刃针综合疗法治疗膝骨关节炎骨髓水肿的临床研究

Clinical Study on Bone Marrow Edema in Knee Osteoarthritis by Blade-Acupuncture Comprehensive Therapy

目的:观察刃针综合疗法治疗膝骨关节炎骨髓水肿的临床疗效。方法:选取60例膝骨关节炎骨髓水肿的患者,将其随机分为两组,每组30例。治疗组患者采用刃针、拔罐、推拿治疗,对照组患者采用针刺、拔罐、推拿治疗,治疗后比较两组患者的骨髓水肿面积、VAS评分、Lysholm量表评分及血清IL-6、TNF-α含量。结果:治疗组疗效优于对照组,差异有统计学意义(P<0.05)。与治疗前比较,治疗后两组患者骨髓水肿面积明显减小,VAS评分及血清IL-6、TNF-α含量均明显降低,差异有统计学意义(P<0.05);两组患者Lysholm量表评分均明显升高,差异有统计学意义(P<0.05)。治疗后治疗组患者骨髓水肿面积、VAS评分及血清IL-6、TNF-α含量均低于对照组,Lysholm量表评分高于对照组,差异均有统计学意义(P<0.05)。结论:刃针综合疗法治疗膝骨关节炎骨髓水肿有较好的临床疗效。

Objective:To observe the clinical curative effect of blade-acupuncture comprehensive therapy in the treatment of bone marrow edema in knee osteoarthritis.Method:A total of 60 patients with knee osteoarthritis and bone marrow edema were selected and randomly divided into two groups,30 cases in each group.The treatment group was treated with blade-acupuncture,cupping and massage.The control group was treated with ordinary acupuncture,cupping and massage.After treatment,the bone marrow edema area,VAS score,Lysholm scale score,serum IL-6 and serum TNF-αlevel were compared between the two groups.Results:The treatment group showed better clinical efficacy than control group,with statistically significant difference(P<0.05).After treatment,the bone marrow edema area,VAS score,serum IL-6 and serum TNF-αlevels in the two groups were decreased,and the above differences were statistically significant(P<0.05).The Lysholm scale scores increased in two groups,and the difference was statistically significant(P<0.05).Conclusion:Blade-acupuncture comprehensive therapy shows a good clinical effect on bone marrow edema in knee osteoarthritis.