[1]何苏云,龚 琴,丁 勇.激痛点针刺法治疗膝骨性关节炎临床研究[J].陕西中医,2024,(8):1135-1138.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.028]
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激痛点针刺法治疗膝骨性关节炎临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年8期
页码:
1135-1138
栏目:
针灸经络
出版日期:
2024-08-05

文章信息/Info

作者:
何苏云龚 琴丁 勇
(佛山市中医院疼痛科,广东 佛山 528099)
关键词:
膝骨性关节炎 膝痹 针刺 激痛点 疼痛视觉模拟评分 膝八针
分类号:
R 684.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.08.028
文献标志码:
A
摘要:
目的:探究激痛点针刺法治疗膝骨性关节炎的临床疗效。方法:纳入150例轻中度膝骨性关节炎患者,按随机数字表法分为基础组(50例,脱落3例)、针刺组(50例,脱落1例)和联合组(50例,脱落3例)。基础组予口服基础抗炎、止痛治疗; 针刺组予以激痛点针刺法[髂胫束激痛点(Trp1、Trp2)、股二头肌激痛点(Trp3)、腘肌激痛点(Trp4)、股外侧肌激痛点(Trp5、Trp6)、内收肌激痛点(Trp7)、股内侧肌激痛点(Trp8)]治疗,针刺后留针10 min。每日1次,每周治疗2次,连续治疗4周; 联合组在抗炎、止痛治疗基础上辅以激痛点针刺法治疗。分别于治疗前及治疗后进行VAS疼痛评分、膝骨关节炎WOMAC评分评估及血清炎性指标[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、环氧合酶(COX-2)]水平测定。治疗结束后评价临床疗效及患者满意度。结果:治疗后,三组患者的疼痛VAS评分、TNF-α、CRP、COX-2水平及WOMAC指数评分显著降低(均P<0.05); 针刺组、联合组较基础组降幅更大,且联合组改善优于针刺组(均P<0.05)。针刺组、联合组总有效率、患者满意度优于基础组,联合组优于针刺组(均P<0.05)。结论:激痛点针刺治疗可有效减轻膝骨性关节炎患者关节疼痛,改善关节活动功能。

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备注/Memo

备注/Memo:
基金项目:广东省基础与应用基础研究基金资助项目(23201910240001667); 广东省佛山市卫生健康局医学科研基金资助项目(20230826A010573)
更新日期/Last Update: 2024-08-08