|
|
Clinical effect of akupotomy combined with fine silver needle in the treatment of knee osteoarthritis |
WEI Ye1 GE Hengqing1 LI Kaiping2#br# |
1.Department of Akupotomy, Jiangsu Integrated Traditional Chinese and Western Medicine Hospital, Jiangsu Province, Nanjing 210046, China;
2.Health Preservation and Rehabilitation College, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210023, China |
|
|
Abstract Objective To observe the clinical effect of akupotomy combined with fine silver needle in the treatment of knee osteoarthritis. Methods Forty patients diagnosed with knee osteoarthritis in the Department of Akupotomy, Jiangsu Integrated Traditional Chinese and Western Medicine Hospital from January to December 2020 were selected as subjects, they were divided into observation group and control group by random number table method, with 20 cases in each group. The observation group was treated with akupotomy combined with fine silver needle, while the control group was treated with akupotomy only. Once a week, both groups were treated for four weeks. Lequesne, visual analogue scale score, knee circumference, and knee synovial thickness were observed before and after treatment. Results After treatment, the Lequesne index and VAS score of the two groups were lower than those before treatment, and the observation group was lower than the control group, and the differences were statistically significant (P < 0.05). After treatment, the knee circumference and synovial thickness of the two groups were decreased than those before treatment, and the observation group was lower than the control group, and the differences were statistically significant (P < 0.05). The clinical efficacy of the observation group was better than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Akupotomy combined with fine silver needle in the treatment of knee osteoarthritis can significantly improve joint swelling and pain, and reduce synovial thickness.
|
|
|
|
|
[1] 陈滢宇,姜薇,韩小雪,等.中药“艾辛痛方”外用治疗膝骨关节炎临床观察及对细胞因子IL-17调节作用初探[J].中国中医基础医学杂志,2019,25(4):509-510.
[2] 吕科,雷文黎,马建军.关节镜清理术联合曲安奈德、透明质酸钠关节腔内注射对膝骨关节炎血清骨代谢相关指标的影响[J].广西医科大学学报,2018,35(10):1392-1393.
[3] 张虎,张雯,邢磊.平衡针法治疗膝骨关节炎的即时步态分析研究[J],上海中医药大学学报,2018,32(5):39-40.
[4] 刘菲.经筋手法配合电针对膝骨关节炎患者的疗效及机制研究[J].湖北民族学院学报,2019,36(1):41-42.
[5] 陈渝龙,邹青云,季树亮.温针灸治疗膝骨关节炎疗效及安全性的Meta分析[J].中国民族民间医药,2019,28(2):45-50.
[6] 洪汉青,张彩荣,陈德春.针刀治疗膝骨关节炎的临床效果[J].中国医药导报,2019,16(9):162-163.
[7] 李陆宁,胡国强,高城超,等.超声引导下针刀治疗膝骨关节炎临床效果[J].中国医药导报,2018,15(33):138-141.
[8] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2007:200.
[9] 中华中医药学会.骨伤临床疾病指南[M].北京:人民卫生出版社,2015:53.
[10] 李端芳.银质针导热疗法联合玻璃酸钠对老年膝骨关节炎患者Lyshlom评分、肢体平衡及生活质量的影响[J].中国老年学杂志,2019,39(8):3685-3686.
[11] 葛恒清,韦晔,葛恒君.针刀配合骨减压治疗膝骨关节炎骨内高压临床研究进展[J].中国临床研究,2017,24(9):98-99.
[12] Hochberg MC,Altman RD,Brandt KD,et al. Guidelines for the medical management of osteoarthritis [J]. Arthritis Rheum 2018,38(11):1541-1546.
[13] 胡华,李连泰,刘艳伟,等.头部自重后伸牵引配合针刀治疗颈源性头痛的效果[J].中国医药导报,2018,15(33):130-131.
[14] 么纯.肌骨超声对针刀治疗膝关节骨性关节炎的疗效评价[J].西部医学,2019,31(4):595-596.
[15] 郑莜萸.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.
[16] Alec L. Meleger MD. Knee Pain:Musculoskeletal Disorders [J]. Arthritis Rheum,2017,14(7):420-421.
[17] 林艳霞,刘田梅.自主运动对高脂饮食诱导的肥胖小鼠膝骨关节炎软骨形态学的影响[J].中国骨质疏松杂志,2019,25(9):1274-1275.
[18] 郭长青,温建民,张秀芬.针刀松解法对膝骨关节炎软组织张力的影响[J].中国中医药信息杂志,2012,19(4):15-17.
[19] 宋寒冰.针刀松解术对膝骨关节炎软骨细胞作用分子机制实验研究[J].中医药学报,2017,45(10):64-65.
[20] 刘薛峰,徐静.细银质针骨骼肌松解治疗膝骨关节炎疗效观察[J].中国中医骨伤科杂志,2020,28(8):50-53.
[21] 唐流钢,王芳.关于膝骨关节炎小针刀松解法疗法的疗效观察[J].成都中医药大学学报,2017,40(2):67-69.
[22] 刘美锭,李开平,李殿宁.针刀治疗臀小肌筋膜疼痛症的解剖入路与理论探究[J].中国医药导报,2017,14(33):465-468.
[23] 张君涛.膝关节骨性关节炎动物模型研究进展[J].重庆医学,2018,47(5):2061-2062.
[24] 徐小柳,李殿宁,周建斌,等.针刀治疗枕下肌肌筋膜疼痛综合征临床观察[J].中国中医杂志,2016,25(7):1389-1391.
[25] 孟德世,李沛.针刀治疗膝骨关节炎研究进展[J].中医研究,2018,31(12):74-77.
[26] 王信亭,胡月,曾立志,等.超声引导下针刀联合药物注射治疗膝骨关节炎[J].中国临床研究,2022,35(6):805-809.
[27] 李钊.膝骨关节炎的分期表现[J].中国针灸,2018,14(3):100-103.
|
|
|
|