浮针结合艾灸循经筋阿是穴治疗膝骨性关节炎的疗效研究

Efficacy of Fu's Subcutaneous Needling Combined with Moxibustion at Ashi Points Along the Tendons in Treating Knee Osteoarthritis

目的分析在膝骨性关节炎(KOA)患者中应用浮针结合艾灸循经筋阿是穴治疗对关节疼痛及功能的影响。方法选取2021年10月至2023年9月广东医科大学附属第二医院疼痛科、骨科及康复科收治的KOA患者70例,随机分为试验组和常规组,每组35例。试验组采用浮针结合艾灸循经筋阿是穴治疗,常规组单纯采用艾灸循经筋阿是穴治疗。治疗前后及随访1个月时,对两组患者膝痛水平[视觉模拟评分法(VAS)]、膝功能恢复状况[膝关节功能量表(HSS)]及炎性指标[白细胞计数(WBC)、血沉(ESR)、C反应蛋白(CRP)、血小板与淋巴细胞比值(PLR)、中性粒细胞与淋巴细胞比率(NLR)]进行比较。结果试验组总有效率为94.29%,高于常规组的77.14%(P<0.05);两组患者VAS评分、WBC、ESR、CRP、PLR及NLR水平较治疗前下降(P<0.05),与常规组相比,试验组更低;治疗后,两组HSS评分升高,且试验组高于常规组(P<0.05)。结论浮针结合艾灸循经筋阿是穴治疗KOA患者,明显减轻疼痛程度,减少膝关节的炎症反应,且不良反应较少。

Objective To analyze the effect of Fu's subcutaneous needling(FSN)combined with moxibustion at Ashi points along the tendons on joint pain and function in patients with knee osteoarthritis(KOA).Methods A total of 70 patients with KOA in the Pain Department,Orthopedics Department,and Rehabilitation Department of the Second Affiliated Hospital of Guangdong Medical University from October 2021 to September 2023 were included.They were randomly divided into an experimental group(n=35)and a conventional group(n=35).The experimental group was treated with FSN combined with moxibustion at Ashi points along the tendons,while the conventional group was given moxibustion at Ashi points along the tendons.Before and after treatment and at 1 month follow-up,the knee pain[assessed by Visual Analogue Scale(VAS)],knee function recovery[assessed by Hospital for Special Surgery,(HSS)]and inflammatory indicators[white blood cell(WBC)count,erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),platelet-to-lymphocyte ratio(PLR),neutrophil-to-lymphocyte ratio(NLR)]were compared between the two groups.Results The total effective rate in the experimental group(94.29%)was higher than that in the conventional group(77.14%)(P<0.05).The VAS score and levels of WBC,ESR,CRP,PLR and NLR in both groups after treatment were lower than those before treatment,and the above indicators in the experimental group were lower than those in the conventional group(P<0.05).After treatment,the HSS score was increased in both groups,and the score in the experimental group was higher than that in the conventional group(P<0.05).Conclusion FSN combined with moxibustion at Ashi points along the tendons is effective in the treatment of KOA patients,which significantly relieves knee joint pain and inflammation,with few adverse reactions.