“膝六”“膝七”点针刀松解对早中期膝骨关节炎的疗效研究

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Abstract Objective To observe clinical effect of “knee six fixed-point” “knee seven fixed-point” acupotomy on knee osteoarthritis in early and middle stage. Methods From February 2020 to June 2021, seventy cases of KOA patients in the outpatient and ward of Department of Acupuncture and Massage and Department of Rheumatology of the First Affiliated Hospital of Xinjiang Medical University were selected as the research objects. They were divided into control group and treatment group according to random number table method. The control group (35 patients) were treated with Western medicine and traditional Chinese herb external medicinal liquid application, the treatment group (35 cases) was treated with Western medicine and traditional Chinese herb external medicinal liquid application combined with acupotomy therapy, acupotomy therapy once a week. Short form McGill pain questionnaire (including pain sensation, pain emotion, visual analogue scale [VAS], and present pain intensity [PPI]) scores, knee range of motion, index severity of knee arthritis (ISOA) scores, and clinical efficacy before and after treatment were observed after three weeks. Results After treatment, the pain sensation, pain emotion, VAS, and PPI scores in two groups were lower than those before treatment, and those in the treatment group were lower than those in the control group, the differences were statistically significant (P ＜ 0.05). After treatment, the knee bend scores of the two groups were higher than those before treatment, the knee extension scores of the two groups were lower than those before treatment, and the knee bend score of the treatment group was higher than that of the control group, while the knee extension score of the treatment group was lower than that of the control group, the differences were statistically significant (P ＜ 0.05). After treatment, ISOA scores of the two groups were higher than those before treatment, and that in the treatment group was higher than that in the control group, the differences were statistically significant (P ＜ 0.05). The clinical efficacy of the treatment group was better than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The effect of “knee six fixed-point” and “knee seven fixed-point” acupotomy is certain, it can improve pathological pain in early and middle KOA patients, help restore joint function and improve clinical efficacy.

Key words： Knee osteoarthritis Acupotomelysis Pathological pain Knee range of motion Clinical efficacy

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	FANG Lina LI Shangfeng YUAN Hongli ZHOU Yu

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FANG Lina LI Shangfeng YUAN Hongli ZHOU Yu. Efficacy study of “Knee six fixed-point” “knee seven fixed-point” acupotomy on knee osteoarthritis in early and middle stage[J]. 中国医药导报, 2022, 19(18): 27-32.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I18/27

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