發(fā)布時間：2018-10-22 19:06

【摘要】：目的:比較平衡針膝痛穴配合常規(guī)針刺與常規(guī)針刺治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床療效差異。方法:將60例患者隨機分為平衡針組(治療組)和常規(guī)針刺組(對照組),每組30例。治療組取平衡針膝痛穴,配合常規(guī)針刺治療,選取局部腧穴內(nèi)外膝眼、血海、梁丘、陽陵泉、陰陵泉。膝痛穴予0.3mm×40mm毫針快速進(jìn)針35mm后,行提插手法,使酸麻脹感向腕關(guān)節(jié)背側(cè)或食指、拇指間傳導(dǎo),再予順時針捻轉(zhuǎn)滯針以加強針感,針感以患者耐受為度,留針30分鐘。局部腧穴予快速進(jìn)針法進(jìn)針,得氣后,行平補平瀉手法,留針30分鐘。對照組給予常規(guī)針刺治療,局部選穴及針刺方法同治療組。兩組患者均每天治療1次,每周治療5次,休息2天,共治療4周。首次治療后比較兩組患者疼痛視覺模擬法(VAS)評分的變化,治療4周后及治療結(jié)束后1個月隨訪比較兩組患者疼痛視覺模擬法(VAS)評分和西安大略和麥克馬斯特國際骨關(guān)節(jié)炎指數(shù)量表(WOMAC)評分的變化,并比較兩組療效。結(jié)果:首次治療后,平衡針組VAS評分明顯降低,優(yōu)于常規(guī)針刺組(P0.01)。治療4周后,兩組患者VAS評分和WOMAC量表評分均降低,但平衡針組明顯優(yōu)于常規(guī)針刺組(P0.01)。治療結(jié)束后1個月隨訪,平衡針組VAS評分和WOMAC量表評分均較治療4周后降低(P0.01),而常規(guī)針刺組VAS評分和WOMAC評分均較治療4周后增高(P0.05)。平衡針組愈顯率為83.3%,高于常規(guī)針刺組的56.7%(P0.05);平衡針組總有效率為96.7%,高于常規(guī)針刺組的76.7%(P0.05)。兩組結(jié)果對比差異顯著,有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:平衡針膝痛穴配合常規(guī)針刺治療膝關(guān)節(jié)骨性關(guān)節(jié)炎療效確切,優(yōu)于常規(guī)針刺治療,且具有良好的首次即時止痛效應(yīng)及遠(yuǎn)期療效。
[Abstract]:Objective: to compare the clinical curative effect of balanced acupuncture on knee pain and routine acupuncture on knee osteoarthritis. Methods: 60 patients were randomly divided into balanced acupuncture group (treatment group) and routine acupuncture group (control group) with 30 cases in each group. In the treatment group, the balanced acupuncture points of knee pain, combined with routine acupuncture treatment, selected local acupoints inside and outside the knee eye, blood sea, Liang Qiu, Yanglingquan, Yin Lingquan. After the 0.3mm 脳 40mm needle was put into the needle 35mm quickly, the acid-swelling sensation was transferred to the dorsal side of the wrist or to the forefinger and the thumb, and then the needle was twirled clockwise to strengthen the acupuncture feeling. The acupuncture sensation was tolerant to the patient and kept the needle for 30 minutes. Local acupoints into the rapid acupuncture method into the needle, after Qi, flat-tonifying and reducing manipulation, keep the needle for 30 minutes. The control group was treated with routine acupuncture, the local acupoints selection and acupuncture were the same as the treatment group. The patients in both groups were treated once a day, 5 times a week, rest 2 days, and treated for 4 weeks. After the first treatment, the changes of (VAS) score of pain visual analogue method were compared between the two groups. After 4 weeks of treatment and 1 month after treatment, the changes of (VAS) score of visual analogue pain and (WOMAC) score of international osteoarthritis index scale in Western Ontario and McMaster were compared between the two groups, and the efficacy of the two groups was compared. Results: after the first treatment, the VAS score of the balanced acupuncture group was significantly lower than that of the routine acupuncture group (P0.01). After 4 weeks of treatment, the VAS score and WOMAC score of the two groups decreased, but the balance acupuncture group was significantly better than the routine acupuncture group (P0.01). After 1 month follow-up, the VAS score and WOMAC scale score in balanced acupuncture group were lower than those after 4 weeks treatment (P0.01), while the VAS score and WOMAC score in routine acupuncture group were higher than those after 4 weeks treatment (P0.05). The effective rate of the balanced acupuncture group was 83.3%, which was higher than that of the routine acupuncture group (56.7%), and the total effective rate of the balanced acupuncture group was 96.7%, which was higher than that of the routine acupuncture group (76.7%) (P0.05). There was significant difference between the two groups (P0.05). Conclusion: the treatment of knee joint osteoarthritis with balanced acupuncture and routine acupuncture is more effective than that of routine acupuncture, and has good first immediate analgesic effect and long term effect.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 喬斌;李盛華;周明旺;敬平福;;中醫(yī)藥對膝骨性關(guān)節(jié)炎的作用機制及治療研究進(jìn)展[J];甘肅中醫(yī)學(xué)院學(xué)報;2014年04期

2 曾振華;黃移生;;電針為主治療膝關(guān)節(jié)骨性關(guān)節(jié)炎48例臨床觀察[J];湖北中醫(yī)雜志;2014年07期

3 許本忠;;平衡針灸治療頸肩腰腿痛50例[J];河南中醫(yī);2014年05期

4 鄧明;;老年膝骨性關(guān)節(jié)炎的保守治療與外科治療的對比研究[J];中國醫(yī)藥指南;2013年24期

5 朱德才;李文艷;覃小蘭;;平衡針治療頭痛39例臨床觀察[J];中國中醫(yī)急癥;2013年08期

6 肖曉桃;賴曉潔;趙斌斌;;平衡針治療神經(jīng)根型頸椎病療效觀察[J];上海針灸雜志;2013年07期

7 李源;鄧飛雁;王樹聲;陳志強;古熾明;;平衡針治療腎絞痛臨床觀察[J];中國中醫(yī)急癥;2013年02期

8 劉康;田麗芳;;針刺內(nèi)關(guān)、太沖穴治療膝骨性關(guān)節(jié)炎[J];中國針灸;2013年02期

9 肖斌斌;羅湘筠;沈雅婷;;平衡針治療頑固性失眠癥療效觀察[J];中國針灸;2013年02期

10 李敏;梁翼;余文景;沙湖;趙琛;吳月;吳彥;吳曉惠;;鹽酸氨基葡萄糖聯(lián)合雙醋瑞因在伴骨髓水腫的膝骨關(guān)節(jié)炎的療效評估[J];華西醫(yī)學(xué);2012年12期

相關(guān)會議論文 前5條

1 王文遠(yuǎn);;國家973平衡針灸學(xué)科最新理論研究[A];中華中醫(yī)藥學(xué)會第七次民間醫(yī)藥學(xué)術(shù)交流會暨安徽省民間醫(yī)藥專業(yè)委員會成立大會論文匯編[C];2014年

2 李盛華;喬斌;周明旺;敬平福;;中醫(yī)藥防治膝骨性關(guān)節(jié)炎優(yōu)勢探討[A];第三屆全國中西醫(yī)結(jié)合骨科微創(chuàng)學(xué)術(shù)交流會論文匯編[C];2013年

3 趙力;任富繼;;不同種類糖皮質(zhì)激素治療膝骨性關(guān)節(jié)炎的對比研究[A];第十九屆全國中西醫(yī)結(jié)合骨傷科學(xué)術(shù)研討會論文匯編[C];2012年

4 袁紅;陳榕;黃大鵬;王文遠(yuǎn);陳占祿;陳鋒;;平衡針鎮(zhèn)痛即時效應(yīng)的機制研究[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

5 王文遠(yuǎn);;平衡針中樞調(diào)控的理論研究[A];第四次全國民間傳統(tǒng)診療技術(shù)與驗方整理研究學(xué)術(shù)會論文集[C];2011年

相關(guān)博士學(xué)位論文 前2條

1 莫永豪;溫針灸治療膝骨性關(guān)節(jié)炎的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2015年

2 巫子涵;電溫針對膝骨關(guān)節(jié)炎患者血清細(xì)胞因子與生存質(zhì)量的影響[D];廣州中醫(yī)藥大學(xué);2011年

相關(guān)碩士學(xué)位論文 前6條

1 翁艷;針刺膝后五穴治療膝骨性關(guān)節(jié)炎的臨床觀察[D];福建中醫(yī)藥大學(xué);2014年

2 易正珩;溫針灸結(jié)合刺絡(luò)放血治療膝骨性關(guān)節(jié)炎的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2014年

3 丁珊;溫針配合圍刺治療膝骨性關(guān)節(jié)炎的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2014年

4 王攀;兩種氨基葡萄糖對兔膝骨性關(guān)節(jié)炎模型關(guān)節(jié)液中IL-1和TNF-α含量影響的實驗研究[D];遵義醫(yī)學(xué)院;2013年

5 陳榕;平衡針對大鼠鎮(zhèn)痛作用及機制的實驗研究[D];北京中醫(yī)藥大學(xué);2012年

6 林俊文;平衡針刺治療1期和2期膝骨關(guān)節(jié)炎的療效研究[D];廣州中醫(yī)藥大學(xué);2011年

，

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