长针斜刺阿是穴对女性早中期膝关节骨关节炎患者关节功能的影响  

Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages

作　　者：李锡 张永旺 高天慈 尹世林 刘路 齐立卿 LI Xi;ZHANG Yongwang;GAO Tianci;YIN Shilin;LIU Lu;QI Liqing(Third Department of Orthopaedics,First Affiliated Hospital of Hebei University of CM,Shijiazhuang 050000,China;Hebei University of CM;Preventive Treatment of Disease Department,First Affiliated Hospital of Hebei University of CM,Shijiazhuang 050000,China)

机构地区：[1]河北中医药大学第一附属医院骨伤三科,石家庄050000 [2]河北中医药大学 [3]河北中医药大学第一附属医院治未病科,石家庄050000

出　　处：《中国针灸》2024年第9期1017-1022,共6页Chinese Acupuncture & Moxibustion

基　　金：河北省中医药管理局科研计划项目:2023024。

摘　　要：目的:比较长针斜刺阿是穴与口服塞来昔布胶囊对女性早中期膝关节骨关节炎(KOA)患者关节功能的改善情况。方法:将105例女性早中期KOA患者随机分为观察组(65例,脱落6例,中止3例)和对照组(40例,脱落6例,中止2例)。观察组运用长针斜刺阿是穴(股四头肌、腘绳肌、腘肌等硬结处)治疗,间隔3 d治疗1次,每周治疗2次,共治疗2周。对照组采用口服塞来昔布胶囊治疗,每次0.2 g,每日1次,共治疗2周。两组均于治疗2周后开始进行功能锻炼。分别于治疗前后和治疗结束后6周(随访)观察两组患者西安大略和麦克马斯特骨关节炎指数(WOMAC)关节功能积分、疼痛视觉模拟量表(VAS)评分,比较两组患者治疗前及随访时生活质量评分简明版(SF-12)评分,评定两组治疗安全性。结果:治疗后及随访时,两组患者WOMAC关节功能积分、VAS评分均较治疗前降低(P<0.05);随访时,两组患者WOMAC关节功能积分、VAS评分均较治疗后降低(P<0.05),SF-12评分较治疗前升高(P<0.05)。治疗后,观察组患者WOMAC关节功能积分低于对照组、VAS评分高于对照组(P<0.001,P<0.01);随访时,观察组患者SF-12评分高于对照组(P<0.05)。两组均未发生严重不良反应。结论:长针斜刺阿是穴可改善女性早中期KOA患者膝关节功能、提高患者生活质量,较口服塞来昔布胶囊治疗效果更佳。Objective To compare the improvement of joint function in female patients with early-middle-stage knee osteoarthritis(KOA)treated by oblique insertion at ashi point with long needle and oral celecoxib capsule.Methods A total of 105 female patients with early-middle-stage KOA were randomly divided into an observation group(65 cases,6 cases dropped out,3 cases were discontinued)and a control group(40 cases,6 cases dropped out,2 cases were discontinued).Patients in the observation group were treated with oblique insertion at ashi point(hard knots of quadriceps femoris,hamstring muscle,popliteal muscle,etc.)with long needle,once every other 3 days,twice a week,for a total of 2 weeks.Patients in the control group were treated with oral celecoxib capsules,0.2 g each time,once a day for 2 weeks.Both groups started functional exercise after 2 weeks of treatment.The joint function score of Western Ontario and McMaster Universities osteoarthritis index(WOMAC)and pain visual analogue scale(VAS)score of the two groups were observed before and after treatment and after 6 weeks of treatment completion(follow-up),the 12-item short-form health survey(SF-12)score was compared between the two groups before treatment and in follow-up,and the safety of the two groups was evaluated.Results After treatment and during the follow-up,the joint function scores of WOMAC and VAS scores of the two groups were lower than those before treatment(P<0.05).During the follow-up,the joint function scores of WOMAC and VAS scores were lower than those after treatment(P<0.05),and the SF-12 scores were higher than those before treatment(P<0.05)in the two groups.After treatment,the joint function score of WOMAC of the observation group was lower and the VAS score was higher than those of the control group(P<0.001,P<0.01).During the follow-up,the SF-12 score of the observation group was higher than that of the control group(P<0.05).No serious adverse reactions occurred in both groups.Conclusion The treatment of oblique insertion at ashi point with long ne

关 键 词：膝关节骨关节炎 针刺 阿是穴 斜刺 骨骼肌 随机对照试验 

分 类 号：R246.9[医药卫生—针灸推拿学]