[1]陈志刚,董超,梁程亮,等.董氏奇穴巨刺法治疗膝骨关节炎[J].中医正骨,2014,26(11):12-14.
　Chen Zhigang*,Dong Chao,Liang Chengliang,et al.Clinical study on the acupuncture therapy for treating knee osteoarthritis by inserting needles in Dong's extraordinary points[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):12-14.
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董氏奇穴巨刺法治疗膝骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年11期
页码:
12-14
栏目:
临床研究
出版日期:
2014-11-30

文章信息/Info

Title:
Clinical study on the acupuncture therapy for treating knee osteoarthritis by inserting needles in Dong's extraordinary points
作者:
陈志刚1; 董超1; 梁程亮1; 况高华2
1.广东省中山市黄圃人民医院,广东 中山 528429;
2.广东省中山市横栏医院,广东 中山 528478
Author(s):
Chen Zhigang*; Dong Chao; Liang Chengliang; Kuang Gaohua.*
The Huangpu People's Hospital of Zhongshan City in Guangdong Province,Zhongshan 528429,Guangdong,China
关键词:
骨关节炎; 膝 针刺疗法 穴位; 经外奇
Keywords:
Osteoarthritis; knee;  Acupuncture therapy;  Points; extraordinary
摘要:
目的:探讨董氏奇穴巨刺法治疗膝骨关节炎的临床疗效和安全性。方法:膝骨关节炎患者60例,随机分为观察组和对照组, 每组30例,观察组采用董氏奇穴巨刺法治疗,对照组采用传统针刺疗法治疗。分别在治疗前、治疗6周后、治疗结束后3个月、6个 月及12个月采用疼痛视觉模拟评分和Lysholm膝关节评分标准评价两组患者患膝疼痛及功能情况。结果:治疗前后各时间点间疼 痛视觉模拟评分比较,差异有统计学意义,存在时间效应(F=1.955,P=0.287); 两组患者间疼痛视觉模拟评分比较,观察组低于对 照组,存在分组效应(F=19.512,P=0.000); 治疗前两组患者间疼痛视觉模拟评分比较,差异无统计学意义[(8.5±0.9)分, (8.6±1.1)分; t=-0.385,P=0.701]; 治疗6周后、治疗结束后3个月、6个月,两组患者间疼痛视觉模拟评分比较,观察组低 于对照组,差异均有统计学意义[(1.6±0.4)分,(2.9±0.5)分,t=-11.120,P=0.000;(2.2±0.6)分,(3.5±0.5) 分,t=-9.117,P=0.000;(2.8±0.8)分,(3.7±0.7)分,t=-4.637,P=0.000]; 但治疗结束后12个月,两组患者间疼痛视觉 模拟评分比较,差异无统计学意义[(3.9±1.0)分,(4.2±0.9)分,t=-1.221,P=0.227]; 时间因素与分组因素存在交互效 应(F=0.009,P=0.048)。治疗前后各时间点间患膝功能评分比较,差异有统计学意义,存在时间效应(F=1.576,P=0.226); 两组患 者间患膝功能评分比较,观察组高于对照组,存在分组效应(F=10.835,P=0.034); 治疗前两组患者间患膝功能评分比较,差异无统 计学意义[(56.8±10.2)分,(55.2±9.5)分; t=0.629,P=0.532]; 治疗6周后、治疗结束后3个月、6个月,两组患者间患 膝功能评分比较,观察组高于对照组,差异均有统计学意义[(80.6±8.4)分,(75.9±9.6)分; t=2.018,P=0.048; (78.2±8.6)分,(72.5±9.5)分; t=2.436,P=0.018;(75.8±8.3)分,(70.2±9.2)分; t=2.475,P=0.016]; 但 治疗结束后12个月,两组患者间患膝功能评分比较,差异无统计学意义[(69.0±8.5)分,(66.9±8.9)分; t=0.935,P=0.354]; 时间因素与分组因素存在交互效应(F=0.008,P=0.039)。治疗期间两组均无断针、滞针、晕针、针孔感染等 并发症发生。结论:董氏奇穴巨刺针法治疗膝骨关节炎可有效缓解患膝疼痛、改善患膝功能,安全可靠,近期疗效优于与传统针刺 疗法。
Abstract:
Objective:To explore the clinical curative effects and safety of acupuncture therapy by inserting needles in Dong's extraordinary points in the treatment of knee osteoarthritis(KOA).Methods:Sixty patients with KOA were randomly divided into 2 groups,30 cases in each group.The patients in observation group were treated with acupuncture therapy by inserting needles in Dong's extraordinary points,while the others in control group were treated with traditional acupuncture therapy.The pain degree and function of knee were evaluated by using the visual analogue scale(VAS)and Lysholm knee scale respectively before the treatment and after 6-week treatment and at 3,6 and 12 months after the end of the treatment.Results:There was statistical difference in VAS scores between different time points,in other words,there was time effect(F=1.955,P=0.287).The VAS scores were lower in,the observation group compared to the control group,in other words,there was group effect (F=19.512,P=0.000).Before the treatment,there was no statistical difference in VAS scores between the two groups(8.5+/-0.9 vs 8.6+/-1.1 points; t=-0.385,P=0.701).The VAS scores were lower in the observation group compared to the control group after 6-week treatment and at 3 and 6 months after the end of the treatment (1.6+/-0.4 vs 2.9+/-0.5 points,t=-11.120,P=0.000; 2.2+/-0.6 vs 3.5+/-0.5 points,t=-9.117,P=0.000; 2.8+/-0.8 vs 3.7+/-0.7 points,t=-4.637,P=0.000).There was no statistical difference in VAS scores between the two groups at 12 months after the end of the treatment(3.9+/-1.0 vs 4.2+/-0.9 points,t=-1.221,P=0.227).There was interaction between time factor and grouping factor(F=0.009,P=0.048).There was statistical difference in knee scores between different time points,in other words,there was time effect(F=1.576,P=0.226).The knee scores were higher in the observation group compared to the control group,in other words,there was group effect (F=10.835,P=0.034).Before the treatment,there was no statistical difference in knee scores between the two groups(56.8+/-10.2 vs 55.2+/-9.5 points; t=0.629,P=0.532).The knee scores were higher in the observation group compared to the control group after 6-week treatment and at 3 and 6 months after the end of the treatment (80.6+/-8.4 vs 75.9+/-9.6 points; t=2.018,P=0.048; 78.2+/-8.6 vs 72.5+/-9.5 points; t=2.436,P=0.018; 75.8+/-8.3 vs 70.2+/-9.2 points; t=2.475,P=0.016).While 12 months after the end of the treatment,there was no statistical difference in knee scores between the two groups(69.0+/-8.5 vs 66.9+/-8.9 points; t=0.935,P=0.354).There was interaction between time factor and grouping factor(F=0.008,P=0.039).No complications such as broken needles,stuck needles,acupuncture syncope and pinhole infection were found in both of the 2 groups.Conclusion:The acupuncture therapy by inserting needles in Dong's extraordinary points can effectively relieve the knee pain and improve the knee function.It is safe and reliable for treatment of KOA,and its short-term curative effect is better than that of traditional acupuncture therapy.

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更新日期/Last Update: 2014-11-30