基于人体弓弦力学理论探讨针刀治疗膝骨关节炎的临床效果

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Abstract Objective To explore the clinical effect of akupotomye in the treatment of knee osteoarthritis (KOA) under the guidance of human bowstring mechanics theory. Methods Sixty patients with KOA who were admitted to Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province from January to November 2019 were selected and they were divided into akupotomye group and acupuncture group by random number table method, with 30 patients in each group. The acupuncture group was given priority to the spleen channel and stomach channel acupoints through the knee joint, combined with local ashi points, acupuncture was performed continuously five times a week, once a day, and rest for two days, for a total of ten times. The akupotomye group was given priority to release the soft tissue adhesions and scars around the knee joint. The treatment was done once for seven days, and the treatment was done twice in total. Visual analogue scale (VAS) and the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index score were measured before and after treatment, and the two groups were compared. The clinical efficacy of the two groups was compared after treatment. Results The VAS and WOMAC osteoarthritis scores of the two groups showed no statistically significant difference before treatment (P ＞ 0.05), but after treatment, the VAS and WOMAC osteoarthritis index scores of the two groups were lower than those before treatment, and the akupotomye group was lower than the acupuncture group, the differences were statistically significant (all P ＜ 0.05). The total effective rate of akupotomye group was higher than that of acupuncture group, and the difference was statistically significant (P ＜ 0.05). Conclusion The effect of human bowstring mechanics theory on akupotomye treatment of KOA is better than that of traditional acupuncture treatment, and it has the significance of popularizing. Its long-term efficacy needs further clinical verification.

Key words： Bowstring mechanics Akupotomye Acupuncture Knee osteoarthritis

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	HU Guoqiang1 XUE Baoshan2 LIU Jishi2 LI Luning3

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HU Guoqiang1 XUE Baoshan2 LIU Jishi2 LI Luning3. Investigating the clinical effect of akupotomye in the treatment of knee osteoarthritis based on human bowstring mechanics theory[J]. 中国医药导报, 2021, 18(18): 172-175.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I18/172

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