[1]邓业川,赵敏明.温针灸、浮针及针刺治疗膝骨性关节炎临床研究*[J].陕西中医,2020,(10):1496-1499.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.044]
 DENG Yechuan,ZHAO Minming..Clinical study on the treatment of knee osteoarthritis with warm acupuncture,floating needle and acupuncture[J].,2020,(10):1496-1499.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.044]
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温针灸、浮针及针刺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:
2020年10期
页码:
1496-1499
栏目:
针灸经络
出版日期:
2020-10-05

文章信息/Info

Title:
Clinical study on the treatment of knee osteoarthritis with warm acupuncture,floating needle and acupuncture
作者:
邓业川1赵敏明2
1.西藏自治区人民政府驻成都办事处医院(成都 610041); 2.四川省德阳市第二人民医院(德阳 618000)
Author(s):
DENG YechuanZHAO Minming.
Hospital of Chengdu Office of Tibetan Government(Chengdu 610041)
关键词:
膝骨性关节炎 温针灸 浮针 针刺 C反应蛋白 肿瘤坏死因子-α
Keywords:
Knee osteoarthritis Wen acupuncture Floating needle Acupuncture C-reactive protein Tumor necrosis factor-α
分类号:
R684.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.044
文献标志码:
A
摘要:
目的:研究温针灸、浮针及针刺治疗膝骨性关节炎(KOA)的临床疗效。方法:选取80例KOA患者为对象,采用随机数字法将其分为对照组(n=40)和观察组(n=40),对照组给予金骨莲胶囊联合塞来昔布胶囊治疗,观察组给予温针灸、浮针及针刺治疗,比较两组临床疗效、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、膝关节功能(KSS)评分、血清炎性因子[C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)]水平及不良反应发生率。结果:观察组治疗有效率高于对照组(95.00%与77.50%)(P<0.05); 治疗后观察组疼痛、僵硬及日常活动评分均显著低于对照组(P<0.05); 治疗后观察组KSS评分高于对照组(P<0.05); 治疗后观察组血清CRP、TNF-α、IL-6水平均低于对照组(P<0.05); 观察组不良反应发生率0%低于对照组12.50%(P<0.05)。结论:温针灸、浮针及针刺治疗KOA临床疗效显著,可缓解临床症状,提高膝关节功能评分,降低炎性因子水平,且安全性较高。
Abstract:
Objective:To study the clinical effect of warm acupuncture,floating needle and acupuncture on knee osteoarthritis(KOA).Methods: Eighty cases of KOA patients were selected as the object.They were divided into the control group(n=40)and the observation group(n=40).The control group was treated with jingulian capsule combined with celecoxib capsule.Clinical efficacy,WOMAC score,knee joint function(KSS)score,serum inflammatory factors [C-reactive protein(CRP),Tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)] and incidence of adverse reactions were compared between the two groups.Results:The effective rate of the observation group was higher than that of the control group(95.00% vs 77.50%)(P<0.05).After treatment,the pain,stiffness and daily activity scores of the observation group were significantly lower than those of the control group(P<0.05).KSS score of the observation group was higher than that of the control group after treatment(P<0.05).After treatment,serum CRP,TNF-level and il-6 levels in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group 12.50% was lower than that in the control group 0%(P<0.05).Conclusion:The clinical efficacy of warm acupuncture,floating acupuncture and acupuncture on KOA is significant,which can relieve the clinical symptoms,improve the knee function score,reduce the level of inflammatory factors,and is of high safety.

参考文献/References:

[1] 梁桂洪,梁祖建,林勇凯,等.补肾活血中药对比塞来昔布治疗膝骨性关节炎疗效与安全性的Meta分析[J].中国药房,2016,27(27):3810-3814.
[2] 唐 林.独活寄生汤联合中药熏蒸治疗膝骨关节炎的效果[J].中国医药导报,2016,13(28):87-90.
[3] 吴 刚,张永锋.参麦注射液关节腔注射治疗膝骨性关节炎疗效及对患者关节滑液基质金属蛋白酶、透明质酸、一氧化氮浓度的影响[J].陕西中医,2020,41(1):35-37.
[4] 朱 斌,辛随成.针刺结合足三里温针灸治疗膝骨关节炎疗效分析[J].解放军预防医学杂志,2016,13(s2):190-191.
[5] 王弘德,李 升,陈 伟,等.《骨关节炎诊疗指南(2018年版)》膝关节骨关节炎部分的更新与解读[J].河北医科大学学报,2019,40(9):112-114.
[6] 韩柱山,刘金钟,贾雪飞,等.膝痛灵汤剂治疗膝关节骨性关节炎临床疗效观察[J].河北医学,2013,19(12):1891-1892.
[7] 沈正东,于慧敏,王俊婷,等.改良版西安大略和麦克马斯特大学骨关节炎指数量表在膝骨关节炎中的应用[J].中华医学杂志,2019,99(7):537-541.
[8] 杨伟铭,曹学伟,赵彩琼,等.单髁置换术治疗膝关节内侧间室骨关节炎短期临床观察[J].中国中医骨伤科杂志,2018,26(4):40-44.
[9] David R,Laura VL,Lane B,et al.Qualitative assessment of patients receiving prolotherapy for knee osteoarthritis in a multimethod study[J].Journal of Alternative & Complementary Medicine,2016,22(12):983.
[10] 范 荣,刘玉金.温针灸结合推拿对膝关节骨性关节炎患者血清骨保护素、降钙素及骨钙素的影响[J].中国现代医学杂志,2015,25(16):86-89.
[11] 涂雪松,刘晓安,胡利霞,等.温针灸治疗膝关节骨性关节炎的临床随机对照研究[J].针灸临床杂志,2016,32(6):38-40.
[12] Zhang HJ,Xu HD,Liu TT,et al.Clinical study of the electroacupuncture combined with thunder-fire moxibustion in treatment of degenerative knee osteoarthritis with cold-damp stagnation[J].Chinese Acupuncture & Moxibustion,2016,36(12):1266-1270.
[13] 刘婉君,危志华,韩 慧,等.浮针治疗膝关节骨性关节炎安全性与有效性的Meta分析[J].广州中医药大学学报,2019,36(10):1554-1557.
[14] Dwi RH,Christina S,Adiningsih S,et al.Pain reduction after laser acupuncture treatment in geriatric patients with knee osteoarthritis:a randomized controlled trial[J].Acta Med Indones,2016,48(2):114-121.
[15] 朱 斌,辛随成.针刺结合足三里温针灸治疗膝骨关节炎疗效分析[J].解放军预防医学杂志,2016,13(s2):190-191.
[16] 湛志婧,苏美意,康 健,等.浮针疗法结合温针灸治疗腰背肌筋膜炎临床研究[J].辽宁中医杂志,2016,40(12):2624-2627.
[17] 李新伟,邵晓梅,谭克平,等.天应穴浮针刺与温针灸治疗棘上韧带损伤疗效对照观察[J].中国针灸,2013,33(4):309-313.
[18] 张洁文,梁祖建,黄增彬,等.独活寄生汤对风湿寒痹型膝骨性关节炎疗效及对炎症因子的影响[J].陕西中医,2017,38(9):1226-1228.

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备注/Memo

备注/Memo:
*四川省卫生和计划生育委员会科研课题(17PJ213)
更新日期/Last Update: 2020-10-10