经筋毫针刺法治疗足三阳经筋型膝骨性关节炎临床研究
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摘要
目的:观察经筋毫针刺法治疗足三阳经筋型膝骨性关节炎(Knee osteoarthritis,KOA)的临床研究。方法:将88例KOA患者按照随机数字表法分为经筋毫针治疗组和普通毫针治疗组,每组44例。经筋毫针治疗组选取膝关节周围经筋点运用经筋毫针刺法治疗;普通毫针治疗组选取膝眼、梁丘、阳陵泉等穴位运用毫针刺法治疗。1个疗程7 d,治疗2个疗程,疗程结束后1个月进行随访。通过VAS量表、WOMAC量表、总有效率来观察两组疗效。结果:利用SPSS17.0进行统计分析,治疗后两组的VAS评分和WOMAC评分均较治疗前降低,且经筋毫针治疗组疗效优于普通毫针组。结论:经筋毫针刺法能够改善足三阳经筋型膝骨性关节炎患者的临床症状和膝关节生理功能,临床上具有一定的远期疗效。
Objective:To observe the clinical observations on the muscle meridian acupuncture for knee osteoarthritis of muscle meridians of foot Yang. Methods:Eighty-eight patients with knee osteoarthritis were randomly divided into the muscle meridian acupuncture treatment group and the general acupuncture treatment group,44 patients in each group. The muscle meridian acupuncture treatment group was treated with the acupuncture method of the tendons points around the knee joint;the general acupuncture treatment group was treated with the ordinary acupuncture points such as Xiyan,Liangqiu,Yanglingquan and other acupoints. 7 days was a course of treatment,a total of 2 courses of treatment,1 month after the end of the course of treatment to evaluate the efficacy. The efficacy of the two groups was observed by VAS scale score,WOMAC scale score,and total effective rate. Results:Used SPSS17.0 to analyze statistics,the VAS score and WOMAC score of the two groups were lower than those before treatment,and the effect of the muscle meridian acupuncture treatment group was better than that of the general acupuncture treatment group. Conclusion:The method of muscle meridian acupuncture can improve the clinical symptoms and knee joint motor function of patients with pedicure and knee joint osteoarthritis,and has a certain long-term effect in clinical.
Objective:To observe the clinical observations on the muscle meridian acupuncture for knee osteoarthritis of muscle meridians of foot Yang. Methods:Eighty-eight patients with knee osteoarthritis were randomly divided into the muscle meridian acupuncture treatment group and the general acupuncture treatment group,44 patients in each group. The muscle meridian acupuncture treatment group was treated with the acupuncture method of the tendons points around the knee joint;the general acupuncture treatment group was treated with the ordinary acupuncture points such as Xiyan,Liangqiu,Yanglingquan and other acupoints. 7 days was a course of treatment,a total of 2 courses of treatment,1 month after the end of the course of treatment to evaluate the efficacy. The efficacy of the two groups was observed by VAS scale score,WOMAC scale score,and total effective rate. Results:Used SPSS17.0 to analyze statistics,the VAS score and WOMAC score of the two groups were lower than those before treatment,and the effect of the muscle meridian acupuncture treatment group was better than that of the general acupuncture treatment group. Conclusion:The method of muscle meridian acupuncture can improve the clinical symptoms and knee joint motor function of patients with pedicure and knee joint osteoarthritis,and has a certain long-term effect in clinical.
引文
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[15]涂新生.短刺治疗骨痹102例临床疗效观察[J].按摩与康复医学,2011,2(23):203-204.
[16]ARCHIBECK MJ,WHITE RE.What's new in adult reconstructive knee surgery[J].J Bone Joint Surg Am,2006,88(7):1677-1686.
[17]元永金,赵耀东,张国晓,等.经筋毫针刺法治疗膝骨性关节炎的随机对照研究[J].中国中医基础医学杂志,2018,24(5):664.
[18]韦英才.经筋针法治疗痹症的临床研究[C]//中国民族医药学会,广西区卫生厅,广西中医学院.2005全国首届壮医药学术会议暨全国民族医药经验交流会论文汇编.西安:中国民族医药学会,广西区卫生厅,广西中医学院,2005.
[19]徐纬,周日花.浅谈齐刺法及其临床应用[J].北京中医药,2013,32(5):366-367.
[20]陈勇,胡幼平.经筋刺法的源流与临床应用[J].甘肃中医,2009,22(2):15.
[21]谷卓然,关雪峰,杨永菊,等.中医外治法治疗膝骨性关节炎研究进展[J].辽宁中医药大学学报,2018,20(11):175-178.
[22]张斌,窦榆生.内服姜黄素联合外敷808药膏治疗膝骨性关节炎临床疗效观察[J].辽宁中医药大学学报,2017,19(7):151-154.
[23]修忠标,张春霞,刘洪,等.针刀治疗膝骨性关节炎临床观察及机制探讨[J].辽宁中医药大学学报,2018,20(1):15-18.
[2]乔隆.经筋理论指导下针刺治疗膝关节骨性关节炎(KOA)疗效观察[D].沈阳:辽宁中医药大学,2016.
[3]祁芳.我国第一个中医药行业标准发布--《中医病证诊断疗效标准》将实施[J].中医函授通讯,1994(6):2.
[4]薛立功.中国经筋学[M].北京:中国古籍出版社,2009.
[5]张书剑,张小卿,韩煌,等.膝骨性关节炎经筋病灶点触诊规律分析[J].中国针灸,2012,32(3):267-272.
[6]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2012(8):148-149.
[7]张力.关节腔内透明质酸钠注射、中药熏洗、功能锻炼治疗膝关节骨性关节炎临床观察[D].武汉:湖北中医药大学,2009.
[8]中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中国临床医生杂志,2008,36(1):28-30.
[9]SHI F,GU K,LU W,et al.Study on the prevalence of arthritis and relevant factors in Shanghai[J].Zhonghua Liu Xing Bing Xue Za Zhi,2003,24(12):1136.
[10]刘康,田丽芳.针刺内关、太冲穴治疗膝骨性关节炎[J].中国针灸,2013,33(2):105.
[11]莫永豪.温针灸治疗膝骨性关节炎的临床疗效观察[D].广州:广州中医药大学,2015:34.
[12]张师侥,关雪峰.中医外治法治疗膝骨性关节炎最新进展[J].中国骨质疏松杂志.2016,22(7):907-911.
[13]郭潇聪,王彦之,张春光.运用“经输治骨髓”理论指导针刺治疗骨痹[J].内蒙古中医药,2014,33(29):96-97.
[14]顾钧青.偷刺颈夹脊穴治疗颈型颈推病疗效观察[J].上海针灸杂志,2013,32(5):382-383.
[15]涂新生.短刺治疗骨痹102例临床疗效观察[J].按摩与康复医学,2011,2(23):203-204.
[16]ARCHIBECK MJ,WHITE RE.What's new in adult reconstructive knee surgery[J].J Bone Joint Surg Am,2006,88(7):1677-1686.
[17]元永金,赵耀东,张国晓,等.经筋毫针刺法治疗膝骨性关节炎的随机对照研究[J].中国中医基础医学杂志,2018,24(5):664.
[18]韦英才.经筋针法治疗痹症的临床研究[C]//中国民族医药学会,广西区卫生厅,广西中医学院.2005全国首届壮医药学术会议暨全国民族医药经验交流会论文汇编.西安:中国民族医药学会,广西区卫生厅,广西中医学院,2005.
[19]徐纬,周日花.浅谈齐刺法及其临床应用[J].北京中医药,2013,32(5):366-367.
[20]陈勇,胡幼平.经筋刺法的源流与临床应用[J].甘肃中医,2009,22(2):15.
[21]谷卓然,关雪峰,杨永菊,等.中医外治法治疗膝骨性关节炎研究进展[J].辽宁中医药大学学报,2018,20(11):175-178.
[22]张斌,窦榆生.内服姜黄素联合外敷808药膏治疗膝骨性关节炎临床疗效观察[J].辽宁中医药大学学报,2017,19(7):151-154.
[23]修忠标,张春霞,刘洪,等.针刀治疗膝骨性关节炎临床观察及机制探讨[J].辽宁中医药大学学报,2018,20(1):15-18.