Li He, Zhang Feng-Hua, Wang Yu-Cun
Rehabilitation Department, People's Hospital of Binzhou City, Binzhou 256610, Shandong Province, China.
Zhongguo Zhen Jiu. 2013 Oct;33(10):885-8.
To verify the clinical efficacy of shu-stream point acupuncture combined with fire needle therapy in the treatment of hand osteoarthritis.
Eighty cases were randomized into an acupuncture group (shu-stream point acupuncture combined with fire needle therapy) and a medication group(votalin emulgel). For the 42 cases in the acupuncture group, acupuncture at shu-stream points on the three yang meridians of the hand including Sanjian (LI 3), Zhongzhu (TE 3), Houxi (SI 3) and fire needle at Ashi points were applied, the treatments were given once every other day, 15 times as a treatment course. For the 38 cases in the medication group, votalin emulgel was prescribed for local embrocation, twice a day, 30 days as a treatment course. The visual analogue scale (VAS) of arthralgia, joint function score and the duration of morning stiffness, joint tenderness, swelling were observed before and after treatment in both groups.
After two courses of clinical treatment, the VAS score of arthralgia, joint function score and the duration of morning stiffness, joint tenderness, swelling were statistically significant differences as compared with before treatment (all P < 0.01 ), the efficacy in the acupuncture group was superior to that in the medication group (all P < 0.01 ). The cured-markedly effective rate and total effective rate were 61.9% (26/42) and 95.2% (40/42) in the acupuncture group, and 36.8% (14/38) and 76.3% (29/38) in the medication group respectively, with statistically significant differences between the two groups (both P < 0.05).
Shu-stream point acupuncture combined with fire needle therapy achieves a significant efficacy in the treatment of hand osteoarthritis.
验证输穴针刺配合火针疗法治疗手部骨关节炎的临床疗效。
将80例患者随机分为针刺组（输穴针刺配合火针疗法）和药物组（扶他林乳胶剂）。针刺组42例，针刺手部三阳经的输穴，包括三间（LI 3）、中渚（TE 3）、后溪（SI 3），并在阿是穴施以火针，治疗隔日1次，15次为1个疗程。药物组38例，外用扶他林乳胶剂局部涂擦，每日2次，30天为1个疗程。观察两组治疗前后关节疼痛视觉模拟评分（VAS）、关节功能评分及晨僵、关节压痛、肿胀持续时间。
经过两个疗程的临床治疗，两组关节疼痛VAS评分、关节功能评分及晨僵、关节压痛、肿胀持续时间与治疗前比较，差异均有统计学意义（均P < 0.01），针刺组疗效优于药物组（均P < 0.01）。针刺组治愈率、显效率和总有效率分别为61.9%（26/42）、95.2%（40/42），药物组分别为36.8%（14/38）、76.3%（29/38），两组比较差异有统计学意义（均P < 0.05）。
输穴针刺配合火针疗法治疗手部骨关节炎疗效显著。
