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温针灸膝四穴配合中药治疗中风后膝痛的比较研究
摘    要：

Warm needling on the four knee acupoints combined with Chinese herb in the treatment of knee pain after stroke
Affiliation:1. Graduate School of East-West Medical Science, Kyung Hee University, Gyeonggi-do 449-701, Republic of Korea;2. Department of Chemistry, College of Life Science and Nano-Technology, Hannam University, Daejeon 305-811, Republic of Korea;1. The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China;2. Faculty of Pharmacy, The University of Sydney, NSW 2006, Australia;3. Kiang Wu Hospital, Macau, China;4. School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, China;1. Institute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Blvd, Quebec City, QC, G1V 0A6, Canada;2. CHU de Québec Research Center – Endocrinology and Nephrology, 2705 Laurier Blvd, Quebec City, QC, G1V 4G2, Canada
Abstract:ObjectiveTo observe the clinical efficacy of warm needling on the four knee acupoints in the treatment of knee pain after stroke on the basis of Chinese herb.MethodsSixty patients with knee pain after stroke were divided into a group A and a group B by random allocation, with 30 patients in each group. Patients in the group B only received the treatment by Chinese herb, which called Dúhuó Jìshēng Tāng (
></figure> Pubescent Angelica and Mistletoe Decoction, add or remove ingredients depending on conditions); patients in the group A additionally received warm needling on the basis of Chinese herb. Four knee acupoints were selected as master acupoints and Hèd<figure class=></figure>ng (<figure class=></figure> EX-LE 2), Yánglíngquán (<figure class=></figure> GB 34) and Zúsānlí (<figure class=></figure> ST 36) as combining acupoints. Perpendicular insertion was conducted on Xuèh<figure class=></figure>i (<figure class=></figure> SP 10) and Liángqiū (<figure class=></figure> ST 34) for approximately 1 <em>cun</em>, and oblique insertion on Nèixīy<figure class=></figure>n (<figure class=></figure> EX-LE 4) and Dúbí (<figure class=></figure> ST 35) for approximately 1 <em>cun</em> at 45° in inner and upper direction to push needle tip into joint cavity. After <em>deqi</em>, moxibustion stick was cut to 1.5 cm long, ignited, and inserted into the needle handles in the four knee acupoints. 1–2 strips were applied. After the moxa cones were burned up, needles were retained for 10 min. 7 d was a course of treatment and observation lasted for consecutive four courses. Visual analogue scale (VAS) and Barthel Index (BI) were adopted as observational indices. Clinical efficacy was classified as clinical cured, markedly effective, effective and ineffective according to the standards described in <em>Guidelines of Clinical Research on Chinese New Herbal Medicine</em>.<b>Results</b>After treatment, total effective rate was 93.3% in the group A, including full recovery in 8 cases, markedly effective in 15 cases, effective in 5 cases, and ineffective in 2 cases; while the total effective rate was 73.3% in the group B. The difference between the two groups was statistically significant (<em>P</em><0.05). In the group A, VAS scores were 6.53 ± 1.39 before treatment and 1.53 ± 0.80 after treatment and BI scores were 58.38±8.67 before treatment and 67.55 ± 12.99 after treatment; in the group B, VAS scores were 6.63 ± 1.81 before treatment and 3.33 ± 0.96 after treatment and BI scores were 57.89 ± 9.65 before treatment and 64.87 ± 12.18 after treatment. Both VAS and BI scores were improved significantly in the two groups after treatment and the improvements were statistically significant (all <em>P</em><0.05). Furthermore, both VAS and BI scores of group A were superior to that of group B (<em>P</em><0.05).<b>Conclusion</b>Additional treatment of warm needling on the four knee acupoints on the basis of Chinese herb can enhance the clinical efficacy in treatment of knee pain after stroke, contribute to the rapid recovery of knee function and improve the life quality of stroke patients.</td> </tr> <tr> <td align=
Keywords:Warm needling  the four knee acupoints  knee pain after stroke
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