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中华针灸电子杂志 ›› 2023, Vol. 12 ›› Issue (01) : 14 -18. doi: 10.3877/cma.j.issn.2095-3240.2023.01.004

论著

股九针治疗膝关节骨性关节炎的临床疗效观察
马先林1, 刘寨1, 兰阿勇1, 陈勇1, 李晓琳1, 成锦2, 李志道3,()   
  1. 1. 300450 天津市滨海新区杭州道街向阳社区卫生服务中心中医科
    2. 300451 天津市滨海新区北塘街社区卫生服务中心中医科
    3. 301617 天津中医药大学针灸推拿学院
  • 收稿日期:2022-02-22 出版日期:2023-02-15
  • 通信作者: 李志道
  • 基金资助:
    天津市滨海新区卫生健康委科技课题项目(2019BWKJ040)

Clinical observation on treatment of knee osteoarthritis with femoral nine-needle

Xianlin Ma1, Zhai Liu1, Ayong Lan1, Yong Chen1, Xiaolin Li1, Jin Cheng2, Zhidao Li3,()   

  1. 1. Department of Traditional Chinese Medicine, Xiangyang Community Health Service Center, Hangzhou Road Street, Binhai New District of Tianjin, Tianjin 300450, China
    2. Department of Traditional Chinese Medicine, Beitang Street Community Health Service Center, Binhai New District of Tianjin, Tianjin 301451, China
    3. College of Acupuncture and Massage, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • Received:2022-02-22 Published:2023-02-15
  • Corresponding author: Zhidao Li
引用本文:

马先林, 刘寨, 兰阿勇, 陈勇, 李晓琳, 成锦, 李志道. 股九针治疗膝关节骨性关节炎的临床疗效观察[J/OL]. 中华针灸电子杂志, 2023, 12(01): 14-18.

Xianlin Ma, Zhai Liu, Ayong Lan, Yong Chen, Xiaolin Li, Jin Cheng, Zhidao Li. Clinical observation on treatment of knee osteoarthritis with femoral nine-needle[J/OL]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2023, 12(01): 14-18.

目的

观察股九针治疗膝关节骨性关节炎的临床疗效。

方法

选择2020年1月至2021年5月于天津市滨海新区杭州道街向阳社区卫生服务中心治疗的100例膝关节骨性关节炎患者,按照随机数字表法随机分为2组,治疗组采用股九针治疗,对照组采用常规针刺治疗。2组治疗前,治疗3周后、治疗后3个月和治疗后6个月分别采用视觉模拟评分法(VAS)进行疼痛评分以及膝关节评分量表(LKSS)进行功能评分。

结果

2组治疗后各时段VAS评分均较治疗前降低,差异均有统计学意义(F=427.72、188.75,P均<0.05);与对照组比较,治疗组治疗3周后、治疗后3个月、6个月VAS评分均降低,且差异均有统计学意义(t=7.59、8.66、9.23,P均<0.05)。2组治疗后各时段LKSS评分均较治疗前升高,差异均有统计学意义(F=949.75、307.57,P均<0.05);与对照组比较,治疗后各时段LKSS评分均升高,且差异均有统计学意义(t=8.28、9.98、12.27,P均<0.05)。

结论

股九针可以有效减轻患者疼痛,并改善患者膝关节功能,且疗效能够维持一定的时间。股九针对膝关节骨性关节炎患者具有显著的治疗效果。

Objective

To observe the clinical effect of femoral nine-needle on knee osteoarthritis.

Methods

A total of 100 patients with knee osteoarthritis from January 2020 to May 2021 were selected from Xiangyang Community Health Service Center, Hangzhou Street, Tianjin Binhai New Area. They were randomly divided into 2 groups according to the random number table method. The treatment group was treated with femoral nine-needle, while the control group was treated with routine acupuncture. Before treatment, 3 weeks after treatment, 3 months after treatment and 6 months after treatment, visual analogue scale (VAS) and knee joint scale (LKSS) were used to assess the pain and function of the two groups respectively.

Results

The VAS scores of the two groups in each period after treatment were lower than those before treatment, with a statistically significant difference (F=427.72, 188.75, all P<0.05) . Compared with the control group, the VAS scores of the treatment group decreased after 3 weeks, 3 months and 6 months of treatment, and the difference was statistically significant(t=7.59, 8.66, 9.23, all P<0.05). The LKSS scores of the two groups in each period after treatment were significantly higher than those before treatment (F=949.75, 307.57, all P<0.05). Compared with the control group, the LKSS scores were increased in every period after treatment, and the difference was statistically significant(t=8.28, 9.98, 12.27, all P<0.05).

Conclusions

Femoral nine-needle can effectively relieve pain and improve knee function of patients, and the efficacy can be maintained for a certain time. Femoral nine-needle has a significant therapeutic effect on knee osteoarthritis.

表1 2组膝关节骨性关节炎患者治疗前后VAS评分(n=50,分,±s)
表2 2组膝关节骨性关节炎患者治疗前后LKSS评分(n=50,分,±s)
1
Jadad AR, Moore RA, CarroII D,et al.Assessing the quality of reports of randomized clinical trials: is blinding necessary [J]. Control Clinic Trials, 199617(1):1-22.
2
Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association[J]. Arthritis Rheum, 198629(8):1039-1049.
3
林右翎,梁冰洁,李志道.李志道教授股九针治疗膝骨性关节炎的临床应用[J].针灸临床杂志201430(7):66- 68.
4
麻秋雷.李志道教授学术思想初探及应用股九计治疗膝骨性关节炎的疗效观察[D].天津中医药大学,2015.
5
Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries [J].Clin Orthop Relat Res1985(198):43- 49.
6
陆艳红,石晓兵.膝关节骨性关节炎国内外流行病学研究现状及进展[J].中国中医骨伤科杂志201220(6):81- 84.
7
王度,张文明.膝关节骨性关节炎分型进展及临床意义[J].中国矫形外科杂志202028(1):53-57.
8
王常海.膝关节骨性关节炎经筋辨证及步态分析研究[D].北京中医药大学,2007.
9
邓佳南,龚利,李建华,等.膝骨关节炎患者下肢肌力的国内外研究现状[J].中国中医骨伤科杂志201422(4):75-77.
10
孙亚楠.李志道教授治疗膝关节骨性关节炎经验[J].中国针灸201232(11): 1305-1307.
11
何二代.针刺加牵引治疗膝骨性关节炎疗效分析[J].内蒙古中医药201433(35):98- 99.
12
叶建,管遵惠.管遵惠老师经筋理论的运用经验[J].云南中药杂志200526(3):2-3.
13
陈祥芳,乔波,胡晓瑜,等. "理筋刺法"治疗膝关节骨性关节炎的临床研究[J].针灸临床杂志202238(7):43- 47.
14
马先林,李志道,徐立,等.刺肌腹法治疗肱骨外上髁炎32例[J].中国针灸201434(5):459- 460.
15
李岩,周震.李志道组穴[M].北京:中国医学科技出版社,2019.
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