改良青龙摆尾针法治疗膝骨性关节炎的临床对照研究（英文）

Modified green dragon swaying its tail needling manipulation for treatment of knee osteoarthritis

目的:比较改良青龙摆尾针法、普通针刺手法对膝骨性关节炎患者疼痛综合评分的效应差异,评价改良青龙摆尾针刺手法治疗本病的优势。方法:将95例膝骨性关节炎患者按随机数字表法随机分为2组,其中改良青龙摆尾组48例,普通针刺组47例,分别施以不同针刺手法进行针刺治疗。采用国际公认的描述与测量疼痛的简化MPQ(SF-MPQ)量表评定疼痛程度,其中包括疼痛分级指数(PRI),目测类比定级法(VAS)和现有疼痛强度(PPI)。采用膝骨关节病情严重指数(ISOA)评定临床疗效。结果:(1)改良青龙摆尾组治疗后PRI、VAS及PPI积分分别为6.63±4.67、2.23±1.45、0.65±1.32,普通针刺组治疗后PRI及VAS、PPI积分分别为13.32±7.96、4.34±1.79及2.28±1.21,两组患者均较治疗前明显降低(均P<0.05),且改良青龙摆尾组改善情况优于普通针刺法(均P<0.01);(2)改良青龙摆尾组临床治愈率为52.08%,总有效率为97.92%;普通针刺组临床治愈率为25.53%,总有效率为85.10%。两组临床治愈率比较,P<0.01。结论:改良青龙摆尾组在改善患者疼痛综合评分方面明显优于普通针刺组。表明改良青龙摆尾针法可以有效缓解膝骨性关节炎患者的疼痛。

Objective To compare the difference in the effect of modified green dragon swaying its tail needling manipulation and common needling manipulations on the overall rating of pain of patients with knee osteoarthritis, and to evaluate the advantages of modified green dragon swaying its tail needling manipulation for. Methods Ninety-five patients with knee osteoarthritis were divided into 2 groups according to the random number table method with 48 patients in the modified green dragon swaying its tail group（group special manipulation, SM group for short） and 47 patients in the common acupuncture group（group convention needling, CN group for short）, and different acupuncture manipulations were applied in the two groups. Internationally recognized Simplified Mc Gill Pain Questionnaire（SF-MPQ） scale used for description and measurement of pain was applied to evaluate the pain degree, including pain rating index（PRI）, visnal analogue scale（VAS）and present pain intensity（PPI）. The index of severity for osteoarthritis（ISOA） was adopted for evaluation of clinical efficacy. Results（1） In SM group, the scores of PRI, VAS and PPI were 6.63±4.67, 2.23±1.45 and 0.65±1.32, respectively, after treatment, and in CN group, the scores of PRI, VAS and PPI were 13.32±7.96, 4.34±1.79 and 2.28±1.21, respectively, the scores decreased in the two groups after treatment（all P〈0.05）, and the improvement in SM group was superior to that in CN group（all P〈0.01）.（2） The clinical cure rate in SM group was 52.08%, and the total effective rate was 97.92%, the clinical cure rate in CN group was 25.53%, and the total effective rate was 85.10%. The comparison of clinical cure rate in the two groups showed that P〈0.01. Conclusion The SM group is obviously superior to CN group in the improvement of overall rating of pain of patients. It is indicated that modified green dragon swaying its tail acupuncture therapy can effectively relieve the pain of patients with knee osteoarthritis, which was worthy of popularization and application with definite clinical efficacy