針刺足運感區(qū)為主治療膝骨性關節(jié)炎的臨床療效觀察
發(fā)布時間：2018-11-04 17:21
【摘要】：目的:觀察針刺足運感區(qū)、巨毼穴和情感區(qū)治療膝骨性關節(jié)炎的臨床療效,尋求更簡練、有效的治療方法。方法:本課題采用隨機數(shù)字表法將符合納入標準的96例患者分為治療組與對照組,每組48例,治療組針刺對側(cè)足運感區(qū)、情感區(qū)、同側(cè)巨毼穴,上述二區(qū)行針快速捻轉(zhuǎn)約3分鐘,頻率200轉(zhuǎn)/分以上,留針30分鐘,留針期間每10分鐘捻轉(zhuǎn)1次;巨毼穴行毫針常規(guī)針刺,行針后囑患者活動膝關節(jié),以患者能接受為度。留針30分鐘。對照組取膝眼、梁丘、陽陵泉、血海等穴直刺0.5-1.2寸,行毫針常規(guī)針刺,留針30分鐘。兩組每日針刺治療1次,每周進行6天,休息1天,共治療5周。將骨關節(jié)炎指數(shù)(WOMAC)評分、視覺模擬(VAS)評分、膝關節(jié)屈伸活動度、焦慮自評量表(SAS)以及抑郁自評量表(SDS)作為評價指標,觀察并總結(jié)兩組的治療效果,將所得數(shù)據(jù)進行統(tǒng)計學分析。結(jié)果:1.兩組視覺模擬評分法(VAS)評分比較:治療后兩組經(jīng)過組內(nèi)及組間比較,均有顯著性差異(p0.05)。提示兩組治療方案對膝骨性關節(jié)炎患者疼痛的減輕均有療效,且治療組效果優(yōu)于對照組。2.兩組骨關節(jié)炎指數(shù)(WOMAC)評分比較:治療組中,治療前與治療后疼痛、僵硬、進行日�；顒拥碾y度及總分相比,均具有極顯著性差異(p0.01),說明治療組在改善疼痛及其他癥狀有明顯療效;對照組中,與治療前相比,治療后疼痛、進行日�；顒拥碾y度、總分具有顯著性差異(p0.05),說明對照組可以緩解疼痛,降低進行日常生活的難度;對照組中,治療前與治療后僵硬對比,無顯著性差異(p0.05),說明對照組在改善關節(jié)僵硬方面效果不明顯。治療后兩組疼痛、僵硬、進行日�；顒拥碾y度有顯著性差異(p0.05),說明兩組治療均有效。3.兩組膝關節(jié)屈伸活動度比較:治療后,與對照組相比,治療組在改善膝關節(jié)活動度方面,有顯著性差異(p0.05),說明治療組優(yōu)于對照組。4.兩組焦慮自評表(SAS)比較:治療后兩組經(jīng)過組內(nèi)及組間比較,均有顯著性差異(p0.05)。提示兩組治療方案對緩解膝骨性關節(jié)炎患者焦慮情緒均有療效,且治療組效果優(yōu)于對照組。5.兩組抑郁自評表(SDS)比較:治療后兩組經(jīng)過組內(nèi)及組間比較,均有顯著性差異(p0.05)。提示兩組治療方案對緩解膝骨性關節(jié)炎患者抑郁情緒均有療效,且治療組效果優(yōu)于對照組。6.兩組臨床療效比較:治療組總有效率為97.91%,對照組總有效率為91.67%,兩組對比差異具有統(tǒng)計學意義(p0.05),說明治療組治療膝骨性關節(jié)炎的臨床療效優(yōu)于對照組。結(jié)論:1.針刺足運感區(qū)、情感區(qū)、巨毼穴配合動法與傳統(tǒng)方法治療膝骨性關節(jié)炎均有療效,且針刺足運感區(qū)、情感區(qū)、巨毼穴配合動法更有顯著性。2.針刺足運感區(qū)、情感區(qū)、巨毼穴配合動法治療膝骨性關節(jié)炎能夠有效改善患者膝關節(jié)疼痛、僵硬癥狀,提高膝關節(jié)活動度,緩解焦慮抑郁心情。
[Abstract]:Objective: to observe the clinical curative effect of acupuncture on knee osteoarthritis (OA) in the area of sensation of foot operation, acupoint Juzhang and emotional area, and to seek more concise and effective treatment methods. Methods: 96 patients were randomly divided into treatment group (n = 48) and control group (n = 48). The above two areas are twirled for about 3 minutes with a frequency of more than 200 rpm and a needle for 30 minutes, twirling once every 10 minutes during the needle retention period; After routine acupuncture, the patient was told to move the knee joint so that the patient could accept it. Keep the needle for 30 minutes. In the control group, the knee eyes, Liang Qiu, Yanglingquan and Xuehai points were pricked 0.5-1.2 inches. Two groups were treated with acupuncture once a day, 6 days a week, rest 1 day, a total of 5 weeks. Osteoarthritis index (WOMAC), visual analog (VAS) (VAS), knee flexion and extension activity, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used as evaluation indexes to observe and summarize the therapeutic effects of the two groups. The data were analyzed statistically. The result is 1: 1. Comparison of visual analogue score (VAS) between the two groups: there was significant difference between the two groups after treatment (p0.05). It is suggested that the two treatment groups have curative effect on pain relief of patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group. 2. Comparison of (WOMAC) score of osteoarthritis index between the two groups: in the treatment group, there were significant differences in pain, stiffness, difficulty in daily activities and total score before and after treatment (p0.01). The results showed that the treatment group had obvious curative effect in improving pain and other symptoms. In the control group, compared with before treatment, pain after treatment, the difficulty of daily activities, the total score has significant difference (p0.05), indicating that the control group can alleviate the pain, reduce the difficulty of daily life; In the control group, there was no significant difference in stiffness before and after treatment (p0.05), indicating that the effect of the control group in improving joint stiffness was not obvious. There were significant differences in pain, stiffness and difficulty of daily activities between the two groups after treatment (p0.05), indicating that the two groups were effective. Comparison of knee flexion and extension activity between the two groups: after treatment, there were significant differences in improving knee joint motion between the treatment group and the control group (p0.05), which indicated that the treatment group was better than the control group. Comparison of (SAS) between the two groups: there were significant differences between the two groups after treatment (p0. 05). The results suggest that the two groups are effective in relieving anxiety in patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group (5. 5%). Comparison of (SDS) between the two groups: after treatment, there were significant differences between the two groups after treatment (p0. 05). The results suggest that the two groups are effective in relieving depression in patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group (6. 6%). Comparison of clinical efficacy between the two groups: the total effective rate in the treatment group was 97.91, and the total effective rate in the control group was 91.67. The difference between the two groups was statistically significant (p0.05). The results showed that the treatment group was superior to the control group in the treatment of knee osteoarthritis. Conclusion: 1. Acupuncture has curative effect on knee osteoarthritis by acupuncture in the area of feeling of movement of foot, emotional area, combined method of acupoint Gudu and traditional method, and acupuncture of the area of feeling of movement of foot, emotional area, and acupoint Giu are more significant. 2. Acupuncture can effectively improve the pain and stiffness of knee joint, improve the movement of knee joint and relieve anxiety and depression.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9
本文編號：2310603
[Abstract]:Objective: to observe the clinical curative effect of acupuncture on knee osteoarthritis (OA) in the area of sensation of foot operation, acupoint Juzhang and emotional area, and to seek more concise and effective treatment methods. Methods: 96 patients were randomly divided into treatment group (n = 48) and control group (n = 48). The above two areas are twirled for about 3 minutes with a frequency of more than 200 rpm and a needle for 30 minutes, twirling once every 10 minutes during the needle retention period; After routine acupuncture, the patient was told to move the knee joint so that the patient could accept it. Keep the needle for 30 minutes. In the control group, the knee eyes, Liang Qiu, Yanglingquan and Xuehai points were pricked 0.5-1.2 inches. Two groups were treated with acupuncture once a day, 6 days a week, rest 1 day, a total of 5 weeks. Osteoarthritis index (WOMAC), visual analog (VAS) (VAS), knee flexion and extension activity, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used as evaluation indexes to observe and summarize the therapeutic effects of the two groups. The data were analyzed statistically. The result is 1: 1. Comparison of visual analogue score (VAS) between the two groups: there was significant difference between the two groups after treatment (p0.05). It is suggested that the two treatment groups have curative effect on pain relief of patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group. 2. Comparison of (WOMAC) score of osteoarthritis index between the two groups: in the treatment group, there were significant differences in pain, stiffness, difficulty in daily activities and total score before and after treatment (p0.01). The results showed that the treatment group had obvious curative effect in improving pain and other symptoms. In the control group, compared with before treatment, pain after treatment, the difficulty of daily activities, the total score has significant difference (p0.05), indicating that the control group can alleviate the pain, reduce the difficulty of daily life; In the control group, there was no significant difference in stiffness before and after treatment (p0.05), indicating that the effect of the control group in improving joint stiffness was not obvious. There were significant differences in pain, stiffness and difficulty of daily activities between the two groups after treatment (p0.05), indicating that the two groups were effective. Comparison of knee flexion and extension activity between the two groups: after treatment, there were significant differences in improving knee joint motion between the treatment group and the control group (p0.05), which indicated that the treatment group was better than the control group. Comparison of (SAS) between the two groups: there were significant differences between the two groups after treatment (p0. 05). The results suggest that the two groups are effective in relieving anxiety in patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group (5. 5%). Comparison of (SDS) between the two groups: after treatment, there were significant differences between the two groups after treatment (p0. 05). The results suggest that the two groups are effective in relieving depression in patients with knee osteoarthritis, and the effect of the treatment group is better than that of the control group (6. 6%). Comparison of clinical efficacy between the two groups: the total effective rate in the treatment group was 97.91, and the total effective rate in the control group was 91.67. The difference between the two groups was statistically significant (p0.05). The results showed that the treatment group was superior to the control group in the treatment of knee osteoarthritis. Conclusion: 1. Acupuncture has curative effect on knee osteoarthritis by acupuncture in the area of feeling of movement of foot, emotional area, combined method of acupoint Gudu and traditional method, and acupuncture of the area of feeling of movement of foot, emotional area, and acupoint Giu are more significant. 2. Acupuncture can effectively improve the pain and stiffness of knee joint, improve the movement of knee joint and relieve anxiety and depression.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9
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