摘要
目的:比较瑶医油针运动针刺疗法与普通针刺疗法治疗湿热痹阻型膝关节炎(KOA)的临床疗效,探索临床治疗KOA的优选方案。方法:将80例湿热痹阻型KOA患者随机分为观察组和对照组,每组40例。观察组给予瑶医油针运动针刺疗法治疗,穴取内膝眼、犊鼻、梁丘、鹤顶、阴陵泉、阳陵泉、悬钟,进针后引导患者依次进行踝关节屈伸锻炼下肢肌力及股四头肌静力性收缩练习,每次10s,放松5s,反复做30次为1组。对照组给予普通毫针针刺治疗,嘱患者平卧制动。两组每次需留针约20min,隔日施术1次,治疗2个月。分别于治疗前后记录患者的症状积分及疼痛评分;ELISA检测关节液中白介素(IL)-1、IL-6、肿瘤坏死因子-α(TNF-α)的水平。结果:治疗后,观察组总有效率[89.7%(35/39)]显著高于对照组[65.8%(25/38)](P<0.05);与治疗前比较,两组患者治疗后中医症状积分,疼痛评分,关节液中IL-1、IL-6、TNF-α含量均显著降低(P<0.05);与对照组比较,观察组中医症状积分,疼痛评分,关节液中IL-1、IL-6、TNF-α含量均显著降低(P<0.05)。结论:瑶医油针运动针刺疗法治疗KOA可减轻疼痛,改善关节功能,降低关节液中炎症因子含量,疗效优于普通针刺疗法。
Objective:To compare the clinical efficacy of Yao medicine oil-needle exercise acupuncture therapy and ordinary acupuncture therapy in treating knee osteoarthritis(KOA)of damp-heat obstruction type,and to explore the optimal scheme for clinical treatment of KOA.Methods:A total of 80 patients with KOA of damp-heat obstruction type were randomly divided into observation group and control group,40 cases in each group.The observation group was treated with Yao medicine oil-needle exercise acupuncture therapy.Acupoints were taken at Neixiyan(EX-LE 4),Dubi(ST 35),Liangqiu(ST 34),Heding(EX-LE 2),Yinlingquan(SP 9),Yanglingquan(GB 34)and Xuanzhong(GB 39).After needling,the patients were guided to perform ankle flexion and extension exercises,lower limb muscle strength exercises and quadriceps femoris static contraction exercises,10 seconds each time,5 seconds relaxation exercises,repeated 30 times as a group.The control group was treated with ordinary needle acupuncture,and the patients were instructed to lie down and brake.The two groups needed to retain needles for about 20 minutes each time,and were treated once every other day for 2 months.Symptom score,pain score and knee joint function score were recorded before and after treatment.The levels of interleukin-1(IL-1),interleukin-6(IL-6)and tumor necrosis factor-alpha(TNF-α)in synovial fluid were measured by enzyme-linked immunosorbent assay(ELISA).Results:After treatment,the total effective rate of the observation group was 89.7%(35/39),higher than that of the control group[65.8%(25/38)](P<0.05).Compared with before treatment,symptoms score,pain score,IL-1,IL-6,TNF-αcontent in synovial fluid of the two groups decreased after treatment(P<0.05).Compared with the control group,the symptoms score,pain score,IL-1,IL-6 and TNF-αcontent in synovial fluid were decreased(P<0.05).Conclusion:Yao medicine oil-needle motion acupuncture therapy for KOA can relieve pain,improve joint function and reduce the content of inflammatory factors in synovial fluid.The curative effect is
作者
王明杰
王悦良
周学龙
施学丽
WANG Ming-jie;WANG Yue-liang;ZHOU Xue-long;SHI Xue-li(First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530000,China;Guangxi University of Chinese Medicine,Nanning 530000,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第8期5087-5091,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研项目(No.Z20180538)
广西壮族自治区中医药管理局科研项目(No.GZZC2019067)
广西医疗卫生适宜技术开发与推广应用项目(No.S2019027)
广西中医药大学自然科学研究项目(No.2019QN021)
广西中医药大学校级科研项目(No.2018MS018)
广西中医药大学第一附属医院科研项目(青年基金)(No.2018QN005)。
关键词
瑶医油针
运动疗法
膝骨关节炎
临床观察
Yao medicine oil-needle
Exercise therapy
Knee osteoarthritis(KOA)
Clinical observation
