Ontario and McMaster Universities( WOMAC) osteoarthritis index score of the 2 groups were compared. Results After treatment,VAS,WOMAC scores and total score of the 2 groups significantly decreased and the difference was statistically significant compared with those in the same group before treatment( P <0.01),moreover,the decrease in the treatment group was more significant,and the difference was statistically significant compared with the control group after treatment( P<0.05). The total effective rate of the control group was 81.1%( 30/37),and that of the treatment group was 91.7%( 33/36),and the difference between the 2 groups was statistically significant( P<0.05). Conclusion It has marked clinical efficacy,can markedly improve the clinical symptoms and signs of the patients to use heat-reinforcing acupuncture manipulation in the treatment of early primary KOA,whose curative effect is better than that of mild supplementing and reducing acupuncture manipulation,which deserves clinical promotion and application.

关 键 词：原发性膝骨关节炎 热补针法 平补平泻法 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]