循经筋合定点围刺法联合推拿治疗膝骨关节炎的效果评价  

Effect evaluation of meridian tendon fixed point encircling needling method combined with massage in the treatment of knee osteoarthritis

作　　者：胡莎莎[1] 胡丽娟[1] 林俊[2] 何生华 HU Sha-sha;HU Li-juan;LIN Jun(Department of Massage,Wuhan Hospital of Traditional Chinese Medicine,Wuhan Hubei 430050,China;Department of Acupuncture and Moxibustion,Wuhan Hospital of Traditional Chinese Medicine,Wuhan Hubei 430050,China)

机构地区：[1]武汉市中医医院推拿科,湖北武汉430050 [2]武汉市中医医院针灸科,湖北武汉430050

出　　处：《临床和实验医学杂志》2024年第21期2309-2312,共4页Journal of Clinical and Experimental Medicine

基　　金：湖北省中医药管理局中医药科研项目(编号:ZY2023M026)。

摘　　要：目的探讨循经筋合定点围刺法联合推拿治疗膝骨关节炎(KOA)的临床效果。方法前瞻性选取2022年3月至2024年2月在武汉市中医医院就诊的KOA患者138例作为研究对象,按照随机信封法将其分为对照组和联合组,每组各69例。对照组进行传统推拿治疗,联合组采用循经筋合定点围刺法联合推拿治疗,需连续治疗4周。比较两组患者的临床疗效,治疗前、治疗4周后的疼痛情况[视觉模拟评分法(VAS)评分]、治疗前、治疗4周后的膝关节功能评分[西安大略和麦克马斯特大学骨关节指数(WOMAC)量表评分],并记录其不良反应。结果联合组临床总有效率为92.75%,高于对照组(81.16%),差异有统计学意义(P<0.05)。治疗4周后,两组VAS评分均较治疗前降低,且联合组VAS评分为(3.37±1.17)分,较对照组[(4.40±1.24)分]更低,差异均有统计学意义(P<0.05)。治疗4周后,两组疼痛、关节僵硬、关节失能评分及WOMAC总分较治疗前下降,且联合组各项评分分别为(6.47±2.77)、(1.93±0.86)、(18.45±7.32)、(26.85±9.00)分,均较对照组[(10.52±2.84)、(2.98±1.00)、(30.69±8.34)、(44.19±9.45)分]更低,差异均有统计学意义(P<0.05)。两组均未发生不良反应,安全性较好。结论对KOA患者实施循经筋合定点围刺法联合推拿治疗临床疗效显著,疼痛明显减轻,膝关节改善良好,且安全性好。Objective To investigate the clinical effect of meridian tendon fixed point encircling needling combined with massage method in the treatment of knee osteoarthritis(KOA).Methods A total of 138 patients with KOA who were treated in Wuhan Hospital of Traditional Chinese Medicine from March 2022 to February 2024 were prospectively selected as the research objects.They were divided into control group and combined group according to the random envelope method,with 69 cases in each group.The control group was treated with massage method,and the combined group was treated with meridian tendon fixed point encircling needling combined with massage method,requiring continuous treatment for 4 weeks.The clinical efficacy,pain[visual analogue scale(VAS)score]before treatment and 4 weeks after treatment,knee joint function score[Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scale score]before treatment and 4 weeks after treatment,and adverse reactions were compared between the two group.Results The total effective rate of the combined group was 92.75%,which was higher than that of the control group(81.16%),and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the VAS scores of the two groups were lower than those before treatment,and the VAS score of the combined group was(3.37±1.17)points,which was lower than that of the control group[(4.40±1.24)points],the differences were statistically significant(P<0.05).After 4 weeks of treatment,the scores of pain,joint stiffness,joint disability and WOMAC total score in the two groups were lower than those before treatment,and the scores in the combined group were(6.47±2.77),(1.93±0.86),(18.45±7.32)and(26.85±9.00)points,respectively,which were lower than those in the control group[(10.52±2.84),(2.98±1.00),(30.69±8.34)and(44.19±9.45)points],and the differences were statistically significant(P<0.05).No adverse reactions occurred in both groups,and the safety was good.Conclusion The treatment of KOA patients with meridian tendo

关 键 词：膝骨关节炎 循经筋合定点 围刺法 推拿法 临床疗效 

分 类 号：R244.1[医药卫生—针灸推拿学]