摘要
目的:探讨董氏奇穴刺络放血联合温针治疗膝关节慢性滑膜炎(KGCS)的效果。方法:选取2019年12月—2023年6月清远市妇幼保健院中医理疗科收治的KGCS患者80例作为研究对象,按照随机数字表法分为对照组和研究组,各40例。对照组给予温针疗法,观察组在对照组基础上给予董氏奇穴刺络放血疗法。治疗2个疗程后,比较两组临床疗效、Lysholm膝关节评分量表(LKSS)评分、美国膝关节协会(AKS)量表评分、视觉模拟评分(VAS)、不良反应。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.037);治疗后,两组LKSS、AKS评分高于治疗前,观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组静息状态下、行走时、上下楼梯时VAS评分均低于治疗前,观察组低于对照组,差异有统计学意义(P<0.05);两组均未出现过敏、瘙痒、红肿等不良反应。结论:董氏奇穴刺络放血联合温针治疗KGCS的效果较好,可显著改善患者膝关节运动功能,减轻疼痛感,安全性高。
Objective:To explore the effect of acupuncture and blood-letting at Dong's Qi acupoint combined with warm acupuncture on chronic synovitis of knee joint(KGCS).Methods:A total of eighty KGCS patients admitted to the Department of TCM Physiotherapy of Qingyuan Maternal and Child Health Hospital from December 2019 to June 2023 were selected as the study objects,and were divided into control group and study group according to random number table method,with forty cases in each group.The control group was given warm acupuncture therapy,and the observation group was given Dong's Qi acupoint acupuncture and blood-letting therapy based on the control group.After 2 courses of treatment,the clinical efficacy,Lysholm Knee Scale(LKSS)score,American Knee Association Scale(AKS)score,Visual Analog Scale(VAS)score and adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.037);after treatment,LKSS and AKS scores of the two groups were higher than before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);after treatment,VAS scores in resting state,walking and going up and down stairs in both groups were lower than before treatment,and observation group was lower than control group,the difference was statistically significant(P<0.05);there were no adverse reactions such as allergy,itching,redness and swelling in both groups.Conclusion:Dong's Qi acupoint puncture blood-letting combined with warm acupuncture in the treatment of KGCS is good,can significantly improve the patient's knee motor function,relieve pain,high safety.
作者
覃远强
Qin Yuanqiang(Qingyuan Maternal and Child Health Hospital,Qingyuan 511500,Guangdong Province,China)
出处
《中外医药研究》
2023年第23期73-75,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
膝关节慢性滑膜炎
温针
董氏奇穴
刺络放血
Chronic synovitis of knee joint
Warm needle
Dong's Qi acupoint
Puncture blood-letting
