揿针治疗老年膝关节骨性关节炎疗效观察：随机对照试验

• 作者: 王巧灵 卢天祥 蔡耿辉 朱立建 许瑞旭 林招国 陈奕强
• 来源期刊: 世界针灸杂志（英文版）
• 年，卷（期）: 2020,（4）
• 所属期刊栏目: Clinical Research
• 页码范围: 268-271
• 页数: 4页
• 语种: 英文

摘要

Objective:To observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis(KOA)and compared with medication. Methods:A total of 60 patients were randomized into a thumb-tack needling group and a medication group,30 cases in each one.In the thumb-tack needling group,the therapy with the thumb-tack nee-dle retaining and waiting for qi was adopted.The acupoints were Hedǐng(EX-LE2鹤顶),Nèixiyǎn(内膝眼EX-LE4),Dúbi(犊鼻ST35),Xuehǎi(血海SP10),Liángqiu(梁丘ST34)and Ashi points on the affected side.The needles were retained for 24 h.This therapy was given once every two days,3 times a week.The treatment for 2 weeks was as one course and consecutive 2 courses of treatment were required.In the medication group,diclofenac sodium sustained release tablets were taken orally,75 mg each time,once daily,consecutively for 4 weeks.Successively,the score of visual analogue scale(VAS)at the affected knee before treatment,after treatment and 3 months after treatment as well as Lequesne indicator before and after treatment were evaluated.The clinical therapeutic effect was observed in the patients of the two groups after treatment. Results:(1)After treatment,VAS scores were reduced as compared with those before treatment in the patients of the two groups(both P ＜ 0.05).After treatment,VAS score in the thumb-tack needling group was lower than that in the medication group(P ＜ 0.05).(2)After treatment,the scores of all the items of Lequesne indices reduced as compared with those before treatment in the patients of the both groups,indicating significance differences(all P ＜ 0.05).After treatment,compared with the medication group,the score of pain,morning stiffness and walking ability as well as the total score were all lower in the thumb-tack needling group,indicating significant differences(all P ＜ 0.05).(3)The curative and remark-ably effective rate and the total effective rate were 66.7％and 93.3％in the thumb-tack needling group,higher than 56.7％and 86.7％in the medication group respectively(both P ＜ 0.05). Conclusion:The thumb-tack needling therapy effectively relieves knee joint pain and improves joint func-tion in the patients and the therapeutic effect is better than medication group.Hence,this therapy de-serves to be promoted in clinical practice.