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蜻蜓展翅针法治疗膝骨性关节炎的临床观察
作者姓名:胡金鲁  肖四旺  谢辉  唐振  肖治亚  刘笑萌  李国民
作者单位:湖南中医药大学, 湖南 长沙 410208,湖南中医药大学, 湖南 长沙 410208,郴州市第一人民医院, 湖南 郴州 423000,资兴市中医院, 湖南 郴州 423000,资兴市中医院, 湖南 郴州 423000,湖南中医药大学, 湖南 长沙 410208,郴州市第一人民医院, 湖南 郴州 423000
基金项目:湖南省技术创新引导计划-临床医疗技术创新引导项目(2017SK51108,2017SK51110);郴州市2017年科技计划项目(jsyf2017036)。
摘    要:目的 探讨蜻蜓展翅针法治疗膝骨性关节炎(knee osteoarthritis,KOA)患者的临床疗效。方法 将40例来自郴州市第一人民医院与资兴市中医院康复科的KOA患者随机分为观察组和对照组,每组20例,观察组采用蜻蜓展翅针法治疗,对照组采用常规针法治疗。两组治疗均为1次/d,30 min/次,5 d为1个疗程,共治疗3个疗程。分别在治疗前与治疗5 d、10 d、15 d后统计数据,比较疗效差异。结果 两组治疗均有效,两组的总有效率差异无统计学意义(P>0.05),两者的治愈率、愈显率差异有统计学意义(P<0.05);两组均能有效改善患者的膝骨性关节炎指数WOMAC各项评分与严重程度指数(P<0.01),观察组比对照组改善程度大(P<0.05或P<0.01);结论 两种治疗方法均对膝骨性关节炎的治疗有效,但蜻蜓展翅针法治疗的总体疗效优于常规针刺疗效,该操作更为简便安全、廉价、有效,值得推广。

关 键 词:膝骨性关节炎  针刺  蜻蜓展翅  临床观察
收稿时间:2018/12/19 0:00:00

Observation on Clinical Efficacy in Treatment of Knee Osteoarthritis with Dragonfly Wingspan Acupuncture
Authors:HU Jinlu  XIAO Siwang  XIE Hui  TANG Zhen  XIAO Zhiy  LIU Xiaomeng and LI Guomin
Institution:Hunan University of Chinese Medicine, Changsha, Hunan 410208, China,Hunan University of Chinese Medicine, Changsha, Hunan 410208, China,Chenzhou First People''s Hospital, Chenzhou, Hunan 423000, China,Zixing Hospital of Traditional Chinese Medicine, Chenzhou, Hunan 423000, China,Zixing Hospital of Traditional Chinese Medicine, Chenzhou, Hunan 423000, China,Hunan University of Chinese Medicine, Changsha, Hunan 410208, China and Chenzhou First People''s Hospital, Chenzhou, Hunan 423000, China
Abstract:Objective To explore the clinical efficacy of dragonfly wingspan acupuncture in the treatment of knee osteoarthritis (KOA). Methods A total of 40 patients with KOA from the Department of Rehabilitation of Chenzhou First People''s Hospital and Zixing Hospital of Traditional Chinese Medicine were randomly divided into an observation group and a control group, with 20 patients in each group. The observation group was treated with the dragonfly wingspan acupuncture and the control group was treated with routine acupuncture. The treatment in the 2 groups was 1 time/d, 30 min/time, 5 d as 1 course of treatment, with a total of 3 courses of treatment. Before the treatment and after 5 d, 10 d and 15 d of treatment, the data were recorded respectively. And the efficacy, WOMAC scores and severity indexes of the 2 groups were compared. Results The treatment of the 2 groups were both effective. There was no statistically significant difference in the total effective rate between the 2 groups (P>0.05). However, the difference of cure rates and good improvement rates between the 2 groups was statistically significant (P<0.05). WOMAC indexes and severity indexes of patients were effectively improved in both groups (P<0.01), and the degree of improvement in the observation group was better than that in the control group (P<0.05). The time of relieving stiffness in the observation group was better than that in the control group (P<0.05 or P<0.01). Conclusion Both methods are effective in the treatment of knee osteoarthritis. But the total therapeutic effect of the dragonfly wingspan acupuncture is better than that of the routine acupuncture. Dragonfly wingspan acupuncture is simpler, safer, cheaper, more effective, and worth popularizing.
Keywords:knee osteoarthritis  acupuncture  dragonfly wingspan  clinical observation
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