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| 眼针带针运动结合体针治疗膝关节骨性关节炎的临床研究 |
| Clinical Study of Osteoarthritis of Knee Joint with Eye acupuncture and Exercise Combined with Body acupuncture |
| 投稿时间：2019-05-26 录用日期：2019-08-15 |
| DOI： |
| 中文关键词: 眼针 针刺运动 针刺 体针 膝关节骨性关节炎 临床研究 |
| 英文关键词: Eye acupuncture Acupuncture exercise Acupuncture Body acupuncture Knee osteoarthritis Clinical study |
| 基金项目:国家中医药管理局关于2017年度 “中医康复评价体系建设（GZY-KJS-2017-08）——膝骨痹（膝骨关节炎）中医康复诊疗方案临床规范化研究”课题。 |
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| 中文摘要: |
| 目的：评价眼针带针运动结合体针疗法治疗膝关节骨性关节炎的临床疗效。方法：选择符合中医诊断为“膝痹病”，西医诊断为“膝关节骨性关节炎”诊断的住院患者共46例，按随机数字表法随机分为两组：观察组（眼针带针运动组，n=23）和对照组（体针组，n=23）。观察组采用眼针带针运动结合体针治疗，对照组采用体针治疗。在上述针刺治疗的基础上，两组均采用常规基础治疗，1周为1个疗程。两组治疗2个疗程后，比较两组VAS疼痛评分情况、显效率及Lysholm评分量表。结果：治疗前两组的VAS评分差异无统计学意义（P＞0.05），治疗后观察组的VAS评分分别为1.26±0.91、1.34±0.83、1.30±0.92，对照组分别为2.78±0.90、3.04±0.87、3.08±0.73，观察组的VAS评分明显优于对照组（P＜0.05）；而治疗结束后及随访的两次评价表明，观察组的膝关节Lysholm评分（分别为88.04±0.31、89.08±0.01及88.78±0.01）显著优于对照组（分别为76.47±0.07、76.00±0.06及74.39±0.06），两组比较，差异有统计学意义（P＜0.05）。治疗结束时，观察组的治愈率为52.17%，显效率为89.96%，均显著优于对照组的治愈率（21.74%）和显效率（53.17%），具有统计学意义（P＜0.05）。结论：眼针带针运动结合体针治疗膝关节骨性关节炎的临床疗效显著优于体针治疗，值得临床推广应用。 |
| 英文摘要: |
| Objective: To evaluate the clinical efficacy of eye needle with needle movement combined with body acupuncture in the treatment of knee osteoarthritis.Methods: A total of 46 hospitalized patients with “knee Bi disease” diagnosed by Chinese medicine and “knee osteoarthritis” diagnosed by western medicine were selected and randomly divided into two groups: study group (eye acupuncture with needle movement group, n=23) and control group (body acupuncture group, n=23). The study group was treated with eye acupuncture with needle combined with body acupuncture, while the control group was treated with body acupuncture. On the basis of the above-mentioned acupuncture treatment, the two groups were treated with routine basic treatment, one week as a course of treatment. After two courses of treatment, VAS pain score, marked efficiency and Lysholm scale were compared between the two groups. Results: There was no significant difference in VAS score between the two groups before treatment (P > 0.05). After treatment, the VAS scores of the observation group were respectively 1.26±0.91、1.34±0.83 and 1.30±0.92, while those of the control group were respectively 2.78±0.90、3.04±0.87 and 3.08±0.73. The VAS scores of the observation group were significantly better than those of the control group (P<0.05). Two evaluations at the end of treatment and follow-up showed that: The Lysholm score of knee joint in observation group (88.04±0.31,89.08±0.01 and 88.78±0.01),significantly superior to the control group (76.47±0.07,76.00±0.06 and 74.39±0.06).There was significant difference between the two groups (P < 0.05).At the end of the treatment,the cure rate of the observation group was 52.17%, and the marked effective rate was 89.96%, which were significantly better than the cure rate (21.74%) and the marked effective rate (53.17%) of the control group (P < 0.05).Conclusion: Eye acupuncture with needle movement combined with body acupuncture in the treatment of knee osteoarthritis is significantly better than body acupuncture, which is worthy of clinical application. |
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