Yang Yang, Qi Si, Liu Mengyue, Zhao Yu, Li Ning
Department of Integrated Chinese and Western Medicine, West China Hospital Affiliated to Sichuan University, Chengdu 610041, China.
School of Acupuncture, Moxibustion and Tuina, Chengdu University of TCM.
Zhongguo Zhen Jiu. 2017 Oct 12;37(10):1052-6. doi: 10.13703/j.0255-2930.2017.10.007.
To compare the differences in the clinical therapeutic effects on chronic knee joint pain between the combination of the central-square needling technique of thumb-tack needles with the routine therapy of acupuncture, moxibustion and and the routine therapy of acupuncture, moxibustion and .
One hundred and twenty patients of chronic knee joint pain were randomized into an observation group and a control group, 60 cases in each one. In the control group, the routine therapy of acupuncture, moxibustion and was adopted. In the observation group, at the end of treatment with the routine therapy of acupuncture, moxibustion and , the subcutaneous embedding therapy was followed with four thumb-tack needles at the sites 1 to 1.5 cm above, below and bilateral to the main point ( point) separately, and the needles were retained for 24 h to 48 h. The treatment was given once every two days, three times a week, totally 6 times in two weeks; and the follow-up visit was done for 3 months in patients of the two groups. The visual analogue scale (VAS) score before and after each treatment, Lequesne index score before treatment and at the end of follow-up and the case numbers of proactive use of painkillers or receiving acupuncture treatment in the follow-up stage were compared and observed in the patients of the two groups.
The VAS score was reduced gradually after treatment in the patients of the two groups. The differences were significant statistically after the second treatment as compared with those before the treatment in the two groups (all <0.05), in which, the improvements in VAS scores after the third treatment in the observation group were more obvious than those in the control group (all <0.05). At the end of follow-up visit, Lequesne index scores were all improved as compared with those before treatment in the two groups (both <0.05) and the improvements were similar between the two groups (>0.05). In the follow-up stage, there were 0 case in the observation group and 9 cases in the control group in terms of proactive use of painkillers (<0.05). There were 5 cases in the observation group and 1 case in the control group receiving acupuncture treatment again (>0.05).
The acupuncture scheme in assistance with the central-square needling technique of thumb-tack needles obviously relieves chronic knee joint pain, much better sustains the analgesic effects of acupuncture and improves patient compliance.
比较揿针中央方穴针刺技术结合针灸常规疗法与单纯针灸常规疗法对慢性膝关节疼痛的临床治疗效果差异。
将120例慢性膝关节疼痛患者随机分为观察组和对照组，每组60例。对照组采用针灸常规疗法。观察组在针灸常规疗法治疗结束后，于主穴（ 穴）上下及双侧各1至1.5厘米处分别用4枚揿针进行皮下埋针，留针24至48小时。治疗每两天进行1次，每周3次，两周共6次；两组患者均随访3个月。比较观察两组患者每次治疗前后的视觉模拟评分（VAS）、治疗前及随访结束时的Lequesne指数评分以及随访阶段主动使用止痛药或再次接受针灸治疗的病例数。
两组患者治疗后VAS评分均逐渐降低。两组在第二次治疗后与治疗前相比差异均有统计学意义（均P<0.05），其中观察组第三次治疗后VAS评分改善情况比对照组更明显（均P<0.05）。随访结束时，两组Lequesne指数评分均较治疗前有所改善（均P<0.05），且两组改善情况相似（P>0.05）。随访阶段，观察组主动使用止痛药的病例数为0例，对照组为9例（P<0.05）。观察组再次接受针灸治疗的病例数为5例，对照组为1例（P>0.05）。
采用揿针中央方穴针刺技术辅助治疗的针灸方案能明显缓解慢性膝关节疼痛，更能维持针灸的镇痛效果，提高患者依从性。
