“膝六”“膝七”点针刀松解对早中期膝骨关节炎的疗效研究  

Efficacy study of“Knee six fixed-point”“knee seven fixed-point”acupotomy on knee osteoarthritis in early and middle stage

作　　者：方丽娜[1] 李上封 袁红丽[1] 周钰[1] FANG Lina;LI Shangfeng;YUAN Hongli;ZHOU Yu(Department of Acupuncture and Massage,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,新疆乌鲁木齐830000

出　　处：《中国医药导报》2022年第18期27-32,共6页China Medical Herald

基　　金：新疆维吾尔自治区科技支疆计划项目(2020E0289)。

摘　　要：目的观察“膝六”“膝七”点针刀治疗对早中期膝骨关节炎(KOA)的临床疗效。方法选取2020年2月至2021年6月新疆医科大学第一附属医院针灸推拿科、风湿科门诊及病房KOA患者70例为研究对象,按随机数字表法将其分为对照组和治疗组。对照组(35例)给予西药加中药溻渍治疗,治疗组(35例)给予西药加中药溻渍配合针刀治疗,针刀治疗每周1次。3周后观察两组治疗前后简化McGill疼痛问卷[包括疼痛感觉、疼痛情感、视觉模拟评分法(VAS)、现时疼痛强度(PPI)]评分、膝关节活动度、膝关节炎严重性指数(ISOA)评分及临床疗效。结果治疗后,两组疼痛感觉、疼痛情感、VAS、PPI评分较治疗前降低,且治疗组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组屈膝评分较治疗前升高、伸膝评分较治疗前降低,且治疗组屈膝评分高于对照组,伸膝评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组ISOA评分较治疗前升高,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论运用“膝六”“膝七”点针刀治疗早中期KOA效果肯定,能改善早中期KOA患者病理性疼痛,帮助恢复关节功能,提高临床疗效。Objective To observe clinical effect of“knee six fixed-point”“knee seven fixed-point”acupotomy on knee osteoarthritis in early and middle stage.Methods From February 2020 to June 2021,seventy cases of KOA patients in the outpatient and ward of Department of Acupuncture and Massage and Department of Rheumatology of the First Affiliated Hospital of Xinjiang Medical University were selected as the research objects.They were divided into control group and treatment group according to random number table method.The control group(35 patients)were treated with Western medicine and traditional Chinese herb external medicinal liquid application,the treatment group(35 cases)was treated with Western medicine and traditional Chinese herb external medicinal liquid application combined with acupotomy therapy,acupotomy therapy once a week.Short form McGill pain questionnaire(including pain sensation,pain emotion,visual analogue scale[VAS],and present pain intensity[PPI])scores,knee range of motion,index severity of knee arthritis(ISOA)scores,and clinical efficacy before and after treatment were observed after three weeks.Results After treatment,the pain sensation,pain emotion,VAS,and PPI scores in two groups were lower than those before treatment,and those in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the knee bend scores of the two groups were higher than those before treatment,the knee extension scores of the two groups were lower than those before treatment,and the knee bend score of the treatment group was higher than that of the control group,while the knee extension score of the treatment group was lower than that of the control group,the differences were statistically significant(P<0.05).After treatment,ISOA scores of the two groups were higher than those before treatment,and that in the treatment group was higher than that in the control group,the differences were statistically significant(P<0.05).The clinical efficacy of

关 键 词：膝骨关节炎 针刀松解 病理性疼痛 膝关节活动度 临床疗效 

分 类 号：R684.3[医药卫生—骨科学]