基于经筋理论小针刀治疗膝关节骨关节炎的临床观察  

Clinical observation of small needle-knife in the treatment of knee osteoarthritis based on the Meridian-Tendon Theory

作　　者：杨润 岳峰杰 郑伟 李亮亮 闫晓琴 刘伟基 Yang Run;Yue Fengjie;Zheng Wei;Li Liangliang;Yan Xiaoqin;Liu Weiji(Jinzhong Hospital Affiliated to Shanxi University of Chinese Medicine,Jinzhong Shanxi 030600)

机构地区：[1]山西中医药大学附属晋中医院,山西晋中030600

出　　处：《山西中医药大学学报》2025年第2期181-184,共4页Journal of Shanxi University of Chinese Medicine

基　　金：2023年度山西省中医药科研课题立项计划(2023ZYYA039)。

摘　　要：目的:观察在经筋理论指导下应用小针刀治疗膝关节骨关节炎(KOA)的临床疗效。方法:将60例KOA患者,随机分为观察组(30例)和对照组(30例)。对照组治疗部位以患者膝关节疼痛局部为主,观察组治疗原则为局部治疗+循筋治疗,观察两组患者治疗前后疼痛视觉模拟量表(VAS)评分、Lysholm膝关节功能量表评分(LKS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分及X线下膝关节胫股角、内外侧关节间隙变化。结果:两组患者治疗后膝关节内外侧关节间隙、VAS、LKS、WOMAC评分均较治疗前改善,差异有统计学意义(P<0.05,P<0.01);两组患者治疗后胫股角与治疗前比较,差异无统计学意义(P>0.05)。观察组治疗后VAS、LKS、WOMAC评分优于对照组,有效率高于对照组(93%vs 80%),差异有统计学意义(P<0.05);两组患者治疗后内外侧关节间隙及胫股角比较,差异均无统计学意义(P>0.05)。结论:经筋理论指导下小针刀治疗膝关节骨关节炎疗效确切。Objective:To observe the clinical effect of small needle-knife in the treatment of knee osteoarthritis(KOA)based on the Meridian-Tendon Theory.Methods:Sixty patients with KOA were randomly divided into observation group(30 cases)and control group(30 cases).The treatment site of the patients in the control group was mainly the local pain of the knee joint,and the treatment principle of the observation group was local treatment combined with tendon-based treatment.Before and after treatment,the visual analogue scale(VAS),Lysholm knee score(LKS),Western Ontario and McMaster University Osteoarthritis Index(WOMAC),X-ray changes of tibiofemoral Angle and medial and lateral joint space of knee joint were observed in the two groups.Results:After treatment,the medial and lateral joint space,VAS,LKS and WOMAC scores of the two groups were improved compared with those before treatment,and the differences were statistically significant(P<0.05,P<0.01).There was no statistical significance in tibiofemoral Angle between the two groups after treatment and before treatment(P>0.05).After treatment,the VAS,LKS and WOMAC scores of the observation group were better than those of the control group,and the effective rate was higher than that of the control group(93%vs 80%),with statistically significant differences(P<0.05).There was no statistical significance in the medial and lateral joint spaces and tibiofervical Angle between the two groups after treatment(P>0.05).Conclusion:The treatment of KOA guided by the Meridian-Tendon Theory with small needle-knife is effective.

关 键 词：膝关节骨关节炎 小针刀 经筋理论 

分 类 号：R274.9[医药卫生—中西医结合] R684[医药卫生—中医骨伤科学]