银质针疗法治疗Ⅲ级膝骨性关节炎临床研究

Clinical Observations on Silver Needle Acupuncture for Knee Osteoarthritis of Type Ⅲ

目的:观察银质针疗法治疗Ⅲ级膝骨性关节炎的临床疗效。方法:将90例膝骨性关节炎患者按随机数字表法分为银质针治疗组、温针灸治疗组两组,每组各45例患者,其中银质针治疗组男25例,女20例,平均年龄(60.17±5.83)岁,BMI指数24.31±1.76,平均病程(41.14±10.53)个月;温针灸治疗组男28例,女17例,平均年龄(60.81±6.54)岁,BMI指数24.84±1.49,平均病程(39.67±10.33)个月。银质针组在足三里次、阴陵上、委中次等结筋病灶点采用银质针治疗,温针灸参照银质针组选点进行温针灸治疗,治疗2个疗程后,观察两组有效率以及VAS、Lequesne指数评分情况;随访3个疗程后进行总体疗效评估。结果:银质针治疗组治愈12例,显效17例,有效12例,无效4例;温针灸治疗组治愈9例,显效14例,有效14例,无效8例。银质针治疗组疗效优于温针灸治疗组。治疗后VAS分值:银质针治疗组平均(2.09±1.11)分,温针灸治疗组平均(3.51±1.89)分;治疗后Lequesne指数:银质针治疗组平均(4.17±1.25)分,温针灸治疗组平均(6.02±2.16)分。结论:银质针疗法治疗能够改善Ⅲ级膝骨性关节炎患者的临床症状和膝关节运动功能,从而明显提高患者生活质量,且具有一定的远期疗效,值得临床推广。

Objective:To observe the clinical efficacy of intensive silver needle acupuncture in the treatment of knee osteoarthritis. Methods:Ninety patients with knee osteoarthritis were divided into silver needle acupuncture treatment group and warming needle moxibustion treatment group according to random number expression,45 patients in each group,including 25 males and 20 females in the silver needle acupuncture treatment group. The average age(60.17±5.83)years,BMI index(24.31±1.76)kg/m^2, average disease duration(41.14±10.53)months;warming needle moxibustion treatment group,28 males and 17 females,the average age(60.81±6.54)years,BMI index(24.84±1.49)kg/m^2,average disease duration(39.67±10.33)months. The silver needle acupuncture group was treated with silver needle in the lesion spots of Zusanlici,Yinlingshang,and Weizhongci,and the warming needle moxibustion treatment group was used for the treatment of warming acupuncture with reference to the silver needle acupuncture treatment group. After 2 courses of treatment,observe two groups of efficiency and VAS,Lequesne index scores;follow-up of 3 courses after the overall efficacy assessment. Results:The silver needle acupuncture treatment group was cured 12 cases,significantly effective in 17 cases,effective12 cases,and invalid 4 cases;the warming needle moxibustion treatment group was cured 9 cases,significantly effective in 14 cases,valid 14 cases and invalid 8 cases. The silver needle acupuncture treatment group was superior to the warming needle moxibustion treatment group. VAS score after treatment:Silver needle acupuncture treatment group average(2.09±1.11)points,the mean(3.51±1.89)points of the warm moxibustion treatment group;the Lequesne index after treatment:the average(4.17±1.25)scores of the silver needle acupuncture treatment group,and the average(6.02±2.16)scores of the warming needle moxibustion treatment group. Conclusion:Intensive silver needle acupuncture therapy can improve the clinical symptoms and knee joint motor function in patients with grade Ⅲ knee osteoarthritis,significantly improving the quality of life of patients,and has a certain long-term efficacy,and is worthy of clinical promotion.