超微针刀反阿是穴疗法治疗膝骨性关节炎疗效观察

目的:比较超微针刀反阿是穴疗法与常规针灸疗法治疗膝骨性关节炎的疗效差异。方法:将60例患者随机分为超微针刀组、常规针灸组,每组30例。超微针刀组在按压后疼痛缓解或消失的反阿是穴行超微针刀治疗,每周1次,治疗1个月;常规针灸组穴取犊鼻、内膝眼、足三里、阳陵泉等穴行常规针灸治疗,每天1次,治疗1个月。观察两组治疗前后疼痛视觉模拟评分(Visual Analogue Scale,VAS)、Lysholm膝关节评分、患膝关节屈曲度数,并比较两组临床疗效。结果:治疗后两组VAS疼痛评分、Lysholm膝关节评分、患膝关节屈曲度数均较治疗前明显改善(P<0.01,P<0.05),且超微针刀组明显优于常规针灸组(均P<0.05);超微针刀组总有效率为80.0%(24/30),常规针灸组为60.0%(18/30),超微针刀组疗效优于常规针灸组(P<0.05)。结论:超微针刀反阿是穴疗法治疗膝骨性关节炎临床疗效优于常规针灸疗法,可有效缓解疼痛,改善膝关节活动度,且简单易行,治疗次数少。

Efficacy observation on osteoarthritis of the knee treated with the ultrastructural acnpotomy therapy at the counter-Ashi points

Objective To compare the difference in the efficacy on osteoarthritis of the knee between the ultrastructural acupotomy therapy at the counter-Ashi points and the conventional acupuncture-moxibustion therapy.Methods Sixty cases were randomly devided into an ultrastructural acupotomy therapy group(group A) and a conventional acupuncture-moxibustion group(group B),30 cases in each one.In the group A,the ultrastructural acupotomy therapy was applied to the counter-Ashi points in which pain was alleviated or disappeared on pressure.The treatment was given once a week,lasting for 1 month.In the group B,the acupuncture-moxibustion therapy was applied to Dubi(ST 35),Neixiyan(EX-LE 4),Zusanli(ST 36),Yanglingquan(GB 34),etc.The treatment was given once daily,lasting for 1 month.Before and after treatment,the Visual Analogue Scale(VAS),Lysholm knee joint scale and the affected knee joint flexion angle were observed in the two groups.The clinical efficacy was compared between the two groups.Results After treatment,the scores of VAS,Lysholm knee joint scale and the affected knee joint flexion angle were improved obviously as compared with those before treatment in either group(P<0.01,P<0.05).The results of them in the group A were superior apparently to those in the group B(all P<0.05).The total effective rate in the group A was superior to that in the group B 80.0%(24/30) vs 60.0%(18/30),P<0.05].Conclusion The ultrastructural acupotomy therapy at the counter-Ashi points achieves the superior clinical efficacy on osteoarthritis of the knee as compared with the conventional acupuncture therapy.It relieves pain and improves the motion range of knee joint effectively.It is simple in operation and less in treatment frequency.