火针扬刺治疗膝骨关节炎临床观察

发布时间：2018-05-29 10:36

本文选题：膝骨关节炎 + 火针　；参考：《中国针灸》2017年05期

【摘要】：目的:比较火针扬刺与毫针针刺治疗膝骨关节炎的疗效差异。方法:将72例患者随机分为火针扬刺组和毫针组,每组36例。火针扬刺组选取患侧阿是穴、血海、梁丘、内膝眼、犊鼻、足三里、阳陵泉、阴陵泉,每次选3个穴位(包括阿是穴)予火针扬刺,刺后拔罐治疗;毫针组取穴与火针扬刺组相同,每次针刺全部穴位,针后加拔罐治疗。两组均隔日治疗1次,周日休息,每周治疗3次,6次为一疗程,共观察2个疗程。观察两组在治疗前、治疗2周后、治疗4周后及1个月随访时视觉模拟量表(VAS)评分、西安大略和麦马斯特大学骨关节炎指数(WOMAC)量表总积分变化,并比较两组综合疗效。结果:两组治疗后各时点VAS评分、WOMAC量表总积分较治疗前均改善(均P0.01),两组间治疗后各时点VAS评分比较,火针扬刺组均低于毫针组(均P0.05);治疗4周后及随访1个月后,火针扬刺组WOMAC量表总积分较毫针组均降低(均P0.05);综合疗效方面,两组治疗2周后,观察组总有效率为88.9%(32/36),明显高于对照组的61.1%(22/36,P0.01);治疗4周后及随访1个月时,火针扬刺组愈显率均高于毫针组[66.7%(24/36)vs 41.7%(15/36),P0.05;83.3%(30/36)vs 44.4%(16/36),P0.01]。结论:火针扬刺在KOA的治疗中愈显率相对较高,起效快,在止痛方面,疗效显著优于毫针刺法。
[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.
【作者单位】：中国中医科学院针灸研究所针灸医院;
【基金】：中国中医科学院针灸研究所自主选题项目:ZZ 08014 国家中医药管理局名老中医药专家传承工作室建设项目
【分类号】：R246.9

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