[1]高小勇,田改平,武娜,等.形神共调针法治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2025,33(02):14-18.[doi:10.20085/j.cnki.issn1005-0205.250203]
　GAO Xiaoyong,TIAN Gaiping,WU Na,et al.Clinical Study on the Treatment of Knee Osteoarthritis with Figure and Spirit Co-Adjustment Acupuncture Method[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(02):14-18.[doi:10.20085/j.cnki.issn1005-0205.250203]
点击复制

形神共调针法治疗膝骨关节炎的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年02期
页码:
14-18
栏目:
临床研究
出版日期:
2025-02-15

文章信息/Info

Title:
Clinical Study on the Treatment of Knee Osteoarthritis with Figure and Spirit Co-Adjustment Acupuncture Method
文章编号:
1005-0205(2025)02-0014-05
作者:
高小勇1; 田改平2; 武娜1; 毕相楠1; 王丕敏1; 李曼3; 秦琴3△
1山西中医药大学附属医院(太原,030024)
2山西省中医学校
3山西中医药大学基础医学院
Author(s):
GAO Xiaoyong1; TIAN Gaiping2; WU Na1; BI Xiangnan1 ; WANG Pimin1; LI Man3 ; QIN Qin3△
1Affiliated Hospital of Shanxi University of Chinese Medicine,Taiyuan 030024,China; 2Shanxi School of Chinese Medicine,Jinzhong 030619,Shanxi China; 3School of Basic Medical Sciences,Shanxi University of Chinese Medicine,Jinzhong 030619,Shanxi China.
关键词:
形神共调针法;  膝骨关节炎;  慢性疼痛;  焦虑;  运动功能
Keywords:
figure and spirit co-adjustment acupuncture method;  knee osteoarthritis;  chronic pain;  anxiety;  activity function
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.250203
文献标志码:
A
摘要:
目的:观察形神共调针法治疗膝骨关节炎的临床疗效。方法:选取2022年5月至2024年5月因膝骨关节炎诊治的患者共84例,采用简单随机表法将患者分为对照组和观察组,各42例。对照组采用普通针刺法,观察组采用形神共调针法。治疗4周后采用VAS评分、WOMAC评分、SAS评分、Lysholm评分和血清IL-1β、IL-6、TNF-α水平综合评定患者的临床疗效。结果:最终对照组40例和观察组39例完成了治疗,治疗4周后,对照组与观察组VAS评分、WOMAC评分、SAS评分、Lysholm评分和血清IL-1β、IL-6、TNF-α水平均获得不同程度的改善,差异有统计学意义(P<0.05); 且两组组间比较,观察组疗效更佳,差异有统计学意义(P<0.05)。结论:形神共调针法治疗膝骨关节炎具有良好的效果,可明显减轻患者疼痛,缓解焦虑情绪,改善患者的运动功能。
Abstract:
Objective:To evaluate the clinical efficacy of the figure and spirit co-adjustment acupuncture method in the treatment of knee osteoarthritis.Methods:A total of 84 patients with knee osteoarthritis who received treatment from May 2022 to May 2024 were selected and randomly assigned to either control group or observation group using a simple randomization method.The control group underwent treatment with the conventional acupuncture method,whereas the observation group received figure and spirit co-adjustment acupuncture.After 4 weeks of treatment,a comprehensive evaluation of the patients' clinical efficacy was conducted based on the WOMAC scores,VAS scores,SAS scores,Lysholm scores,and serum levels of IL-1β,IL-6,and TNF-α.Results:40 cases in the control group and 39 cases in the observation group completed the designated treatment.Following a 4 weeks course of treatment,there were improvements in VAS scores,WOMAC scores,SAS scores,Lysholm scores,and serum levels of IL-1β,IL-6,and TNF-α in the control group and observation group to varying degrees(P<0.05).Furthermore,the efficacy of the observation group was superior when compared between the two groups(P<0.05).Conclusion:The results demonstrate that figure and spirit co-adjustment acupuncture method is an effective treatment for knee osteoarthritis.It has been shown to reduce pain,anxiety,and improve functional activities in patients.

参考文献/References:

[1] SRIVASTAVA A K.American academy of orthopaedic surgeons clinical practice guideline summary of surgical management of osteoarthritis of the knee[J].J Am Acad Orthop Surg,2023,31(24):1211-1220.
[2] UIVARASEANU B,VESA C M,TIT D M,et al.Therapeutic approaches in the management of knee osteoarthritis(Review)[J].Exp Ther Med,2022,23(5):328.
[3] LIM W B,AL-DADAH O.Conservative treatment of knee osteoarthritis:a review of the literature[J].World J Orthop,2022,13(3):212-229.
[4] 王舢泽,杨超,田鸿芳,等.从形神一体观到心身医学:针灸临床的理论与实践[J].中国针灸,2023,43(4):390-394.
[5] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.
[6] 中国中医药研究促进会骨伤科分会.膝骨关节炎中医诊疗指南(2020年版)[J].中医正骨,2020,32(10):1-14.
[7] 王鹏飞,厉巧兰,刘佳娜,等.通络止痛方导入联合关节松动在全膝关节置换术加速康复中的应用[J].中国中医骨伤科杂志,2024,32(9):31-35.
[8] 贾海光,李健,谷金玉,等.经筋理论指导下体外冲击波治疗早中期膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2023,31(3):38-47.
[9] 王平,谢坤南,王辉,等.关节镜下FAST-fix 360°系统治疗外侧半月板损伤的效果[J].国际骨科学杂志,2024,45(5):337-339.
[10] 赵众,周刚,黄耀明,等.利用机器学习算法精简焦虑和抑郁自评量表[J].精神医学杂志,2022,35(5):466-471.
[11] 国家食品药品监督管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002.
[12] 周春桐,任路,吕琴,等.基于“形神一体”理论探讨针刺治疗情志病[J].北京中医药大学学报,2024,47(9):1306-1311.
[13] 刘畅,徐向青.从形神一体观论治抑郁障碍[J].中医药导报,2022,28(2):207-213.
[14] 叶臻,叶俏波.“形神一体,道器融合”的玄府学说内涵及发展逻辑[J].中华中医药杂志,2024,39(3):1107-1112.
[15] 陆嘉柯,陈佳俊,张小宁,等.从肝论治膝骨性关节炎研究进展[J].浙江中医杂志,2022,57(1):74-75.
[16] 李西海.筋骨中和的理论渊源[J].中华中医药杂志,2022,37(2):683-685.
[17] 李思慧,刘书庆,王玥梅,等.基于数据挖掘分析阳陵泉主治优势病症及配伍规律[J].中国中医药图书情报杂志,2024,48(2):85-92.
[18] 李辉,丁新菊,王文彪,等.足太阳经腰、膝部穴位恢刺治疗足太阳经筋型膝骨关节炎的研究[J].中医研究,2023,36(11):56-60.
[19] 徐雪娇,李天英,李欣,等.针刺对抑郁大鼠单胺类神经递质相关基因表达的影响[J].针灸临床杂志,2022,38(5):42-47.
[20] 唐德志,李晓锋,王拥军,等.调理心身在膝骨关节炎治疗中的重要作用[J].中国中医基础医学杂志,2014,20(9):1225.

备注/Memo

备注/Memo:
基金项目:山西省名中医王丕敏传承工作室建设项目(SXSMZYGZS138)
山西中医药大学优秀博士毕业生来晋工作奖励经费科研启动基金项目(2022BKS01)
△通信作者 E-mail:18998411779@qq.com
更新日期/Last Update: 2025-02-15