内热针疗法治疗早中期膝关节骨关节炎44例  

Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages

作　　者：连佳伟 赖喆蓥 许建峰 林瑞珠[1,4] LIAN Jiawei;LAI Zheying;XU Jianfeng;LIN Ruizhu(Department of Rehabilitation Medicine,General Hospital of Ningxia Medical University,Yinchuan 750004,China;First School of Clinical Medicine,Ningxia Medical University,Yinchuan 750004;Yinchuan Hospital of TCM;Key Laboratory of Ningxia Ethomedicine Modernization,Ministry of Education,Yinchuan 750004;Department of TCM Orthopedics,General Hospital of Ningxia Medical University)

机构地区：[1]宁夏医科大学总医院康复医学科,银川750004 [2]宁夏医科大学第一临床医学院,银川750004 [3]银川市中医医院 [4]宁夏少数民族医药现代化教育部重点实验室,银川750004 [5]宁夏医科大学总医院中医骨伤科

出　　处：《中国针灸》2025年第1期27-30,共4页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:82360987;宁夏回族自治区重点研发项目一般项目:2022BEG03134;宁夏回族自治区中央引导地方科技发展专项项目:2021YDDF0029。

摘　　要：目的:观察内热针疗法治疗早中期膝关节骨关节炎(KOA)的临床疗效,并探究其对软骨厚度的影响。方法:招募44例早中期KOA患者采用内热针疗法治疗,穴取阿是穴(多位于髌下脂肪垫、髌韧带两侧、股四头肌肌腱处、内外侧副韧带附着处),每周1次,共治疗4周。比较患者治疗前后及治疗结束后3个月(随访)疼痛视觉模拟量表(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、30 s椅立测试(30sCST)次数、股骨髁间软骨厚度及膝关节超声评分,并评定临床疗效。结果:与治疗前比较,患者治疗后VAS、WOMAC、膝关节超声评分降低(P<0.05),30s CST次数增加(P<0.05);随访时VAS、WOMAC评分降低(P<0.05),30s CST次数和股骨髁间软骨厚度增加(P<0.05)。治疗后总有效率为93.2%(41/44),随访时总有效率为95.5%(42/44)。结论:内热针治疗早中期KOA患者疗效较好,可减轻疼痛、改善关节功能,并有助于延缓软骨退变和疾病进展。Objective To observe the clinical effect of internal heat acupuncture therapy for knee osteoarthritis of early to middle stages,and explore its influence on cartilage thickness.Methods A total of 44 patients with knee osteoarthritis of early to middle stages were treated with internal heat acupuncture therapy at ashi points(most of them are located at the subpatellar fat pad,both sides of the patellar ligament,the tendon of the quadriceps and the attachment of the medial and lateral collateral ligaments),once a week,a total of 4 weeks of treatment.Before and after treatment,after 3 months of treatment completion(in the follow-up),the visual analogue scale(VAS)score,Western Ontario and McMaster Universities osteoarthritis index(WOMAC)score,frequency of 30-second chair stand test(30sCST),cartilage thickness of femoral intercondylar and knee joint ultrasound score were compared,and the clinical effect was evaluated.Results After treatment,the VAS、WOMAC and knee joint ultrasound scores were reduced(P<0.05),frequency of 30sCST was increased(P<0.05)compared with those before treatment;in the follow-up,the VAS、WOMAC scores were reduced(P<0.05),frequency of 30sCST and cartilage thickness of femoral intercondylar were increased(P<0.05)compared with those before treatment.After treatment,the total effective rate was 93.2%(41/44),in the follow-up,the total effective rate was 95.5%(42/44).Conclusion Internal heat acupuncture therapy is effective in the treatment of knee osteoarthritis of early to middle stages,could relieve the pain,improve the joint function,and delay cartilage degeneration and disease progression.

关 键 词：膝关节骨关节炎 早中期 针刺 内热针疗法 软骨退变 肌骨超声 

分 类 号：R246.9[医药卫生—针灸推拿学]