点穴经筋疗法对膝骨关节炎关节积液作用的临床研究

A clinical research of treatment in knee osteoarthritis with digital acupoint pressure therapy

目的探讨点穴经筋疗法治疗膝骨关节炎(KOA)的疗效。方法对KOA患者30例46个患病膝关节,其中16例为双膝32个患病膝关节,14例为单膝14个患病膝关节,采用点穴经筋疗法治疗。在治疗前及治疗3个月结束时,采用彩色多普勒超声诊断仪测量患病膝关节腔积液情况,采用KOA病情严重指数(ISOA)进行评价。结果 30例治疗3个月,ISOA评分降低明显,治疗前后比较差异有统计学意义(t=15.652,P=0.000);彩色多普勒超声诊断仪显示患病膝关节腔积液前后径合计总数量减少,差异有统计学意义(t=3.446,P=0.001),积液关节个数减少,差异无统计学意义(χ2=1.848,P=0.257)。结论点穴经筋疗法治疗KOA是减轻或消除临床症状的有效方法。

Objective To explore the effect of digital acupoint pressure therapy in the treatment of knee os -teoarthritis（KOA）.Methods There were totally 46 knee joint with KOA in 30 patients, in which there were 16 pa-tients with 32 KOA knees, and 14 patients with 14 KOA knees.All of the patients accepted digital acupoint pressure therapy.The knee joint effusion was measured with color Doppler ultrasonography before and 3 months after treat-ment , and the severity of KOA was assessed with KOA severity index （ ISOA） .Results In the thirty patients with 46 KOA knees, after accepting the pointing treatment for 3 months, the ISOA score was obviously decreased compared to that before the treatment , the difference was statistically significant （ t=15.652 , P=0.000 ） .Color Doppler ultra-sonography showed that the diameter of effusion in knee joint cavity decreased significantly （ t=3.446 , P=0.001 ） , however , the reduction of the number of effusion joint , compared to those before treatment , was not statistically sig-nificant（χ2 =1.848, P=0.257）.Conclusion The digital acupoint pressure can effectively release or eliminate the clinical symptoms of KOA .