Hua Zhijuan, Deng Han, Tang Huang, Ruan Zhizhong, Wang Pei, Zhang Min, Ma Hui, Wang Ping, Dong Can, Huang Zhilan, Hong Hanqing, Zhou Quan, Zhou He, Cheng Changcheng, Lin Wanqi, Zhang Cairong, Chen Dechun
Daishan Community Health Service Center, Nanjing, Jiangsu 210042, China.
Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China.
Evid Based Complement Alternat Med. 2021 Nov 18;2021:3987002. doi: 10.1155/2021/3987002. eCollection 2021.
This study was performed to compare the effectiveness of acupotomy based on the meridian-sinew theory with acupotomy based on the anatomical theory in the treatment of knee osteoarthritis (KOA). A total of 124 patients with knee osteoarthritis were randomized into the meridian-sinew (MS) group (63 patients) and anatomy group (61 patients). In the MS group, acupotomy based on the meridian-sinew theory was performed. In the anatomy group, acupotomy based on anatomy was applied. Patients were subgrouped by TCM Constitutions. The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and visual analog scale (VAS) were used to evaluate treatment effectiveness. The results showed that VAS ( = 22.61, < 0.01) and WOMAC ( = 24.84, < 0.01) scores declined with time, and there was no significant difference between the two groups nor subgroups (Yang deficiency subgroup, Yin-Yang harmony subgroup, and the subgroup of the others). A total of 5 patients reported 6 cases of the minor adverse effect, and all patients achieved complete recovery without medical intervention. This study indicates that the effectiveness and safety of acupotomy based on the meridian-sinew theory are equivalent to that of acupotomy based on anatomy in KOA treatment.
本研究旨在比较基于经筋理论的针刀疗法与基于解剖理论的针刀疗法治疗膝骨关节炎（KOA）的疗效。将124例膝骨关节炎患者随机分为经筋组（63例）和解剖组（61例）。经筋组采用基于经筋理论的针刀疗法，解剖组采用基于解剖的针刀疗法。患者按中医体质进行亚组划分。采用西安大略和麦克马斯特大学（WOMAC）骨关节炎指数和视觉模拟量表（VAS）评估治疗效果。结果显示，VAS（=22.61，<0.01）和WOMAC（=24.84，<0.01）评分随时间下降，两组及各亚组（阳虚亚组、阴阳平和亚组和其他亚组）之间无显著差异。共有5例患者报告6例轻微不良反应，所有患者未经医学干预均完全康复。本研究表明，在KOA治疗中，基于经筋理论的针刀疗法的有效性和安全性与基于解剖的针刀疗法相当。
