Abstract：Objective To observe the clinical effect of invigorating the spleen and tonifying the kidney combined with knee acupoints acupuncture in the treatment of knee osteoarthritis in the type of deficiency of both the spleen and the kidney, dampness infusion into bone and joints. Methods One hundred and twenty patients with knee osteoarthritis in the type of spleen and kidney deficiency, dampness infusion into bone and joints, who were treated in the Outpatient Department of Beijing Changping Hospital of Traditional Chinese Medicine from January 2015 to December 2016, were selected and randomly divided into two groups by block randomization method, each group had 60 cases. The treatment group was treated with acupuncture by invigorating the spleen and tonifying the kidney (taking the abdominal acupoints of Zhongwan, Xiawan, Qihai, Guanyuan, Daheng) combined with knee acupoints (Heding, Liangqiu, Xuehai, Yinlingquan, Yanglingquan), the control group was taken the method of acupuncture treatment of simple knee acupoints. After 1 course of treatment, the visual analogue score (VAS), knee circumference, the scores of Western Ontario McMaster University osteoarthritis index (WOMAC) (including joint stiffness, daily activities and social function) of the two groups before and after treatment were compared; 3 months after the end of treatment, the VAS scores and knee circumference were followed up and compared with the results before and after treatment. Results The scores of knee stiffness, joint daily activities and social function of the two groups after treatment were significantly lower than those before treatment, and the treatment group was lower than the control group, the differences were all statistically significant (all P ＜ 0.05). Compared with before treatment, the VAS scores of the two groups were decreased after treatment and follow-up, and the treatment group was lower than the control group, the differences were all statistically significant (all P ＜ 0.05). Compared with after treatment, the VAS scores in the treatment group at follow-up was decreased (P ＜ 0.05), and the VAS scores in the control group at follow-up was slightly decreased, but there was no statistically significant difference (P ＞ 0.05). The knee circumference of the two groups after treatment was decreased obviously compared with that before treatment (all P ＜ 0.05), there was no significant difference between the two groups (P ＞ 0.05). The knee circumference of the two groups at follow-up was lower than that before treatment (all P ＜ 0.05), and the treatment group was significantly lower than the control group (P ＜ 0.05); compared with after treatment, the knee circumference of the treatment group at follow-up was decreased, and the knee circumference of the control group was increased (all P ＜ 0.05). Conclusion The combination of acupuncture the abdominal acupoints with the knee acupoints to treat the knee osteoarthritis in the type of deficiency of both the spleen and the kidney, dampness infusion into bone and joints using the method of invigorating the spleen and tonifying the kidney can significantly reduce the pain and swelling, and improve daily joint function. The curative effect is stable, which is better than the treatment of simple knee acupoints.
董玉喜 陈艳明 王秋红 尚丽霞 史桂荣 刘新燕 陈婷 . 健脾补肾法结合针刺治疗膝骨性关节炎的临床效果[J]. 中国医药导报, 2017, 14(22): 89-92.
DONG Yuxi CHEN Yanming WANG Qiuhong SHANG Lixia SHI Guirong LIU Xinyan CHEN Ting. Clinical effect of invigorating the spleen and tonifying the kidney combined with acupuncture in the treatment of knee osteoarthritis. 中国医药导报, 2017, 14(22): 89-92.
2017, Vol. 14 
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