Qin Wei-Kai, Zhao Yong, Zhang Kuan, Gu Li-Jun, Fang Wei, Liu Chun-Yu
Wangjing Hospital of China Academy of Chinese Medicine Sciences, Beijing 100102, China.
Zhongguo Zhen Jiu. 2013 Apr;33(4):347-9.
To objectively evaluate the clinical efficacy of stiletto needle for pain of knee osteoarthri tis (KOA), and analyze its function mechanism.
Seventy-six cases of KOA (76 knees) were selected. Under the guide of Jingjin theory in TCM, stiletto needle was applied at pain point of Jingjin in extra-articular area to have a loose solution effect, 1 to 3 points were selected each time, 1 to 2 times of treatment were required. The results of tenderness measurement instrument was adopted as main evaluation index of joint pain, and all data of evaluation indices before and after the treatment were statistical analyzed.
There were significant differences in visual analogue scale (VAS) score, tenderness score, HSS function score and movement range of joint before and after the treatment (all P < 0.05). The effective rate of stiletto needle therapy was 89.5%. There was apparent regression trend between VAS score and tenderness score with Y (VAS) = 7.841-1.569 X (tenderness score) as its regressive equation.
The stiletto needle therapy is an effective method to relieve the pain of knee osteoarthritis, and its clinical efficacy evaluation could be more objective and digital with tenderness measurement instrument.
客观评价针刀治疗膝关节骨性关节炎（KOA）疼痛的临床疗效，并分析其作用机制。
选取76例KOA患者（76膝）。在中医经筋理论指导下，于关节外经筋痛点处应用针刀进行松解，每次选取1～3个点，治疗1～2次。采用压痛测量仪的结果作为关节疼痛的主要评价指标，对治疗前后各项评价指标的所有数据进行统计学分析。
治疗前后视觉模拟评分（VAS）、压痛评分、HSS功能评分及关节活动度比较，差异均有统计学意义（均P<0.05）。针刀治疗有效率为89.5%。VAS评分与压痛评分之间存在明显的回归趋势，回归方程为Y（VAS）=7.841 - 1.569X（压痛评分）。
针刀疗法是缓解膝关节骨性关节炎疼痛的有效方法，使用压痛测量仪可使临床疗效评价更客观、数字化。
