深刺犊鼻、内膝眼穴治疗膝骨关节炎临床观察

目的 观察深刺犊鼻、内膝眼治疗膝骨关节炎的临床疗效。方法 将40例患者按就诊先后顺序随机分为两组,每组20例。治疗组采用深刺,取犊鼻、内膝眼、鹤顶、阳陵泉、足三里穴,除犊鼻、内膝眼穴深刺加电针外,余穴均采用常规针刺方法;对照组选穴同上,除犊鼻、内膝眼穴加电针外,诸穴均采用常规针刺方法。两组均每星期治疗3次,2星期为1个疗程。治疗前后采用Lysholm评分法进行膝关节功能评定。结果 两组治疗前各项指标评分均无显著性差异（P＞0.05）,具有可比性。两组治疗后与治疗前比较,各项指标评分均有不同程度的改善,治疗组治疗后疼痛、腿软、爬楼梯3项指标评分与治疗前相比,差异有统计学意义（P＜0.05）,其中腿软、膝痛2项指标与对照组比较差异有统计学意义（P＜0.05）。结论 深刺犊鼻、内膝眼穴对膝骨关节炎具有较快的止痛效果,优于常规针刺法。

Clinical Observations on Deep Needling of Points Dubi and Medial Xiyan for the Treatment of Knee Osteoarthritis

Objective To investigate the clinical efficacy of deep needling of points Dubi （ST35） and medial Xiyan （Ex-LE5） in treating knee osteoarthritis. Method Forty patients were allocated, in order of visits, to two groups, 20 cases each. The treatment group received deep needling of and electroacupuncture at points Dubi and medial Xiyan and conventional acupuncture at points Heding （Ex-LE2）, Yanglingquan （GB34） and Zusanli （ST36）. The control group received electroacupuncture at points Dubi and medial Xiyan and conventional acupuncture at the above other points. Both groups were treated three times a week, two weeks as a course. Knee joint function was assessed using the Lysholm Knee Scoring Scale before and after treatment. Result There were no statistically significant pre-treatment differences in various indices between the two groups （P〉0.05）, indicating comparability. Various index scores increased in different degrees in both groups after treatment compared with before. There were statistically significant pre-/post-treatment differences in the three （pain, flaccid leg and climbing stairs） index scores in the treatment group （P〈0.05） and significant post-treatment differences in two indices flaccid leg and knee pain compared with the control group （P〈0.05）. Conclusion Deep needling of bilateral points Dubi and Medial Xiyan has a quicker analgesic effect on knee osteoarthritis and its effect is better than that of conventional acupuncture.