长针直刺膝阳关和“上曲泉”(曲泉前上1寸)治疗膝骨关节炎临床疗效观察

Observation on therapeutic effect of perpendicular insertion with long needles to XiYangguan and ShangQuquan(One cun anterior-superior to Qu-quan)on knee osteoarthritis

目的:探讨长针直刺膝阳关和"上曲泉"(曲泉前上1寸)治疗膝骨关节炎的临床疗效。方法:将符合标准的78例患者根据随机数表法分为治疗组(39例)和对照组(39例)。治疗组选用长针直刺膝阳关和"上曲泉"(曲泉前上1寸),对照组选用常规穴位进行针刺治疗,1次/d,6d为1个疗程,8个疗程治疗结束后观察疗效。两组治疗前后分别以WOMAC评分量表为标准进行疗效评定。结果:在缓解膝关节疼痛、僵硬和改善关节活动功能方面,治疗组均明显优于对照组(P<0.05),两组治疗前后的组内差异及治疗后的组间差异均具有统计学意义(P<0.05)。结论:长针直刺膝阳关和"上曲泉"(曲泉前上1寸)治疗膝骨关节炎具有显著疗效,且优于常规针刺法,为临床研究提供了新的思路与方法。

Objective:To explore the therapeutic effects of perpendicular Iosertion with long needles to Xi Yangguan and Shang Qu-quan(one cun anterior-superior to Qu-quan) on knee osteoarthritis. Methods:78 cases of patients with knee osteoarthritis who meet the diagnostic criteria are randomly divided into treatment group and control group,each group 39. Treatment group adopts perpendicular Iosertion with long needles to Xi Yangguan and Shang Qu-quan(one cun anterior-superior to Qu-quan),while control group uses conventional acupuncture therapy.Once a day,6 days for a period of treatment,treatment of 8 periods of treatment.The therapeutic effects are assessedwithWOMAC osteoarthritis scale.Results:The therapeutic effects of knee-joint pain,stiffiness and joint range of motion of the treatment group aresignificantly betterthan those of the control group(P<0.05),and there are significant differences between the treatment group and control group before and after treatment and between two groups after treatment(P<0.05).Conclusion:Perpendicular Iosertion with long needles to Xi Yangguan and Shang Qu-quan(one cun anterior-superior to Qu-quan) has a significant advantage on the improvement of knee-joint pain,stiffiness and joint range of motion,compared to conventional acupuncture therapy,which can provide new ideas for clinical study.