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[1]陳志剛,董超,梁程亮,等.董氏奇穴巨刺法治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2014,26(11):12-14.
　Chen Zhigang*,Dong Chao,Liang Chengliang,et al.Clinical study on the acupuncture therapy for treating knee osteoarthritis by inserting needles in Dong's extraordinary points[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):12-14.
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董氏奇穴巨刺法治療膝骨關(guān)節(jié)炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年11期
頁碼:
12-14
欄目:
臨床研究
出版日期:
2014-11-30

文章信息/Info

Title:
Clinical study on the acupuncture therapy for treating knee osteoarthritis by inserting needles in Dong's extraordinary points
作者:
陳志剛1; 董超1; 梁程亮1; 況高華2
1.廣東省中山市黃圃人民醫(yī)院,廣東 中山 528429;
2.廣東省中山市橫欄醫(yī)院,廣東 中山 528478
Author(s):
Chen Zhigang*; Dong Chao; Liang Chengliang; Kuang Gaohua.*
The Huangpu People's Hospital of Zhongshan City in Guangdong Province,Zhongshan 528429,Guangdong,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝 針刺療法 穴位; 經(jīng)外奇
Keywords:
Osteoarthritis; knee;  Acupuncture therapy;  Points; extraordinary
摘要:
目的:探討董氏奇穴巨刺法治療膝骨關(guān)節(jié)炎的臨床療效和安全性。方法:膝骨關(guān)節(jié)炎患者60例,隨機(jī)分為觀察組和對照組, 每組30例,觀察組采用董氏奇穴巨刺法治療,對照組采用傳統(tǒng)針刺療法治療。分別在治療前、治療6周后、治療結(jié)束后3個月、6個 月及12個月采用疼痛視覺模擬評分和Lysholm膝關(guān)節(jié)評分標(biāo)準(zhǔn)評價兩組患者患膝疼痛及功能情況。結(jié)果:治療前后各時間點(diǎn)間疼 痛視覺模擬評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=1.955,P=0.287); 兩組患者間疼痛視覺模擬評分比較,觀察組低于對 照組,存在分組效應(yīng)(F=19.512,P=0.000); 治療前兩組患者間疼痛視覺模擬評分比較,差異無統(tǒng)計學(xué)意義[(8.5±0.9)分, (8.6±1.1)分; t=-0.385,P=0.701]; 治療6周后、治療結(jié)束后3個月、6個月,兩組患者間疼痛視覺模擬評分比較,觀察組低 于對照組,差異均有統(tǒng)計學(xué)意義[(1.6±0.4)分,(2.9±0.5)分,t=-11.120,P=0.000;(2.2±0.6)分,(3.5±0.5) 分,t=-9.117,P=0.000;(2.8±0.8)分,(3.7±0.7)分,t=-4.637,P=0.000]; 但治療結(jié)束后12個月,兩組患者間疼痛視覺 模擬評分比較,差異無統(tǒng)計學(xué)意義[(3.9±1.0)分,(4.2±0.9)分,t=-1.221,P=0.227]; 時間因素與分組因素存在交互效 應(yīng)(F=0.009,P=0.048)。治療前后各時間點(diǎn)間患膝功能評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=1.576,P=0.226); 兩組患 者間患膝功能評分比較,觀察組高于對照組,存在分組效應(yīng)(F=10.835,P=0.034); 治療前兩組患者間患膝功能評分比較,差異無統(tǒng) 計學(xué)意義[(56.8±10.2)分,(55.2±9.5)分; t=0.629,P=0.532]; 治療6周后、治療結(jié)束后3個月、6個月,兩組患者間患 膝功能評分比較,觀察組高于對照組,差異均有統(tǒng)計學(xué)意義[(80.6±8.4)分,(75.9±9.6)分; t=2.018,P=0.048; (78.2±8.6)分,(72.5±9.5)分; t=2.436,P=0.018;(75.8±8.3)分,(70.2±9.2)分; t=2.475,P=0.016]; 但 治療結(jié)束后12個月,兩組患者間患膝功能評分比較,差異無統(tǒng)計學(xué)意義[(69.0±8.5)分,(66.9±8.9)分; t=0.935,P=0.354]; 時間因素與分組因素存在交互效應(yīng)(F=0.008,P=0.039)。治療期間兩組均無斷針、滯針、暈針、針孔感染等 并發(fā)癥發(fā)生。結(jié)論:董氏奇穴巨刺針法治療膝骨關(guān)節(jié)炎可有效緩解患膝疼痛、改善患膝功能,安全可靠,近期療效優(yōu)于與傳統(tǒng)針刺 療法。
Abstract:
Objective:To explore the clinical curative effects and safety of acupuncture therapy by inserting needles in Dong's extraordinary points in the treatment of knee osteoarthritis(KOA).Methods:Sixty patients with KOA were randomly divided into 2 groups,30 cases in each group.The patients in observation group were treated with acupuncture therapy by inserting needles in Dong's extraordinary points,while the others in control group were treated with traditional acupuncture therapy.The pain degree and function of knee were evaluated by using the visual analogue scale(VAS)and Lysholm knee scale respectively before the treatment and after 6-week treatment and at 3,6 and 12 months after the end of the treatment.Results:There was statistical difference in VAS scores between different time points,in other words,there was time effect(F=1.955,P=0.287).The VAS scores were lower in,the observation group compared to the control group,in other words,there was group effect (F=19.512,P=0.000).Before the treatment,there was no statistical difference in VAS scores between the two groups(8.5+/-0.9 vs 8.6+/-1.1 points; t=-0.385,P=0.701).The VAS scores were lower in the observation group compared to the control group after 6-week treatment and at 3 and 6 months after the end of the treatment (1.6+/-0.4 vs 2.9+/-0.5 points,t=-11.120,P=0.000; 2.2+/-0.6 vs 3.5+/-0.5 points,t=-9.117,P=0.000; 2.8+/-0.8 vs 3.7+/-0.7 points,t=-4.637,P=0.000).There was no statistical difference in VAS scores between the two groups at 12 months after the end of the treatment(3.9+/-1.0 vs 4.2+/-0.9 points,t=-1.221,P=0.227).There was interaction between time factor and grouping factor(F=0.009,P=0.048).There was statistical difference in knee scores between different time points,in other words,there was time effect(F=1.576,P=0.226).The knee scores were higher in the observation group compared to the control group,in other words,there was group effect (F=10.835,P=0.034).Before the treatment,there was no statistical difference in knee scores between the two groups(56.8+/-10.2 vs 55.2+/-9.5 points; t=0.629,P=0.532).The knee scores were higher in the observation group compared to the control group after 6-week treatment and at 3 and 6 months after the end of the treatment (80.6+/-8.4 vs 75.9+/-9.6 points; t=2.018,P=0.048; 78.2+/-8.6 vs 72.5+/-9.5 points; t=2.436,P=0.018; 75.8+/-8.3 vs 70.2+/-9.2 points; t=2.475,P=0.016).While 12 months after the end of the treatment,there was no statistical difference in knee scores between the two groups(69.0+/-8.5 vs 66.9+/-8.9 points; t=0.935,P=0.354).There was interaction between time factor and grouping factor(F=0.008,P=0.039).No complications such as broken needles,stuck needles,acupuncture syncope and pinhole infection were found in both of the 2 groups.Conclusion:The acupuncture therapy by inserting needles in Dong's extraordinary points can effectively relieve the knee pain and improve the knee function.It is safe and reliable for treatment of KOA,and its short-term curative effect is better than that of traditional acupuncture therapy.

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更新日期/Last Update: 2014-11-30