基于肌骨超声评价“贺氏针灸三通法”治疗膝骨关节炎的临床研究  

Clinical Study on‘He's Acupuncture-Moxibustion Three Removing Obstruction Method’in Treating KOA Based on Evaluation of Musculoskeletal Ultrasound

作　　者：游伟[1] 刘雪梅 陈斯丹 王爽[2] 孙敬青[1] YOU Wei;LIU Xuemei;CHEN Sidan;WANG Shuang;SUN Jingqing(Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China;Capital Medical University, Beijing 100069, China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]首都医科大学,北京100069

出　　处：《针灸临床杂志》2021年第11期22-26,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：北京市中医管理局北京地区中医康复服务能力与技术平台规范化建设项目(2016年);北京中医医院级课题,编号:YJ-201726;针灸神经调控北京市重点实验室,编号:BZ0437。

摘　　要：目的:基于肌骨超声评价“贺氏针灸三通法”治疗膝骨关节炎的临床疗效及安全性。方法:将52例膝骨关节炎患者随机分为研究组(27例)及对照组(25例),研究组采用“贺氏针灸三通法”治疗,对照组予口服硫酸氨基葡萄糖钾胶囊,两组均治疗4周,比较两组治疗前后膝关节腔积液量、滑膜增生程度、WOMAC评分及膝关节周径的变化情况。结果:研究组治疗后膝关节腔积液量、滑膜增生程度、WOMAC评分和膝关节周径均有改善,差异有统计学意义(P<0.05);对照组治疗后WOMAC评分降低,差异有统计学意义(P<0.05);研究组治疗后膝关节腔积液量、滑膜增生程度、WOMAC评分的改善情况均优于对照组,差异有统计学意义(P<0.05)。治疗结束4周后随访,研究组WOMAC评分、膝关节周径的改善情况优于对照组,差异有统计学意义(P<0.05)。两组患者安全性评价指标均未见明显异常。结论:“贺氏针灸三通法”可有效、安全地改善KOA患者症状、体征,且治疗效应具有一定持续性;通过肌骨超声观察发现,“贺氏针灸三通法”可能通过改善膝关节滑膜炎程度从而减轻患者症状。Objective:To evaluate the efficacy and safety of‘He's acupuncture-moxibustion three removing obstruction methods’in the treatment of knee osteoarthritis(KOA)based on evaluation of musculoskeletal ultrasound.Methods:A total of 52 patients with KOA were randomly divided into the study group(n=27)and the control group(n=25).The study group was treated with‘He's acupuncture-moxibustion three removing obstruction methods’,and the control group was treated with Glucosamine Sulfate Capsule.The treatment duration was 4 weeks.The knee effusion volume,the degree of synovial hyperplasia,the WOMAC score and the knee circumference were compared before and after the treatment in the two groups.Results:After 4 weeks of the treatment,the knee effusion volume,the synovial hyperplasia degree,the WOMAC score,and the knee circumference were significantly improved compared to those before the treatment in the study group(P<0.05);the WOMAC score was significantly decreased compared to those before the treatment in the control group(P<0.05).The improvements of the knee effusion volume,the synovial hyperplasia degree and the WOMAC were more significant in the study group than those in the control group(P<0.05).During the follow-up of 4 weeks after the treatment,the improvements of the WOMAC score and knee circumference were more significantly in the study group than those in the control group(P<0.05).There were no abnormalities in safety indexes in both groups.Conclusion:‘He's acupuncture-moxibustion three removing obstruction methods’can effectively and safely improve the symptoms and signs of patients with KOA,with its continuous therapeutic effect.It is found that‘He's acupuncture-moxibustion three removing obstruction methods’may reduce the symptoms of patients by improving knee synovitis based on musculoskeletal ultrasound.

关 键 词：膝骨关节炎 肌骨超声 贺氏针灸三通法 

分 类 号：R246.2[医药卫生—针灸推拿学]