针刀结合圆利针治疗膝骨性关节炎120例疗效观察

Observation of the efficacy of treatment of 120 cases with knee osteoarthritis with the small-needle-scalpel combined with round-sharp-needle

目的:评价针刀结合圆利针治疗膝骨性关节炎的疗效。方法:将120例膝骨性关节炎的患者随机分为两组,治疗组60例,在关键性压痛点采用针刀治疗,阳性反应点用圆利针针刺,配合手法治疗,1次/周,3次为1个疗程,1～2疗程;对照组60例,采用针刺内外膝眼、血海、梁丘、阳陵泉、阴陵泉及相应阿是穴,加用G6805电针仪治疗,隔日1次,10次为1疗程,共治疗2个疗程,比较两组疗效。结果:治疗组治疗结束后、术后6个月的疗效均好于对照组(t值分别为4.774、5.095,P<0.01)。结论:针刀结合针灸治疗膝骨性关节炎有较好的临床疗效。

Objective: To evaluate the efficacy of the treatment of the knee osteoarthritis with the small-needlescalpel combined with round-sharp-needle.Method: One hundred and twenty patients with knee osteoarthritis were randomly divided into two groups.Sixty patients of the treatment group were treated by the small-needle-scalpel with round-sharpneedle on the key tender points once a week,3 times a course for 1-2 courses.Sixty patients in the control group were treated with acupuncture and additional use of G-6805 electro-acupuncture instrument in the acu-points of Xiyan inside and outside,Xuehai,Liangqiu,Yangling-quan,Yinlingquan and the corresponding Ashi of,once every other day,10 times a treatment course for 2 courses.The efficacies of two groups were compared.Result: The therapeutic effect of the treatment group was better than that of the control group after treatment and postoperative 6 months late(t value was 4.774 and 5.095 respectively) P<0.01.Conclusion: Small-needle-scalpel combined with acupuncture in the treatment of the knee osteoarthritis can achieve better clinical efficacy.