基于经筋理论的银质针治疗膝骨性关节炎53例临床观察

Clinical Observation on Treatment of Knee Osteoarthritis by Silver Needle Therapy based on Tendon Theory

目的:观察基于经筋理论的银质针疗法治疗膝骨性关节炎的临床疗效。方法:将106例膝骨性关节炎患者随机分为观察组和对照组各53例。观察组按标准针距布局,有计划地选择多个结筋病灶点(区)为进针点群,采用银质针针刺,1次/周;对照组采用毫针针刺传统腧穴,5次/周。两组连续治疗4周,记录VAS、WOMAC分值并比较疗效。结果:观察组有效率为94.0%,对照组有效率为78.0%,两组间比较差异具有统计学意义(P<0.05)。VAS、WOMAC分值比较,观察组优于对照组(P<0.05)。结论:基于经筋理论的银质针疗法治疗膝骨性关节炎疗效明显,能有效减轻疼痛、改善功能,值得临床进一步研究和推广。

Objective： To observe the clinical efficacy of silver needle therapy based on tendon theory in the treatment of knee osteoarthritis. Methods： 106 cases of KOA patients were randomly divided into observation group（ silver needle treatment,53 cases） and the control group（ acupuncture treatment,53 cases）. In the observation group,the number of nodules was determined by the standard needle pitch,and the needle was used as the needle point group. The needles were used for acupuncture,1 time/week; the control group used acupuncture needle to acupuncture traditional acupoints,5 times/week VAS and WOMAC scores were recorded in the two groups for 4 weeks. Results： The effective rate of the treatment group was 94. 0%,the effective rate of the control group was 78. 0%,the difference between the two groups was statistically significant（ P〈0. 05）. VAS,WOMAC score,the treatment group was better than the control group（ P〈0. 05）. Conclusion： The treatment of osteoarthritis of knee osteoarthritis based on the theory of flexion and silver is effective,which can effectively relieve pain and improve its function. It is suggested that it should be further applied in clinical practice.