针刺治疗膝骨性关节炎临床研究进展

Clinical Research Progress on Acupuncture Treatment of Knee Osteoarthritis

膝骨性关节炎是由多种原因导致的关节软骨退化性损伤、关节腔边缘与软骨下骨反应性增生为主要病变的一种关节退行性病变。中医学认为膝骨性关节炎的病机多为本虚标实,本虚以肝肾亏虚、气虚血少为主,标实以风、寒、湿、痰、瘀等为主。中医学在膝骨性关节炎的治疗中积累了丰富的外治经验,其中针刺疗法因其简便快捷,见效快等特点为临床所常用,主要包括普通针刺、火针、电针、小针刀等疗法。通过整理近年来针刺治疗膝骨性关节炎的相关文献,以期为今后临床诊治提供参考。

Knee osteoarthritis is a degenerative joint disease caused by various reasons,including degenerative damage to the articular cartilage,reactive proliferation of the articular cavity edge and subchondral bone.Traditional Chinese medicine believes that the pathogenesis of knee osteoarthritis is mostly based on deficiency in origin and excess in superficislity,with liver and kidney deficiency,Qi deficiency and blood deficiency as the main symptoms,and wind,cold,dampness,phlegm,and blood stasis as the main symptoms.Traditional Chinese medicine has accumulated rich experience in external treatment of knee osteoarthritis,among which acupuncture therapy is commonly used in clinical practice due to its simple,fast,and effective characteristics,mainly including ordinary acupuncture,fire acupuncture,electroacupuncture,small needle knife and other therapies.By organizing relevant literature on acupuncture treatment of knee osteoarthritis in recent years,we aim to provide reference for future clinical diagnosis and treatment.