[1]陈瑞锋,韩芳苗△,刘丽明,等.细银针联合动态关节松动术治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2023,31(11):24-29.[doi:10.20085/j.cnki.issn1005-0205.231105]
　CHEN Ruifeng,HAN Fangmiao,LIU Liming,et al.Clinical Study on the Treatment of Knee Osteoarthritis with Fine Silver Needle Combined with Dynamic Joint Mobilization[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(11):24-29.[doi:10.20085/j.cnki.issn1005-0205.231105]
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细银针联合动态关节松动术治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年11期
页码:
24-29
栏目:
临床研究
出版日期:
2023-11-15

文章信息/Info

Title:
Clinical Study on the Treatment of Knee Osteoarthritis with Fine Silver Needle Combined with Dynamic Joint Mobilization
文章编号:
1005-0205(2023)11-0024-06
作者:
陈瑞锋1; 韩芳苗1△; 刘丽明1; 戴文涛1; 左利平1
1深圳市罗湖区中医院(上海中医药大学深圳医院)筋伤科(广东 深圳,518000)
Author(s):
CHEN Ruifeng1; HAN Fangmiao1△; LIU Liming1; DAI Wentao1; ZUO Liping1
1Shenzhen Luohu Traditional Chinese Medicine Hospital,Shenzhen 518000,Guangdong China.
关键词:
细银针;  动态关节松动术;  膝骨关节炎;  疼痛
Keywords:
fine silver needle;  dynamic joint mobilization;  knee osteoarthritis;  pain
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.231105
文献标志码:
A
摘要:
目的:观察细银针联合动态关节松动术对膝骨关节炎的临床疗效。方法:选取膝骨关节炎患者60例,治疗组和对照组各30例; 对照组采用普通针刺+动态关节松动术治疗,治疗组采用细银针+动态关节松动术治疗。比较两组患者治疗前、治疗后、治疗后1个月、3个月视觉模拟量表(VAS)评分、膝关节活动范围(ROM)、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分,并对结果进行统计学分析。结果:治疗后两组患者VAS评分及WOMAC评分较治疗前明显下降,患者关节活动范围较治疗前明显增大,差异有统计学意义(P<0.05)。治疗后1个月及3个月,治疗组患者VAS评分、WOMAC评分显著低于对照组,差异有统计学意义(P<0.05); 治疗组关节活动范围显著大于对照组,差异有统计学意义(P<0.05)。两组患者均未发生明显不良反应,治疗组有3例患者因惧怕针刺不愿意再次接受细银针治疗,对照组有2例因惧怕针刺不愿再接受针刺治疗。结论:细银针联合动态关节松动术治疗膝骨关节炎疗效确切,安全性高,远期疗效优于普通针刺+动态关节松动术。但细银针相对普通毫针粗,针刺密度大,针感强烈,部分患者存在一定恐惧心理。
Abstract:
Objective:To observe the clinical efficacy of fine silver needle combined with dynamic joint mobilization on the treatment of knee osteoarthritis(KOA).Methods:60 patients with KOA were selected,30 cases in the treatment group and 30 cases in the control group.The control group was treated with general acupuncture and dynamic joint mobilization,the treatment group was treated with fine silver needle and dynamic joint mobilization.The visual analogue scale(VAS)score,knee range of motion(ROM)and The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score were compared between the two groups before treatment,immediately after treatment,1 month after treatment and 3 months after treatment,and the results were statistically analyzed.Results:The VAS score and WOMAC score decreased significantly in both groups compared to the pre-treatment scores,and the ROM of the patients' joints increased significantly compared to the pre-treatment scores after treatment.The VAS score and WOMAC score of patients in the treatment group were significantly lower than those in the control group at 1 month and 3 months after treatment,and the difference was statistically significant(P<0.05).The range of motion(ROM)of joints in the treatment group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).No significant adverse efficacy occurred in either group.Three patients in the treatment group expressed reluctance to receive fine silver acupuncture treatment again due to fear of acupuncture,while two patients in the control group did not want to receive acupuncture treatment again due to the same reason.Conclusion:The treatment of KOA with fine silver needle combined with dynamic joint mobilization is effective and safe,and its long-term efficacy is superior to that of ordinary acupuncture combined with dynamic joint mobilization.However,the thin silver needle is relatively thick compared to the ordinary filiform needle,with high acupuncture density and strong needle sensation,some patients have a certain degree of fear.

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备注/Memo

备注/Memo:
基金项目:深圳市罗湖区软科学研究计划项目(LX20210309)
△通信作者 E-mail:233175842@qq.com
更新日期/Last Update: 2023-11-01