火针配合刺络放血治疗膝关节骨性关节炎的疗效研究

Efficacy Study on Fire Needle Combined with Bloodletting in Treatment of Knee Osteoarthritis

目的:观察火针配合刺络放血治疗膝关节骨性关节炎的临床疗效。方法:将70例膝关节骨性关节炎患者随机分为对照组(n=35)与治疗组(n=35)。对照组采用双氯芬酸钠缓释片治疗,治疗组采用火针配合刺络放血治疗。比较两组治疗前后中医证候积分、视觉模拟评分法(VAS)、膝关节骨性关节炎严重性指数(ISOA)、JOA膝骨性关节炎评分、膝关节活动度的变化情况,并对两组临床疗效进行评价。结果:与治疗前比较,两组中医证候积分、VAS评分、ISOA评分治疗后均下降,而JOA膝骨性关节炎评分、膝关节活动度上升,且治疗组上述观察指标均优于对照组,差异均有统计学意义(P<0.05);治疗组临床疗效总有效率为91.43%(32/35),高于对照组的65.71%(23/35),差异有统计学意义(P<0.05)。结论:采用火针配合刺络放血治疗膝关节骨性关节炎,可显著提高临床疗效,缓解临床症状,减轻患者痛苦,促进膝关节功能的恢复,提高生存质量,治疗优势明显。

Objective： To observe the clinical efficacy of fire needle combined with bloodletting in treatment of knee osteoarthritis（KOA）. Methods： A total of 70 KOA patients were randomly divided into control group（n=35） and treatment group（n =35）. Control group took diclofenac sodium enteric-coated tablets, while treatment group took fire needle combined with bloodletting. The changes of TCM symptom score, visual analogue scale（VAS）, index of severity for knee osteoarthritis（ISOA）, JOA knee osteoarthritis score, range of motion（ROM） of two groups before and after treatment were compared, and clinical efficacy of two groups were evaluated. Results： Compared with pre-treatment, the TCM symptom score, VAS score and ISOA score of two groups decreased after treatment, but JOA knee osteoarthritis score and ROM increased, and the above indexes of treatment group were better than control group（P〈0.05）. The clinical total effective rate of treatment group was 91.73%（32/35）, which was higher than 65.71%（23/35） of control group（P〈0.05）. Conclusion： Fire needle combined with bloodletting for treating KOA can significantly increase clinical efficacy, relieve clinical symptom, reduce pain, promote recovery of knee joint function and improve survival quality, which has obvious treatment advantages.