加用脾胆经输穴治疗膝骨性关节炎临床研究

发布时间：2018-03-05 22:10

本文选题：膝骨性关节炎　切入点：针刺　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察应用脾胆经五输穴中的输穴配合常规针刺法治疗膝关节骨性关节炎(KOA)的临床疗效。希望治疗以后膝关节功能恢复情况好转,关节疼痛、僵硬和生理功能有所改善。方法：将25例膝骨性关节炎患者随机分为两组,治疗组(13例)及对照组(12例)。治疗组采用穴位：内膝眼、犊鼻和阿是穴加以脾经、胆经的五输穴的输穴太白和足临泣；对照组采用穴位内膝眼、犊鼻和阿是穴。观察两组治疗前后WOMAC评分及膝关节疼痛、僵硬和生理功能评分差值,比较两组临床疗效。观察两组治疗前后46m最快步行时间评价关节功能恢复情况。结果：两组患者的性别、年龄、病程等一般情况下,比较差别无统计学意义(P0.05),具有可比性。两个疗程治疗后,治疗组膝关节指数综合疗效76.9%,对照组为50%,两组比较差异有统计学意义(P0.05)。两组治疗后日常生活、疼痛和压痛评分比较差异具有统计学意义(P0.05)。治疗后步行能力受限程度、日常生活和压痛评分两组比较差异具有统计学意义(P0.05)。肿胀、活动受限和膝关节积液无明显差别。46m最快步行时间两组治疗后比较差异具有统计学意义(P0.05)；治疗组治疗前后46m最快步行时间比较较前缩短,差异有统计学意义(P0.05)。结论：加用脾胆经输穴疗法是一种治疗膝骨性关节炎的有效方法。
[Abstract]:Objective: to observe the clinical effect of point infusion of spleen and gallbladder meridian in combination with routine acupuncture in the treatment of osteoarthritis of knee joint (KOAA), hoping to improve the recovery of knee joint function and joint pain after treatment. Methods: Twenty-five patients with osteoarthritis of knee were randomly divided into two groups: treatment group (n = 13) and control group (n = 12). In the control group, the acupoints of internal knee eye, calf nose and Ashi were used. The WOMAC score and the difference of knee pain, stiffness and physiological function were observed before and after treatment. To compare the clinical efficacy of the two groups. To observe the fastest walking time of 46 m before and after treatment to evaluate the recovery of joint function. Results: the gender, age, course of disease of the two groups were generally observed. After two courses of treatment, the comprehensive curative effect of knee joint index in the treatment group was 76.9 and that in the control group was 50. The difference between the two groups was statistically significant (P 0.05). The difference of pain and tenderness scores was statistically significant (P 0.05). After treatment, the degree of limited walking ability, daily life and tenderness score were significantly different between the two groups (P 0.05). There was no significant difference between motion restriction and knee joint effusion. The fastest walking time of 46 m after treatment was significantly different between the two groups (P 0.05), and the fastest walking time of 46 m before and after treatment in the treatment group was shorter than that before and after treatment. Conclusion: it is an effective method to treat knee osteoarthritis with combined therapy of spleen and gallbladder meridian.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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