齐刺法治疗风寒湿痹型膝骨关节炎的临床研究

Clinical Research of Triple Needling on Knee Osteoarthritis of Wind-cold-dampness Type

目的观察齐刺法治疗风寒湿痹型膝骨关节炎的临床疗效,证实其可行性和有效性。方法将72例风寒湿痹型膝骨关节炎患者随机分为两组。治疗组与对照组均取患侧犊鼻和内膝眼穴。治疗组采用齐刺法,对照组采用普通针刺法,每次20 min,每周3次,治疗3周。比较两组治疗1周、2周、3周后,6周后随访时,视觉模拟评分法(VAS)疼痛程度评分及WOMAC骨性关节炎量表疼痛评分、关节僵硬评分、日常活动评分及总评分的变化。结果治疗前,两组一般资料、VAS疼痛程度评分和WOMAC量表评分比较,差异均无统计学意义(P>0.05)。治疗1周和2周后,治疗组和对照组VAS疼痛评分及WOMAC量表评分的差异均无统计学意义(P>0.05)。治疗3周后,治疗组VAS疼痛评分明显低于对照组,差异有统计学意义(P<0.05);治疗组WOMAC量表总评分明显低于对照组(54.80±9.24),差异有统计学意义(P<0.01);WOMAC量表疼痛评分、关节僵硬评分和日常活动评分均低于对照组(P<0.05或P<0.01)。6周后随访时,治疗组VAS疼痛程度和WOMAC量表日常活动评分及总评分低于对照组,差异有统计学意义(P<0.01)。结论齐刺法能有效治疗风寒湿痹型膝骨关节炎,在降低VAS疼痛程度和WOMAC量表评分方面疗效优于单纯针刺。

Objective： To observe the feasibility and effectiveness of triple needling on knee osteoarthritis of wind-cold-dampness type.It can provide a scientific basis for triple needling on knee osteoarthritis of wind-colddampness type. Methods： 72 patients were randomly divided into the treatment group and the control group,36 cases in each group. The treatment group and control group all chose the same point Dubi and Neixiyan to treat the pain of knee. The treatment group was treated with triple needling,while the control group was treated with routine acupuncture therapy. A course of treatment needed three weeks,three times per week,20 minutes per session. The pain scores,the joint stiffness score,the change of the daily activity score and the total score in WOMAC and VAS were compared in 1 week,2 weeks,3 weeks after treatment,and 6-week follow-up. Results： Before the treatment,there were no statistically significant difference in commom data,VAS scores and WOMAC scorces between the two groups（P〉0.05）. After 1 week＇s and 2 weeks;treatment,there was no statistically significant difference in the VAS pain score and the WOMAC scale score between the two groups（P〉0.05）. After 3 weeks of treatment,the pain score of VAS in the treatment group was lower than that of the control group. The difference between the two groups was statistically significant（P〈0.05）. The total score of WOMAC in the treatment group was lower than that of the control group（54.80±9.24）,and the difference between the two groups was statistically significant（P〈0.01）. The WOMAC scale was lower than the control group in pain scores,joint stiffness scores and daily activity scores（P〈0.05 or P〈0.01）. After 6 weeks of follow-up,the VAS pain level and WOMAC scale in the treatment group were lower than those of the control group,and the difference was statistically significant（P〈0.01）. Conclusion： Triple needling can treat the knee osteoarthritis of wind-cold-dampness type effectively.In the aspect of reducing the pain of VAS and WOMAC rating scale,the effect of triple needling is better than routine acupuncture therapy.