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[针刺内关(PC 6)和太冲(LR 3)治疗膝骨关节炎]

[Knee osteoarthritis treated with acupuncture at Neiguan (PC 6) and Taichong (LR 3)].

作者信息

Liu Kang, Tian Li-Fang

机构信息

Acupuncture-Moxibustion and Massage Department, Beijing Hospital of Ministry of Health, Beijing 100730, China.

出版信息

Zhongguo Zhen Jiu. 2013 Feb;33(2):105-8.

Abstract

OBJECTIVE

To compare the efficacy difference in the treatment of knee osteoarthritis between acupuncture at Neiguan (PC 6) and Taichong (LR 3) and the conventional acupoints.

METHODS

Forty four cases were random into a Neiguanc (PC 6) Taichong (LR 3) group observation group (20 cases) and a conventional group control group (24 cases). In the observention group, acupuncture was applied to Neiguan (PC 6) on the healthy side and Taichong (LR 3) on the affected side. The acupoints were selected bilaterally if both knees were affected. In the control group, acupuncture was applied to Yanglingquan (GB 34), Yinlingquan (SP 9), Neixiyan (EX-LE 4), Dubi (ST 35), Zusanli (ST 36) and the others on the affected side. The visual analogue scale (VAS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) were used for assessment of theraputic effect after treatment.

RESULTS

The score of VAS and pain, stiffness and function impairment of WOMAC were lower apparently than those before treatment in both groups (all P < 0.001). VAS score after treatment in the observation group was lower apparently than that in the control group (P < 0.05). The differences in each item score of WOMAC after treatment were not significant statistically between the two groups (all P > 0.05).

CONCLUSION

Acupuncture at Neiguan (PC 6) and Taichong (LR 3) achieves the similar efficacy on knee osteoarthritis as the conventional acupoints, but the former is more simple and convenient.

摘要

目的

比较针刺内关(PC 6)、太冲(LR 3)与传统穴位治疗膝骨关节炎的疗效差异。

方法

将44例患者随机分为内关(PC 6)、太冲(LR 3)组(观察组,20例)和传统穴位组(对照组,24例)。观察组针刺健侧内关(PC 6)和患侧太冲(LR 3);双膝患病则双侧取穴。对照组针刺患侧阳陵泉(GB 34)、阴陵泉(SP 9)、内膝眼(EX - LE 4)、犊鼻(ST 35)、足三里(ST 36)等穴位。治疗后采用视觉模拟评分法(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评估疗效。

结果

两组治疗后VAS评分及WOMAC疼痛、僵硬和功能障碍评分均明显低于治疗前(均P < 0.001)。观察组治疗后VAS评分明显低于对照组(P < 0.05)。两组治疗后WOMAC各项目评分差异无统计学意义(均P > 0.05)。

结论

针刺内关(PC 6)、太冲(LR 3)治疗膝骨关节炎与传统穴位疗效相似,但前者更简便。

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