浮针治疗早中期膝骨关节炎的疗效研究

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	英文篇名：Efficacy of superficial acupuncture on early knee osteoarthritis 作者：肖斌斌 ; 沈雅婷 ; 唐森 英文作者：Xiao Binbin; 关键词：浮针 ; 膝骨关节炎 ; 早期 ; 中期 ; 疗效 英文关键词：Superficial acupuncture;;Knee osteoarthritis;;Early stage;;Middle stage;;Efficacy 中文刊名：ZYLY 英文刊名：Clinical Journal of Chinese Medicine 机构：湖南中医药高等专科学校附属第一医院; 出版日期：2019-02-10 出版单位：中医临床研究 年：2019 期：v.11 语种：中文; 页：ZYLY201904008 页数：3 CN：04 ISSN：11-5895/R 分类号：23-25

摘要

目的:研究浮针治疗早中期膝骨关节炎的临床效果。方法:选择于2016年7月-2017年12月来我院针灸门诊或病房就诊的70例早中期膝骨性关节炎患者。分组:对照组35例,予常规针刺疗法;观察组35例,予浮针疗法。治疗1次/天,一个疗程7次,治疗2个疗程。评价指标:①VAS疼痛评分;②评价疗效并统计总有效率;③Lysholm膝关节评分,计算优良率;④中医症状积分比较;⑤测定治疗前后关节滑膜液炎性因子(IL-6、TNF-α)水平。结果:两组患者治疗后VAS评分、中医证候积分、关节滑膜液炎性因子均较治疗前下降,但观察组下降水平较对照组明显,数据比较差异有统计学意义(P <0.05)。疗程结束后,治疗组总有效率(94.29%)明显高于对照组(82.86%),观察组膝关节Lysholm评分优良率为91.43%,明显高于对照组(82.86%),数据比较差异均有统计学意义(P <0.05)。结论:浮针治疗早中期膝骨关节炎疗效显著,值得推广。
        Objective: To study the clinical efficacy of superficial acupuncture on early knee osteoarthritis. Methods: 70 patients were selected. 35 cases in the control group were treated by conventional acupuncture therapy. 35 cases in the observation group were treated by superficial acupuncture. VAS, efficacy and total efficiency, Lysholm knee score, TCM symptom score and joint synovial fluid inflammatory factor(IL-6, TNF-α) level before and after treatment were evaluated. Results: The VAS, TCM syndrome scores and joint synovial fluid inflammatory factor in two groups were decreased after treatment, and those in the observation group were more obvious, with significant differences(P<0.05). At the end of the course, the total efficiency in the observation group was 95.60%, significantly higher than 82.56% in the control group. The excellent rate of knee Lysholm score in the observation group was 91.43%, significantly higher than 82.86% in the control group, P<0.05. Conclusion: Superficial acupuncture on early knee osteoarthritis shows a significant effect.

引文

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