骨空针结合强筋健脊酊治疗膝关节骨性关节炎

Clinical Observation of Bone Hollow Needle Therapy Combined with Tincture for Strengthening Tendons and Spine in the Treatment of Knee Osteoarthritis

目的:观察骨空针结合强筋健脊酊治疗膝关节骨性关节炎(knee osteoarthritis,KOA)的临床疗效。方法:选取2017年1月至2018年1月深圳市中医院推拿科门诊及住院治疗的KOA患者90例,随机分为常规针刺组、骨空针组和骨空针结合强筋健脊酊组,每组30例。常规针刺组给予常规针刺治疗,骨空针组给予骨空针针刺治疗,骨空针结合强筋健脊酊组在骨空针组治疗的基础上给予强筋健脊酊治疗。采用疼痛视觉模拟评分法(visual analogue scale,VAS)、骨关节炎指数量表(the western ontario and mcmaster universities arthritis index,WOMAC)、红外热成像技术评估患者膝关节疼痛、炎症、活动障碍情况。结果:三组治疗后、治疗后3个月VAS评分低于治疗前,差异有统计学意义(P<0.05);骨空针结合强筋健脊酊组治疗后、治疗后3个月WOMAC低于常规针刺组、骨空针组,差异有统计学意义(P<0.05);骨空针结合强筋健脊酊组治疗后体表温度低于常规针刺组、骨空针组,差异有统计学意义(P<0.05);常规针刺组有效率为93.3%,愈显率为43.3%,骨空针组有效率为96.6%,愈显率为50.0%,骨空针结合强筋健脊酊剂组有效率为100.0%,愈显率为50.0%,三组临床疗效比较,差异无统计学意义(P>0.05)。结论:骨空针在改善膝关节功能上比常规针刺具有明显优势,骨空针结合强筋健脊酊有助于膝关节功能改善及消炎镇痛。

Objective:To observe the clinical curative effect of bone hollow needle therapy combined with tincture for strengthening tendons and spine on knee osteoarthritis(KOA).Methods:A total of 90 patients with KOA treated in the outpatient and inpatient Department of Massage in Shenzhen Hospital of TCM from January 2017 to January 2018 were randomly divided into the conventional acupuncture group,the bone hollow needle therapy group,the group of bone hollow needle therapy combined with tincture for strengthening tendons and spine,with 30 cases in each group.The conventional acupuncture group was treated with conventional acupuncture;the bone hollow needle therapy group was treated with bone hollow needle therapy;the group of bone hollow needle therapy combined with tincture for strengthening tendons and spine was treated with tincture for strengthening tendons and spine on the basis of bone hollow needle therapy.The visual analogue scale(VAS),the Western Ontario and McMaster Universities arthritis index(WOMAC)and infrared thermal imaging were used to evaluate the knee joint pain,inflammation and movement disorder.Results:The VAS scores of the three groups after treatment and 3 months after treatment were lower than those before treatment,and the difference was statistically significant(P<0.05).The WOMAC of the group of the bone hollow needle therapy combined with tincture for strengthening tendons and spine was lower than that of the conventional acupuncture group and the bone hollow needle therapy after the treatment and 3 months after the treatment respectively,and the difference was statistically significant(P<0.05).After the treatment,the body surface temperature of the group of the bone hollow needle therapy combined with tincture for strengthening tendons and spine was lower than that of the conventional acupuncture group and the bone hollow needle therapy,and the difference was statistically significant(P<0.05).In the conventional acupuncture group,the effective rate was 93.3%,and the remarkably cure rate was 43.3%.In the bone hollow needle therapy group,the effective rate was 96.6%,and the remarkably cure rate was 50.0%.In the group of the bone hollow needle therapy combined with tincture for strengthening tendons and spine,the effective rate was 100.0%,and the remarkably cure rate was 50.0%.There was no significant difference in the clinical efficacy among the three groups(P>0.05).Conclusion:Bone hollow needle therapy has obvious advantages over conventional acupuncture in improving knee joint function.Bone hollow needle therapy combined with tincture for strengthening tendons and spine can improve knee joint function,reduce inflammation and relieve pain.