發(fā)布時(shí)間：2018-05-29 10:36

  本文選題：膝骨關(guān)節(jié)炎 + 火針　； 參考：《中國(guó)針灸》2017年05期

【摘要】：目的:比較火針揚(yáng)刺與毫針針刺治療膝骨關(guān)節(jié)炎的療效差異。方法:將72例患者隨機(jī)分為火針揚(yáng)刺組和毫針組,每組36例�；疳槗P(yáng)刺組選取患側(cè)阿是穴、血海、梁丘、內(nèi)膝眼、犢鼻、足三里、陽(yáng)陵泉、陰陵泉,每次選3個(gè)穴位(包括阿是穴)予火針揚(yáng)刺,刺后拔罐治療;毫針組取穴與火針揚(yáng)刺組相同,每次針刺全部穴位,針后加拔罐治療。兩組均隔日治療1次,周日休息,每周治療3次,6次為一療程,共觀察2個(gè)療程。觀察兩組在治療前、治療2周后、治療4周后及1個(gè)月隨訪時(shí)視覺(jué)模擬量表(VAS)評(píng)分、西安大略和麥馬斯特大學(xué)骨關(guān)節(jié)炎指數(shù)(WOMAC)量表總積分變化,并比較兩組綜合療效。結(jié)果:兩組治療后各時(shí)點(diǎn)VAS評(píng)分、WOMAC量表總積分較治療前均改善(均P0.01),兩組間治療后各時(shí)點(diǎn)VAS評(píng)分比較,火針揚(yáng)刺組均低于毫針組(均P0.05);治療4周后及隨訪1個(gè)月后,火針揚(yáng)刺組WOMAC量表總積分較毫針組均降低(均P0.05);綜合療效方面,兩組治療2周后,觀察組總有效率為88.9%(32/36),明顯高于對(duì)照組的61.1%(22/36,P0.01);治療4周后及隨訪1個(gè)月時(shí),火針揚(yáng)刺組愈顯率均高于毫針組[66.7%(24/36)vs 41.7%(15/36),P0.05;83.3%(30/36)vs 44.4%(16/36),P0.01]。結(jié)論:火針揚(yáng)刺在KOA的治療中愈顯率相對(duì)較高,起效快,在止痛方面,療效顯著優(yōu)于毫針刺法。
[Abstract]:Objective: to compare the curative effect between fire acupuncture and filiform acupuncture in the treatment of knee osteoarthritis. Methods: 72 patients were randomly divided into fire acupuncture group (36 cases) and filiform needle group (36 cases). In the fire acupuncture group, Ashi point, blood sea, Liang Qiu, inner knee eye, calf nose, Zusanli, Yangling spring, Yin Lingquan were selected to be treated with fire acupuncture at each time (including Ashi point). The acupoints in the filiform acupuncture group were the same as those in the fire acupuncture group. All acupuncture points were treated with cupping after acupuncture. The two groups were treated once every other day, rest on Sunday, and treated 3 times a week for 6 times as a course of treatment. The visual analogue scale (VAS) scores before treatment, 2 weeks after treatment, 4 weeks after treatment and 1 month follow-up were observed, and the total score of Osteoarthritis Index (WOMAC) at the University of Western Ontario and the University of McMaster were compared between the two groups. Results: after treatment, the VAS score and the total score of WOMAC at each time point in the two groups were all improved compared with those before treatment (all P 0.01). The VAS score of the fire acupuncture group was lower than that of the filiform needle group after treatment (P 0.05), and after 4 weeks of treatment and 1 month follow-up, there was no significant difference between the two groups. The total score of WOMAC in the fire acupuncture group was lower than that in the millineedle group (all P 0.05). The total effective rate of the observation group was 88.9 / 32 / 36 after 2 weeks of treatment, which was significantly higher than that of the control group (61.1 / 22 / 36 P 0.01g); after 4 weeks of treatment and 1 month of follow-up, the total effective rate of the observation group was 88.9 / 32 / 36, and 4 weeks after treatment and 1 month follow-up, the total effective rate in the observation group was significantly higher than that in the control group. The effective rate of fire acupuncture group was higher than that of the filiform needle group [66.7%(24/36)vs 41.7 / 36 / 36 P 0.05 / 83.3% vs 44.4% 36 / 36 P 0.01]. Conclusion: the effective rate of fire acupuncture in the treatment of KOA is relatively high and the effect is fast, and the curative effect is better than that of the Milliform Acupuncture in the aspect of pain relief.
【作者單位】： 中國(guó)中醫(yī)科學(xué)院針灸研究所針灸醫(yī)院;
【基金】：中國(guó)中醫(yī)科學(xué)院針灸研究所自主選題項(xiàng)目:ZZ 08014 國(guó)家中醫(yī)藥管理局名老中醫(yī)藥專(zhuān)家傳承工作室建設(shè)項(xiàng)目
【分類(lèi)號(hào)】：R246.9

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