摘要
目的:客观评价铍针对膝骨关节炎疼痛的临床疗效,进而分析其作用机制。方法:选择76例膝骨关节炎患者(76膝),在中医经筋理论的指导下,以关节外经筋痛点为治疗点,运用铍针对其松解,每次选取1～3点,治疗1～2次。以压痛仪测定的压痛值作为关节疼痛的主要评价指标,统计分析治疗前后各项评价指标数据。结果:治疗前后视觉模拟量表(VAS)评分、压痛值、膝关节功能评分(HSS)、关节活动度差异均有统计学意义(均P<0.05)。铍针治疗的有效率为89.5%。VAS评分和压痛值间有明显的回归趋势,建立回归方程Y(VAS)=7.841-1.569X(压痛值)。结论:铍针疗法是缓解膝骨关节炎疼痛的一种有效方法,压痛仪使铍针治疗膝骨关节炎的临床疗效评价客观化、数字化。
Objective To objectively evaluate the clinical efficacy of stiletto needle for pain of knee osteoarthritis （KOA）, and analyze its function mechanism. Methods Seventy-six cases of KOA （76 knees） were selected. Under the guide of Jingjin theory in TCM, stiletto needle was applied at pain point of Jingjin in extra-articular area to have a loose solution effect, 1 to 3 points were selected each time, 1 to 2 times of treatment were required. The results of tenderness measurement instrument was adopted as main evaluation index of joint pain, and all data of evaluation indices before and after the treatment were statistical analyzed. Results There were significant differences in visual analogue scale （VAS） score, tenderness score, HSS function score and movement range of joint before and after the treatment （all P〈0.05）. The effective rate of stiletto needle therapy was 89.5%. There was apparent regression trend between VAS score and tenderness score with Y （VAS）=7. 841--1. 569 X （tender ness score） as its regressive equation. Conclusion The stiletto needle therapy is an effective method to relieve the pain of knee osteoarthritis, and its clinical efficacy evaluation could be more objective and digital with tenderness measurement instrument.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第4期347-349,共3页
Chinese Acupuncture & Moxibustion
基金
首都医学科技发展基金项目:SF-2009-Ⅲ-06
关键词
膝骨关节炎
压痛仪
铍针
疼痛
knee osteoarthritis tenderness measurement instrument Pi-zhen pain
