Gu Li-Jun, Qiu Xing-Dong, Zhao Yong, Qin Wei-Kai, Dong Fu-Hui
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China.
Zhongguo Gu Shang. 2012 Dec;25(12):1036-9.
To investigate therapeutic effects of stiletto needle and Dichofenac Diethylammon in treating knee osteoarthritis pain at early and medium-term.
Sixty-seven patients with early and medium-term knee osteoarthritis were randomly divided into two groups, 34 cases in stiletto needle group (treatment group) and 33 cases in Dichofenac Diethylammon (control group). Among them, 60 patients finished treatment and followed-up for 1 months (7 cases fall off totally, 4 cases in treatment group and 3 cases in control group). In treatment group, there were 5 males and 25 females with a mean age of (55.90 +/- 9.34) years (ranged, 40 to 68 years), the course of disease for 0.25 to 1 year, mean (0.87 +/- 0.34) years, treated by stiletto needle once a week, and 3 weeks were a course. In control group, there were 6 males and 24 females with a mean age of (58.67 +/- 7.39) years (ranged, 40 to 70 years), the course of disease for 0.25 to 2 years, mean (0.93 +/- 0.60) years, treated by Dichofenac Diethylammon, three times a day for 3 weeks. Soft tissue displacement and banana area were tested by soft tissue tension tester, pressure value were measured by pressure measuring instrument, VAS score were recorded by pain visual analog scale record, HSS scoring and effects were used to evaluated and statistical analyzed.
There were significant differences in tissue displacement, banana area, pressure value, VAS scoring and HSS scoring between two groups before and after treatment, and tissue displacement, pressure value, HSS scoring in treatment group were higher than control group, while banana area and VAS scoring were lower than control group. According to HSS scoring and VAS scoring, 3 cases were healed, 8 cases were markedly improved, 18 cases were effective and 1 case was effectiveless in treatment group;while 1 case was healed, 4 cases were markedly improved, 20 cases were effective and 5 cases were effectiveless in control group. There was no significant meaning in therapeutic effects.
Stiletto needle for knee osteoarthritis pain can effectively reduce high tension of local soft tissue ,alleviate symptom of pain, and improve knee function.
探讨锋勾针与双氯芬酸二乙胺治疗膝骨关节炎早中期疼痛的疗效。
将67例膝骨关节炎早中期患者随机分为两组，锋勾针组（治疗组）34例，双氯芬酸二乙胺组（对照组）33例。其中60例患者完成治疗并随访1个月（共脱落7例，治疗组4例，对照组3例）。治疗组男5例，女25例，平均年龄（55.90±9.34）岁（年龄范围40～68岁），病程0.25～1年，平均（0.87±0.34）年，采用锋勾针治疗，每周1次，3周为1个疗程。对照组男6例，女24例，平均年龄（58.67±7.39）岁（年龄范围40～70岁），病程0.25～2年，平均（0.93±0.60）年，采用双氯芬酸二乙胺治疗，每日3次，共3周。采用软组织张力测试仪检测软组织移位及香蕉区，用压力测量仪测量压力值，采用疼痛视觉模拟评分记录VAS评分，采用HSS评分进行疗效评价并进行统计学分析。
两组治疗前后组织移位、香蕉区、压力值、VAS评分及HSS评分比较差异有统计学意义，治疗组组织移位、压力值、HSS评分高于对照组，香蕉区及VAS评分低于对照组。根据HSS评分及VAS评分，治疗组治愈3例，显效8例，有效18例，无效1例；对照组治愈1例，显效4例，有效20例，无效5例。两组疗效差异无统计学意义。
锋勾针治疗膝骨关节炎疼痛能有效降低局部软组织高张力，缓解疼痛症状，改善膝关节功能。
