健脾补肾法结合针刺治疗膝骨性关节炎的临床效果

Abstract
Figure/Table
References (25)
Related Citation (7)

Download: PDF (780 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Knee osteoarthritis Acupuncture therapy Invigorating the spleen and tonifying the kidney

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	DONG Yuxi CHEN Yanming WANG Qiuhong SHANG Lixia SHI Guirong LIU Xinyan CHEN Ting

Cite this article:

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[J]. 中国医药导报, 2017, 14(22): 89-92.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I22/89

[1] 曹喜俊.电针联合离子导入治疗膝骨性关节炎的疗效观察[D].广州：广州中医药大学，2015.
[2] 项晓伟，罗明，苗峻，等.深圳市罗湖区50岁以上老年人膝关节骨性关节炎流行病学调查及生存质量评价[J].现代医药卫生，2014，30（18）：2771-2772.
[3] McAlindon TE，Bannuru RR，Sullivan MC，et al. OARSI guidelines for the non-surgical management of knee osteoarthritis [J]. Osteoarthritis Cartilage，2014，22（3）：363-388.
[4] 郭麒竹，杜琳，赵晋昕，等.对腹针治疗膝关节骨性关节炎即刻镇痛效果的临床观察[J].现代中医临床，2014，21（2）：36-38.
[5] 付冬梅，赵敬军，周佳华，等.温针灸结合推拿治疗膝骨性关节炎临床观察[J].针灸临床杂志，2015，31（12）：47-49.
[6] 曹锐，杨红玲，何润东.针刺治疗膝骨性关节炎45例临床观察[J].中医杂志，2016，57（13）：1133-1136.
[7] 中华医学会骨科学分会.骨关节炎诊治指南（2007年版）[J].中国矫形外科杂志，2014，27（3）：28-30.
[8] 郑筱萸.中药新药临床研究指导原则[M].北京：中国医药科技出版社，2002：349-353.
[9] 宋阳春，孙奎，吴三兵，等.芒针透刺治疗膝骨性关节炎的临床研究[J].针灸临床杂志，2015，31（11）：54-56.
[10] 潘艳霞.温针灸和电针疗法治疗膝骨性关节炎疗效比较的队列研究[D].北京：北京中医药大学，2011.
[11] 张钰聪，关绍晨，吴晓光，等.北京市老年人血压、血糖、血脂水平与4年全死因死亡分析[J].临床荟萃，2013， 28（2）：121-123.
[12] 杨文婷，汪芗.针灸治疗膝关节骨性关节炎临床研究现状[J].中医临床研究，2016，8（30）：79-81.
[13] 赖慧容.薄氏腹针治疗膝关节骨性关节炎的临床观察[D].北京：北京中医药大学，2014.
[14] 郑芳芳，郑爱军，胡志芳，等.薄氏腹针联合红外线照射治疗膝关节骨性关节炎疗效观察[J].现代中西医结合杂志，2016，25（22）：2456-2458.
[15] 崔立民，刘娜，蔡承穆，等.腹针治疗膝骨性关节炎的疗效观察[J].中国临床医生杂志，2016，44（7）：78-80.
[16] 任景，李涛，于苗，等.针灸联合独活寄生汤治疗膝关节骨性关节炎疗效观察及对微炎性反应指标的影响[J].世界中医药，2016，11（10）：2113-2115，2119.
[17] 徐亚红，魏小利，王社平，等.温针灸联合超短波治疗膝骨性关节炎54例[J].环球中医药，2016，9（7）：878-880.
[18] 胡英华，李瑞华，王喜臣.针刺治疗膝骨性关节炎的腧穴优选规律探析[J].吉林中医药，2016，36（12）：1279-1282.
[19] 董玉喜，陈艳明，刘云霞.健脾补肾法针刺治疗膝关节骨性关节炎临床疗效观察[J].中国民间疗法，2013，21（12）：8-9.
[20] 邝高艳，严可，柴爽，等.加味独活寄生合剂治疗膝骨关节炎临床疗效及对关节液中IL-1，IL-6，TNF-α及NO的影响[J].中国实验方剂学杂志，2017，23（1）：174-178.
[21] 杨黎黎，王庆甫，王欢，等.通络止痛方对人膝骨关节炎关节液IL-1β，HA及NO的影响[J].中国中医骨伤科杂志，2017，25（1）：1-4.
[22] 尤从新，贾潇，颜春鲁，等.中西医结合治疗阳虚型膝骨性关节炎30例[J].西部中医药，2016，29（12）：96-97.
[23] 周波.骨痹合剂配合玻璃酸钠注射治疗膝骨性关节炎疗效观察[J].中国医学创新，2015，12（8）：89-91.
[24] 谢木友.独活寄生汤辅助治疗膝骨性关节炎的临床疗效观察[J].中外医学研究，2015，13（5）：150-152.
[25] 谢国平.膝骨关节炎中医证型与关节液中MMPs、TIMP-1等指标的相关性研究[D].广州：广州中医药大学，2012.