Gu Li-Jun, Zhang Bin, Li Wen-Hua, Tang Yan, Dong Fu-Hui
Department of Laboratory, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China;
Zhongguo Gu Shang. 2017 Dec 25;30(12):1091-1096. doi: 10.3969/j.issn.1003-0034.2017.12.004.
To explore stiletto needle and needle-knife for influence of double sufficient weight in treating knee osteoarthritis patients.
One hundred and thirteen early and medium term knee osteoarthritis patients were randomly divided into three groups, including stiletto needle group(38 cases), needle-knife group (38 cases) and voltaren group (37 cases). In stiletto needle group, there were 13 males and 25 females with an average of(55.87±7.72) years old, treated by stiletto needle once a week, and 2 weeks were a course; there were 11 males and 27 females in needle-knife group with an average of(57.11±7.07) years old, treated by acupotome once a week, and 2 weeks were a course; there were 12 males and 25 females in voltaren group with an average age of(57.62±8.08) years old, treated by votalin emulsion smearing 3 to 5 cm on painful area of knee joint, three times a day for 2 weeks; 36 patients in normal group, including 11 males and 25 females with a mean age of (55.28±7.55) years old, treated with nothing. Gravitational four lattice used to measure bipedal back and forth load before and after treatment in further observe weight-bearing situation among three groups, d value, which was the distance from center of gravity to original point, was measured as a obvervational index, JOA score was used to evaluate clinical effect.
Five patients were fall out, including 2 patients in stiletto needle group, 2 patients in needle-knife group and 1 patient in voltaren group. Other 108 patients were followed-up from 28 to 35 d with an average of 30 d, and without untoward effect. There was significant difference in d value between treatment group and control group at 1 month after treatment(<0.05); there was significant difference in d value among treatment group at 1 month after treatment(>0.05), and d value was decreased before treatment than that of after treatment. There was no significant difference in JOA score among treatment group after treatment at 1 month(<0.05); while had significant difference between groups(>0.05) after treatment at 1 month.
Stiletto needle, needle-knife and voltaren for the treatment of knee osteoarthritis at early and middle stage, center of gravity is closer to original point, and weight-bearing is improved. It is a easy method of four lattice to measure change of weight-bearing in KOA patients after treatment.
探讨毫针和针刀对双膝负重的影响，用于治疗膝关节骨性关节炎患者。
113例早中期膝关节骨性关节炎患者随机分为三组，包括毫针组（38例）、针刀组（38例）和扶他林组（37例）。毫针组中男性13例，女性25例，平均年龄（55.87±7.72）岁，每周行毫针治疗1次，2周为1个疗程；针刀组中男性11例，女性27例，平均年龄（57.11±7.07）岁，每周行小针刀治疗1次，2周为1个疗程；扶他林组中男性12例，女性25例，平均年龄（57.62±8.08）岁，用扶他林乳胶剂在膝关节疼痛部位涂抹3至5厘米，每日3次，共2周；正常组36例，男性11例，女性25例，平均年龄（55.28±7.55）岁，未做处理。采用重力四格表测量治疗前后双足前后负重情况，进一步观察三组负重情况，测量重心到原点的距离d值作为观察指标，采用JOA评分评价临床疗效。
脱落5例，其中毫针组2例，针刀组2例，扶他林组1例。其余108例患者随访28至35天，平均30天，无不良反应。治疗后1个月治疗组与对照组d值比较差异有统计学意义（<0.05）；治疗后1个月治疗组间d值比较差异无统计学意义（>0.05），且治疗前d值大于治疗后。治疗后1个月治疗组间JOA评分比较差异无统计学意义（<0.05）；治疗后1个月组间比较差异有统计学意义（>0.05）。
毫针、针刀及扶他林治疗早中期膝关节骨性关节炎，重心更接近原点，负重能力得到改善。重力四格表法是一种简便测量KOA患者治疗后负重变化的方法。
