灵枢开阖针法治疗寒湿痹阻型膝骨关节炎临床效果

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Abstract Objective To observe the efficacy on acupuncture of Lingshu Kaihe in the treatment of knee osteoarthritis with cold-dampness blockage pattern. Methods A total of 117 patients with knee osteoarthritis with cold-dampness blockage pattern admitted to the Third Department of Orthopedics, the First Affiliated Hospital of Hebei University of Chinese Medicine from February 2018 to February 2020 were selected. They were randomly divided into two groups by computer. There were 59 cases in the treatment group (acupuncture of Lingshu Kaihe), and 58 cases in the control group (ordinary acupuncture treatment), all of which were treated for two weeks. Visual analogue scale (VAS), Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scale scores, interleukin-1 (IL-1) and tumor necrosis factor α (TNF-α) levels were recorded before and after treatment to evaluate knee pain and improvement of knee symptoms in the two groups. The clinical efficacy of the two groups was compared. Results After treatment, VAS, the score of WOMAC scale, and the levels of IL-1 and TNF-α in both groups were lower than those before treatment, and VAS and the score of WOMAC scale in the treatment group were lower than those in the control group, with statistical significance (all P ＜ 0.05). There were no significant differences in IL-1 and TNF-α between the two groups after treatment (P ＞ 0.05). The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Acupuncture of Lingshu Kaihe has a definite clinical effect in the treatment of knee osteoarthritis with cold-dampness blockage pattern, and its effect is superior to ordinary acupuncture treatment in relieving symptoms.

Key words： Knee osteoarthritis Acupuncture of Lingshu Kaihe Pain score Inflammatory factors

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	YUAN Yundong1 WANG Yanjun2 QI Liqing1

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YUAN Yundong1 WANG Yanjun2 QI Liqing1. Clinical effect on acupuncture of Lingshu Kaihe in the treatment of knee osteoarthritis with cold-dampness blockage pattern[J]. 中国医药导报, 2021, 18(12): 98-102.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I12/98

[1] 李炎，李钊伟，任荣，等.膝关节骨性关节炎治疗的研究进展[J].中国当代医药，2019，26（16）：24-27.
[2] 全汉强，郭钦源.中老年膝骨性关节炎诊疗的研究进展[J].右江民族医学院学报，2013，35（6）：834-835.
[3] 王硕，马剑雄，杜育任，等.退行性膝骨关节炎中软骨下骨病变的研究进展[J].中华老年医学杂志，2019（6）：698-702.
[4] 苏炳烛，简功辉，谢青玲，等.膝骨关节炎肝肾亏虚证与寒湿痹阻证的血浆代谢组学差异研究[J].湖南中医药大学学报，2020，40（6）：749-753.
[5] Shi GX，Tu JF，Wang TQ，et al. Effect of Electro-Acupuncture（EA）and Manual Acupuncture（MA） on Markers of Inflammation in Knee Osteoarthritis [J]. J Pain Res，2020（13）：2171-2179.
[6] 张宏，王旭昀，郑伟康，等.药物治疗膝骨关节炎的研究进展[J].中国医药导报，2018，15（27）：38-41.
[7] 廖子龙，邓凯烽，韦星成，等.基于数据挖掘技术分析针灸治疗寒湿型膝骨关节炎的用穴规律[J].针灸临床杂志，2020，36（10）：43-47.
[8] 师静，冯媛媛，张丽玲，等.针刺结合艾灸及中药外敷治疗重度膝骨关节炎临床研究[J].国际中医中药杂志，2018， 40（2）：124-127.
[9] 金光亮.“阳病治阴,阴病治阳”释义及其思想原理[J].上海中医药杂志，2018，52（9）：34-37.
[10] 中华医学会骨科学分会.骨关节炎诊治指南（2018版）[J].中华骨科杂志，2018，38（12）：705-715.
[11] 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，1994.
[12] 林璐璐，孙宁，王雪蕊，等.膝关节骨性关节炎常用评价量表的比较与分析[J].中国疼痛医学杂志，2018，24（2）：135-139.
[13] 卢一丹，詹梦娜，尤晨宇，等.膝关节骨关节炎肌骨超声半定量评分与西安大略麦克马斯特大学骨关节炎指数相关性分析[J].中国基层医药，2020，27（17）：2068-2071.
[14] Booker SQ，Sibille KT，Terry EL，et al. Psychological Predictors of Perceived Age and Chronic Pain Impact in Individuals With and Without Knee Osteoarthritis [J]. Clin J Pain，2020，36（8）：569-577.
[15] 刘朝晖，马剑雄，张顺，等.膝骨关节炎的现状及治疗方法的研究进展[J].中华骨与关节外科杂志，2020，13（8）：688-693.
[16] Li X，Mei W，Huang Z，et al. Casticin suppresses monoi-odoacetic acid-induced knee osteoarthritis through inhibiting HIF-1α/NLRP3 inflammasome signaling [J]. Int Immunopharmacol，2020，86：106745-106749.
[17] 鲍亮，赵晨，刘琮，等.膝关节液和血清肿瘤坏死因子与IL-1的临床意义[J].中南医学科学杂志，2020，48（5）：458-460，464.
[18] 李宇，唐芳，马武开，等.中医外治法治疗膝骨关节炎的研究进展[C].贵州省中西医结合学会.2019年贵州省中医、中西医结合风湿病学术会议暨全国中西医结合诊治风湿病新进展学习班讲义、论文及新进展汇编，2019：148-155.
[19] 牛彦强，颜春鲁，安方玉，等.膝骨关节炎基因表达及中医药干预机制的研究进展[J].中国骨质疏松杂志，2020， 26（4）：585-589.
[20] 许纪超，王嘉轩，郭惟，等.《黄帝内经》两种脉法对针灸临床的指导[J].针灸临床杂志，2020，36（6）：1-5.
[21] 董升阳，韦玲.《黄帝内经·灵枢》“标本根结”理论指导针刺治疗贝尔麻痹[J].中医研究，2018，31（2）：57-59.
[22] Wu N，Huang J，Yang X，et al. The long-term effect of acupuncture for patients with knee osteoarthritis：Study protocol for a randomized controlled trial [J]. Medicine（Baltimore），2020，99（42）：e22599-e22602.
[23] 朱凯辉，邰东旭.中医外治法治疗膝骨关节炎的临床进展[J].实用中医内科杂志，2020，34（2）：45-47.
[24] 唐宏智，卫晓东，廖世川.髌周围刺结合温针灸治疗膝骨关节炎的临床效果[J].中国医药导报，2020，17（11）：107-110.