基于经筋理论指导下治疗膝骨关节炎的临床观察

Clinical efficacy based on the theory of muscle region of meridian for knee osteoarthritis

目的:探讨基于经筋理论指导下治疗膝骨关节炎的临床疗效。方法:选择2015年2月-2016年12月安徽中医药大学第一附属医院针灸康复科收治的90例膝骨关节炎患者,随机分为治疗组和对照组各45例。两组选取犊鼻、阳陵泉、血海、足三里、内膝眼、梁丘、阴陵泉、鹤顶、阿是穴、委中、三阴交、膝阳关,对照组给予常规针刺,观察组在此基础上运用经筋理论进行治疗。两组每周治疗5次,每次约30 min,共治疗8 w。观察两组患者治疗前、治疗4 w后以及治疗8w后临床疗效、膝关节Lysholm评分以及视觉模拟量表(VAS)评分的变化。结果:治疗8 w后,两组患者Lysholm评分较本组治疗前明显提高,VAS评分明显降低,差异均有统计学意义(P<0.05),且治疗后,观察组Lysholm评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);两组患者治疗后总有效率比较差异有统计学意义(P<0.05)。结论:基于经筋理论指导可有效治疗膝骨关节炎,改善患者Lysholm评分和VAS评分。

Objective：To explore the clinical effect for the treatment of knee osteoarthritis based on the theory of muscle region of meridian. Methods：A total of 90 patients with knee osteoarthritis treated in the first affiliated hospital of Anhui University of Chinese Medicine were selected from the February 2015 to December 2016,and each 45 cases. They were randomly divided into treatment group and control group. Dubi（ST35）,Yanglingquan（GB34）,Xuehai（SP10）,Zusanli（ST36）,Neixiyan（EX-LE4）,Liangqiu（ST34）,Yinlinquan（SP9）,Heding（EX-LE2）,Ashixue,Weizhong（BL40）,Sanyinjiao（SP6）,Xiyangguan（GB33）were selected in two groups. The control group received conventional treatment. The treatment group was treated with the theory of muscle region of meridian. The two groups were treated 5 times a week for about 30 minutes and treated for 8 weeks.Clinical efficacy,Lysholm score and visual analogue scale（VAS）were observed in two groups of patients before treatment,4 weeks after treatment and 8 weeks after treatment. Results：8 weeks after treatment,of the lysholm score two groups was obviously improved,VAS score significantly lower,the difference had statistical significance（P〈0.05）,and after treatment,the observation group Lysholm score higher than that of the control group,VAS score lower than the observation group,the difference was statistically significant（P〈0.05）;The total effective rate of treatment group was significantly higher than that in the control group,and the difference was statistically significant（P〈0.05）. Conclusion：Based on the theory of muscle region of meridian,patients with knee osteoarthritis could be effectively treated and Lysholm score and VAS score is improved.