Wang Rui-Qing, Chen Yu, Liu Jing-Xuan, Zhang Zi-di, Jia Ye-Juan, Xu Jing, Pan Li-Jia, Jia Chun-Sheng
Institute of Acupuncture-moxibustion and Massage of Hebei University of Traditional Chinese Medicine, Shijiazhuang 050200, China.
Zhen Ci Yan Jiu. 2020 Jun 25;45(6):490-4. doi: 10.13702/j.1000-0607.190360.
To investigate the application characteristics of different acupuncture-moxibusition (acu-moxi) therapies for knee osteoarthritis (KOA), and to provide a reference for clinical application.
Computer and data mining techniques were used to establish a database of acu-moxi therapies for KOA, and the articles on acu-moxi in the treatment of KOA in the past decade were collected, screened, entered, reviewed, and analyzed. Acu-moxi therapies for KOA were summarized in terms of treatment method, clinical effect, association between treatment method and acupoint selection, needle specifications, and depth of acupuncture.
There are as many as 46 kinds of operation methods to treat knee osteoarthritis, among which moxibustion method has the highest frequency and the most operation methods. Traditional Chinese acupuncture and moxibustion technology has a significant effect on knee osteoarthritis, and the effective rate is more than 90%, among which the minimally invasive technique of traditional Chinese medicine has the highest cure rate and recovery rate. The relationship between traditional Chinese medicine operation and acupoint selection shows that the acupuncture and moxibustion therapy guided by traditional Chinese medicine theory pays more attention to acupoint selection based on syndrome differentiation, while the minimally invasive technique of traditional Chinese medicine is mostly proximal acupoint selection. The diameter of the needle with the highest usage frequency was 0.3 mm. The larger the diameter of the needle, the higher the specificity. The level of acupuncture was mostly tendon, followed by bone. The cure rate of acupuncture to bone is the highest.
Acupuncture and moxibustion has a significant effect in the treatment of KOA, with a profound theoretical basis; treatment of KOA should emphasize overall conditioning, and acupuncture should reach the bone and the tendon, so as to achieve a better clinical effect.
探讨不同针灸疗法治疗膝骨关节炎（KOA）的应用特点，为临床应用提供参考。
运用计算机及数据挖掘技术建立KOA针灸疗法数据库，收集、筛选、录入、审核并分析过去十年中关于针灸治疗KOA的文献。从治疗方法、临床疗效、治疗方法与穴位选择的关联、针具规格及针刺深度等方面对KOA的针灸疗法进行总结。
治疗膝骨关节炎的操作方法多达46种，其中艾灸法的使用频率最高，操作方法最多。传统针灸技术对膝骨关节炎有显著疗效，有效率超过90%，其中中医微创技术的治愈率和恢复率最高。中医操作与穴位选择的关系表明，中医理论指导下的针灸疗法更注重辨证选穴，而中医微创技术大多为近端选穴。使用频率最高的针具直径为0.3毫米。针具直径越大，特异性越高。针刺层次大多为肌腱，其次为骨。针刺至骨的治愈率最高。
针灸治疗KOA疗效显著，有深厚的理论基础；治疗KOA应强调整体调理，针刺应达骨及肌腱，以取得更好的临床疗效。
