摘要
目的观察浮针疗法治疗早中期膝骨关节炎对关节软骨厚度的影响。方法将60例早中期膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用浮针治疗,对照组采用电针治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、疼痛开始缓解时间、Lysholm膝关节功能评分、平衡功能及股骨内侧和外侧髁软骨厚度的变化。结果治疗组疼痛开始缓解时间短于对照组(P<0.05)。治疗后,两组VAS评分以及平衡功能的横向标准差和前后标准差均较治疗前降低(P<0.05),Lysholm膝关节功能评分、平衡功能的稳定极限均较治疗前升高(P<0.05)。治疗后3个月,两组VAS评分较治疗前降低(P<0.05),Lysholm膝关节功能评分较治疗前升高(P<0.05),膝关节内外侧髁软骨厚度均较治疗前增加(P<0.05)。治疗后和治疗后3个月,治疗组VAS评分均低于对照组(P<0.05),Lysholm膝关节功能评分均高于对照组(P<0.05)。治疗后,治疗组横向标准差低于对照组(P<0.05),稳定极限高于对照组(P<0.05)。结论浮针治疗早中期膝骨关节炎起效速度优于电针治疗,能有效缓解疼痛症状及提高膝关节功能,可改善软骨损伤。
Objective To observe the effect of Fu’s subcutaneous needling on cartilage thickness in treating early-and mid-stage knee osteoarthritis.Method Sixty patients with early-and mid-stage knee osteoarthritis were randomized to a treatment group and a control group,with 30 cases in each group.The treatment received Fu’s subcutaneous needling and the control group received electroacupuncture.The pain visual analog scale(VAS)score,time to pain relief,the Lysholm knee scoring scale score,balance function and medial and lateral femoral condyle cartilage thickness were observed in the two groups before and after treatment.Result Time to pain relief was shorter in the treatment group than in the control group(P<0.05).After treatment,the VAS score and lateral and anterior-posterior standard deviations of balance function decreased(P<0.05),and the Lysholm knee scoring scale score and the stability limit of balance function increased(P<0.05)in the two groups compared with those before treatment.At three months after treatment,the VAS score decreased(P<0.05)and the Lysholm knee scoring scale score and knee medial and lateral condyle cartilage thickness increased(P<0.05)in the two groups compared with those before treatment.At the end of treatment and three months after,the VAS score was lower(P<0.05)and the Lysholm knee scoring scale score was higher(P<0.05)in the treatment group than those in the control group.After treatment,the lateral standard deviation was lower(P<0.05)and the stability limit was higher(P<0.05)in the treatment group than those in the control group.Conclusion Fu’s subcutaneous needling produces a quicker effect than electroacupuncture in treating early-and mid-stage knee osteoarthritis.It can effectively relieve pain symptoms,improve knee function and reduce cartilage injury.
作者
王琼
李信明
任正强
朱晓玲
牟建蛟
WANG Qiong;LI Xinming;REN Zhengqiang;ZHU Xiaoling;MOU Jianjiao(Sichuan Suining Central Hospital,Suining 629000,China)
出处
《上海针灸杂志》
CSCD
2024年第4期416-421,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
四川省中医药管理局中医药科研专项课题(2021MS299)。
关键词
浮针疗法
电针
骨关节炎
膝
软骨
疼痛
关节功能
Fu’s subcutaneous needling
Electroacupuncture
Osteoarthritis,Knee
Cartilage
Pain
Joint function
