火针配合平衡针治疗膝骨关节炎的临床疗效

doi:10.3969/j.issn.2095-9400.2020.01.012

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摘要目的：对比研究火针配合平衡针和常规针刺治疗膝骨关节炎（KOA）的临床疗效。方法：选取2016年6月至2017年8月期间在广州中医药大学第三附属医院接受治疗的KOA患者67例，分成单一组（34例）和复合组（33例）。单一组接受常规毫针治疗，而复合组接受火针配合平衡针治疗。疼痛视觉模拟评分（VAS）、骨关节指数量表（WOMAC）和临床综合疗效评估作为检验针灸疗效的指标。采用t检验和χ2检验来比较治疗前后和2种治疗方法之间的疗效差别。结果：2组患者年龄、性别构成、病程、治疗前VAS和WOMAC评分差异均无统计学意义（P＞0.05）。常规毫针治疗和复合针灸疗法均有效地降低了VAS和WOMAC评分（P＜0.05），表明2种治疗方法均能有效地缓解KOA患者的病情。与单一毫针疗法相比，复合针灸疗法在缓解患者疼痛、骨关节僵直和活动障碍方面更显著（P＜0.05）。此外，尽管2种治疗方法在KOA治疗的总有效率相似（P＞0.05），但复合针灸法在治愈率和愈显率上的临床疗效明显高于单一毫针法（P＜0.05）。结论：火针配合平衡针的复合针灸法在治疗KOA的临床效果上优于常规针刺方法。

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	缪辉宇
	曲崇正

关键词 ：骨关节炎, 膝, 毫针疗法, 火针疗法, 平衡针疗法

Abstract：Objective: To compare the clinical efficacy of fire needle combined with balance needle versus the conventional needle in the treatment of knee osteoarthritis. Methods: A retrospective study was made of totally 67 patients with knee osteoarthritis received treated from June 2016 to August 2017 in the Orthopedics and Traumatology Department of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine. They were randomly classified into single acupuncture group (34 patients) and compound acupuncture group (33 patients). The single acupuncture group received the conventional filiform needle therapy, while the compound acupuncture group received fire needle combined with balanced needle therapy. VAS, WOMAC, and the comprehensive clinical efficacy evaluation were used as indicators to test the effectiveness of two therapeutic methods. t-test and χ2-test were used to compare the differences in curative effect between pre-treatment and post-treatment, as well as those the inter-group treatment efficiency. Results: Similarities were observed in age, sex, disease duration, VAS and WOMAC score between the groups before treatment (P>0.05). Conventional filiform needle therapy and combined needle therapy effectively reduced VAS and WOMAC scores of patients with knee osteoarthritis, indicating that both methods effectively alleviated the condition of knee osteoarthritis patients (P<0.05). Compared with single filiform needle therapy, combined needle therapy was more effective in relieving pain, stiffness of bone and joint, and disturbance of movement (P<0.05). Besides, although the overall efficacy of the two methods were similar (P>0.05), the curative effect of combined-needle therapy on knee osteoarthritis was significantly higher than that of single needle method (P<0.05). Conclusion: The clinical effectiveness of fire needle combined with balanced needle was better than that of conventional needling method in the treatment of knee osteoarthritis.

Key words： osteoarthritis, knee milli-needle therapy fire needle therapy balanced needle therapy

收稿日期: 2019-07-12

通讯作者: 曲崇正，副主任医师，Email：873397214@qq.com。

作者简介: 缪辉宇（1975-），男，广东广州人，主治中医师，硕士。

链接本文:

https://xb.wmu.edu.cn/CN/10.3969/j.issn.2095-9400.2020.01.012 或 https://xb.wmu.edu.cn/CN/Y2020/V50/I1/60

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