| 路连香,孟延丰.关刺经筋结聚点治疗老年轻中度膝骨关节炎的临床观察[J].浙江中医药大学学报,2020,44(7):673-676. |
| 关刺经筋结聚点治疗老年轻中度膝骨关节炎的临床观察 |
| Clinical Observation on the Treatment of Mild and Moderate Knee Osteoarthritis in the Elderly by Acupuncture at the Guan-needling at the Junction of Meridians and Tendons |
| DOI：10.16466/j.issn1005-5509.2020.07.014 |
| 中文关键词: 关刺 经筋结聚点 膝骨关节炎 临床观察 疼痛视觉模拟量表 西安大略和麦克马斯特大学 骨关节炎指数 |
| 英文关键词: Guan-needling junction of meridians and tendons knee osteoarthritis clinical observation visual analogue scale Western Ontario and McMaster Universities osteo arthritis index |
| 基金项目:浙江省教育厅一般科研项目(Y201839818) |
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| 中文摘要: |
| [目的]观察关刺经筋结聚点与常规针刺治疗老年轻中度膝骨关节炎(knee osteoporosis，KOA)的临床疗效差异。[方法]将98例老年轻中度KOA患者随机分为对照组与观察组，每组49例。对照组患者给予常规针刺治疗，观察组采用经筋结聚点关刺法治疗，治疗1次/d，5次为1个疗程，中间休息2d，连续治疗4个疗程，治疗后4周进行随访。治疗后及治疗后4周随访时比较两组患者疼痛视觉模拟量表(visual analogue scale，VAS)评分以及西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index，WOMAC)量表评分，并统计临床疗效。[结果]治疗后及随访时两组患者VAS、WOMAC评分均较治疗前降低(均P＜0.05)，且观察组低于对照组(均P＜0.05)；观察组总有效率为87.8%，高于对照组的75.5%，差异有统计学意义(P＜0.05)。[结论]关刺经筋结聚点治疗老年轻中度KOA患者疗效优于常规针刺，能够降低KOA患者VAS、WOMAC评分，缓解关节疼痛、僵硬症状，改善关节功能，并且疗效持续时间长。 |
| 英文摘要: |
| [Objective]To compare the efficacy between Guan-needling at the junction of meridians and tendons and routine acupuncture on mild and moderate knee osteoarthritis(KOA).[Methods]A total of 98 patients were randomly divided into control group(49 cases) and observation group(49 cases). In control group， the routine method of flat tonifying and relieving diarrhea was adopted， once every day; in observation group， the method of Guan-needling was adopted， the treatment was given once every day， five days as one course in the two groups， and rested for 2 days between each treatment. After 4 courses of treatment， clinical efficacy evaluation was performed before and after treatment， and the visual analogue scale(VAS) and Western Ontario and McMaster Universities osteoarthritis index(WOMAC) scale were assessed before and after treatment and during 4-week follow-up visit. [Results] Compared with before treatment， the VAS and WOMAC scores decreased in the two groups after treatment and during 4-week follow-up visit (all P＜0.05)， and the improvements of VAS and WOMAC scores in observation group were lower than those in control group(P＜0.05)， The total effective rate of observation group was 87.8%， which was better than 75.5% of control group (P＜0.05).[Conclusion] The Guan-needling at the junction of meridians and tendons is more effective than routine acupuncture treatment for elderly mild and moderate KOA， It can reduce the VAS and WOMAC scores of KOA patients， and relieve joint pain and stiffness， improve joint mobility， and has long effective duration. |
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