腹针治疗肾虚血瘀型膝关节骨性关节炎的临床研究

目的：评价腹针治疗肾虚血瘀型膝关节骨性关节炎的临床疗效。方法：选取150名膝关节骨性关节炎患者,随机分为治疗组及对照组。对照组基础治疗3个月,治疗组基础治疗＋腹针治疗3个月。分别在治疗前后及治疗后1月、2月进行评分,并分析其差异性。结果：（1）治疗后,2组VAS及HSS评分与治疗前比较,差异有统计学意义（P〈0.01）;（2）治疗后,治疗组VAS及HSS评分与对照组比较差异有统计学意义（P〈0.01）;（3）治疗后1月后,治疗组VAS及HSS评分与对照组比较,差异有统计学意义（P〈0.05）;（4）治疗后2月后,治疗组VAS及HSS评分与对照组比较差异无统计学意义（P〉0.05）;（5）治疗后,治疗组与对照组中医疾病疗效判定标准总有效率分别为91.18%（62/68）和75%（39/52）,二者比较,差异有统计学意义（P〈0.05）;（6）治疗后,治疗组与对照组中医证候疗效判定标准总有效率分别为86.76%（59/68）和63.46%（33/52）,二者比较,差异有统计学意义（P〈0.01）。结论：腹针治疗膝关节骨性关节炎疗效确切,值得推广,但其作用具有一定的时效性。

The Clinical Research of Abdominal Acupuncture on Knee Osteoarthritis of Kidney Deficiency and Blood Stasis Syndrome

Objective: To evaluate the clinical curative effect of abdominal acupuncture on knee osteoarthritis of kidney deficiency and blood stasis syndrome.Methods:One hundred and fifty patients with knee osteoarthritis were randomly divided into experimental group and control group.The control group received primary treatment for 3 months,while the experimental group was given the primary treatment and abdominal acupuncture for 3 months.The pain and knee function prior and post treatment were evaluated according to Visual Analogue Scale(VAS) and the HSS scale.Results:After the treatment,there were significant differences in VAS and HSS scores in both groups compared with before treatment(P<0.01).There were also remarkable differences in VAS and HSS scores between experiment group and control group(P<0.01) after the treatment.One month after the treatment,differences between the two groups in VAS and HSS scores were still significant(P<0.05),but after two months,the differences between the two groups were minor and did not appear to be statistically significant(P>0.05).After treatment,the total effective rate according to criteria of therapeutic effect of diseases in TCM was 91.18%(62/68) in the experimental group and 75 %(39/52) in the control group(P<0.05),and the total effective rate according to criteria of therapeutic effect of syndromes in TCM was 86.76%(59/68) in the experimental group and 63.46%(33/52) in the control group(P<0.01).Conclusion:Abdominal acupuncture is effective for knee osteoarthritis,but it has limitation of being effective in a short term.