浮针治疗老年膝骨关节炎的疗效观察及对疼痛和关节功能的影响  

Observations on the Efficacy of Subcutaneous Needling for Senile Knee Osteoarthritis and Its Effect on Pain and Joint Function

作　　者：李虎 赵宇棋 白田雨 王欣 LI Hu;ZHAO Yuqi;BAI Tianyu;WANG Xin(Shandong Provincial Third Hospital,Jinan 250031,China;Jinan Municipal Hospital of Traditional Chinese Medicine,Jinan 250012,China)

机构地区：[1]山东省立第三医院,济南250031 [2]济南市中医医院,济南250012

出　　处：《上海针灸杂志》2022年第9期907-911,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：山东省基层卫生科技创新计划项目(JCK1909,JCK20005,JCK22006);山东省中医药高层次人才培育项目专项经费资助[鲁卫中医药科教字(2021)6号];齐鲁卫生与健康领军人才培育工程;山东省中医药科技项目(2021M198)。

摘　　要：目的观察浮针治疗老年膝骨关节炎的临床疗效及对患者疼痛和关节功能的影响。方法将70例老年膝骨关节炎患者随机分为观察组和对照组,每组35例。观察组采用浮针治疗,对照组采用外用氟比洛芬凝胶贴膏治疗。观察两组治疗前后视觉模拟量表(VAS)评分和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、步速的变化,并比较两组临床疗效。结果观察组总有效率85.7%,高于对照组的71.4%(P<0.05)。两组治疗后的VAS和WOMAC评分均低于治疗前(P<0.05),观察组均低于对照组(P<0.05);两组治疗后步速均增快(P<0.05),观察组快于对照组(P<0.05)。结论浮针可以减轻老年膝骨关节炎患者的疼痛程度,改善关节功能,提高步速,改善肌肉功能。Objective To observe the clinical efficacy of subcutaneous needling for senile knee osteoarthritis and its effect on pain and joint function.Method Seventy senile patients with knee osteoarthritis were randomized to observation and control groups,with 35 cases in each group.The observation group received subcutaneous needling and the control group,external application of flurbiprofen gel plaster.The visual analog scale(VAS)score,the Western Ontario and McMaster Universities osteoarthritis index(WOMAC)score and leg speed were recorded in the two groups before and after treatment.The clinical efficacy was compared between the two groups.Result The total efficacy rate was 85.7%in the observation group,which was higher than 71.4%in the control group(P<0.05).After treatment,the VAS and the WOMAC scores decreased in the two groups compared with before(P<0.05)and were lower in the observation group than in the control group(P<0.05).After treatment,leg speed increased in the two groups(P<0.05)and was faster in the observation group than in the control group(P<0.05).Conclusion Subcutaneous needling can reduce pain severity,improve joint function,increase leg speed and ameliorate muscle function in senile patients with knee osteoarthritis.

关 键 词：针刺疗法 浮针 骨关节炎 膝 视觉模拟量表 西安大略和麦克马斯特大学骨关节炎指数 

分 类 号：R246.2[医药卫生—针灸推拿学]