摘要
目的:验证针刺治疗膝骨关节炎(KOA)的临床疗效。方法:将42例KOA患者随机分为针刺组(21例,脱落1例)和假针刺组(21例,脱落1例)。针刺组从本课题组制定的半标准化针刺方案穴位库中选取5~6个局部穴位(犊鼻、内膝眼、鹤顶、阴陵泉、血海、足三里等)、3~4个远端穴位(风市、外丘、悬钟、足临泣等)进行常规针刺;假针刺组选取非经非穴浅刺,两组均留针30 min,每周治疗3次,共8周。分别于治疗前后及治疗后18周随访时记录两组患者膝关节损伤与骨关节炎评分(KOOS)。结果:与治疗前比较,治疗后及随访时两组患者KOOS 5个维度[疼痛、症状(除疼痛)、日常活动、体育与娱乐功能及生活质量]评分均升高(P<0.05),且针刺组治疗后及随访时疼痛及日常活动评分均高于假针刺组(P<0.05)。结论:针刺可减轻膝骨关节炎患者疼痛症状,提高其日常活动能力。
Objective To verify the clinical effect of acupuncture on knee osteoarthritis(KOA). Methods Forty-two patients with KOA were randomly divided into an acupuncture group(21 cases, 1 case dropped off) and a sham acupuncture group(21 cases, 1 case dropped off). The patients in the acupuncture group were treated with routine acupuncture at 5-6 local acupoints [Dubi(ST 35), Neixiyan(EX-LE 4), Heding(EX-LE 2), Yinlingquan(SP 9), Xuehai(SP 10), Zusanli(ST 36), etc.] and 3-4 distal acupoints [Fengshi(GB 31), Waiqiu(GB 36), Xuanzhong(GB 39), Zulinqi(GB 41), etc.]. The patients in the sham acupuncture group were treated with shallow needling technique at non-acupoint. The needles were retained for 30 min in both groups. All the treatment was given three times a week for 8 weeks. Knee injury and osteoarthritis outcome score(KOOS) were recorded before and after treatment and 18-week follow-up. Results Compared before treatment, the scores of 5 dimensions of KOOS [pain, symptoms(except pain), daily activities, sports and entertainment, and quality of life] were increased after treatment and during follow-up in the two groups(P<0.05), and the scores of pain and daily activities in the acupuncture group were higher than those in the sham acupuncture group(P<0.05). Conclusion Acupuncture can reduce the pain symptoms and improve daily activities in patients with KOA.
作者
屠建锋
王丽琼
石广霞
杨静雯
李金玲
李永婷
赵静洁
侯海鲲
杜仪
刘存志
TU Jian-feng;WANG Li-qiong;SHI Guang-xia;YANG Jing-wen;LI Jin-ling;LI Yong-ting;ZHAO Jing-jie;HOU Hai-kun;DU Yi;LIU Cun-zhi(International Acupuncture and Moxibustion Innovation Institute,Beijing University of CM,Beijing 100029,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of CM,Beijing 100029;Department of Acupuncture and Moxibustion,Beijing Hospital of TCM,Capital Medical University;Department of TCM,Beijing Friendship Hospital,Capital Medical University;Department of Acupuncture and Moxibustion,Beijing Jishuitan Hospital)
出处
《中国针灸》
CAS
CSCD
北大核心
2021年第1期27-30,共4页
Chinese Acupuncture & Moxibustion
基金
北京市科学技术委员会计划项目:D171100003217003
中国科协青年人才托举工程第四届(2018-2020年度)项目:2018QNRC001。
关键词
膝骨关节炎
针刺
假针刺
膝关节损伤与骨关节炎评分
随机对照试验(RCT)
knee osteoarthritis(KOA)
acupuncture
sham acupuncture
knee injury and osteoarthritis outcome score(KOOS)
randomized controlled trial(RCT)
