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青龙摆尾针法治疗膝骨关节炎的疗效及其对炎症因子的影响

Therapeutic effect of Qinglong tail-wagging acupuncture method in knee osteoarthritis and its influence on inflammatory factors.

作者信息

Li Huanmin, Zheng Yong, Wang Yan, Meng Lingcheng, Guo Yuxiao, Bian Chao, Liu Peijun

机构信息

Department of Rehabilitation, People's Hospital of Sishui County Sishui 272200, China.

Department of Medical Security, Jining Fourth People's Hospital Jining 272137, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):3206-3213. eCollection 2021.

Abstract

OBJECTIVES

This study explored and analyzed the healing effect of Qinglong tail-wagging acupuncture method in therapy of knee osteoarthritis and its influence on inflammatory factors.

METHODS

93 elderly patients with acute onset of knee osteoarthritis that hospitalized from March 2017 to June 2019 were admitted and randomly separated into observation group (n=48) and control group (n=45) in line with the method of random data form. The control group was given conventional electro-acupuncture, and the observation group was treated with the qinglong tail-waving acupuncture method. The clinical efficacy, pre- and post-VAS score, Lequesne and WOMAC indexes, and changes in serum inflammatory factor levels pre-and-post treatment were compared between the two sets of subjects.

RESULTS

The overall response rate of clinical treatment in observation group was remarkably higher than that of the control group (P < 0.05). Besides, the VAS, Lequesne as well as WOMAC scores of two groups after treatment were significantly reduced than those in pre-treatment (P < 0.05), and the indexes in observation group were remarkably lower than those in control group (P < 0.05). In addition, the serum IL-6, NO and TNF-α concentration of the two sets of subjects in post-treatment reduced significantly than that in pre-treatment (P < 0.05), and the serum IL-6, NO and TNF-α concentration in observation group were remarkably decreased than those in control group (P < 0.05).

CONCLUSION

The acupuncture method of Qinglong tail-wagging has good healing effect on remedy of elderly knee osteoarthritis. The curative method is able to improve the patients' function of knee joint and reduce the concentration of serum inflammatory factor in patients with knew osteoarthritis.

摘要

目的

本研究探讨并分析青龙摆尾针法治疗膝骨关节炎的疗效及其对炎症因子的影响。

方法

选取2017年3月至2019年6月住院的93例急性发作的老年膝骨关节炎患者,按照随机数字表法随机分为观察组(n = 48)和对照组(n = 45)。对照组给予常规电针治疗,观察组采用青龙摆尾针法治疗。比较两组患者的临床疗效、治疗前后视觉模拟评分(VAS)、Lequesne指数和西安大略和麦克马斯特大学骨关节炎指数(WOMAC),以及治疗前后血清炎症因子水平的变化。

结果

观察组临床治疗总有效率显著高于对照组(P < 0.05)。此外,两组治疗后的VAS、Lequesne以及WOMAC评分均较治疗前显著降低(P < 0.05),且观察组各项指标显著低于对照组(P < 0.05)。另外,两组患者治疗后血清白细胞介素-6(IL-6)、一氧化氮(NO)和肿瘤坏死因子-α(TNF-α)浓度均较治疗前显著降低(P < 0.05),且观察组血清IL-6、NO和TNF-α浓度显著低于对照组(P < 0.05)。

结论

青龙摆尾针法治疗老年膝骨关节炎具有良好的疗效。该治疗方法能够改善膝骨关节炎患者的膝关节功能,降低患者血清炎症因子浓度。

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Association of leg muscle symmetry with knee osteoarthritis.腿部肌肉对称性与膝骨关节炎的关联。
Clin Rheumatol. 2019 Dec;38(12):3549-3556. doi: 10.1007/s10067-019-04757-1. Epub 2019 Aug 29.
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Surgical Management of Osteoarthritis of the Knee.膝关节骨关节炎的外科治疗。
J Am Acad Orthop Surg. 2018 May 1;26(9):e191-e193. doi: 10.5435/JAAOS-D-17-00424.

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