摘要
目的探讨温阳柔筋法火针治疗对膝骨关节炎(KOA)患者疼痛阈值及膝关节功能的影响。方法将2021年10月—2022年10月首都医科大学附属北京中医医院针灸科招募的60例KOA患者随机分为2组,西药组30例给予双氯芬酸二乙胺乳胶剂膝关节涂抹,火针组30例给予温阳柔筋法火针治疗,2组均治疗6周。观察比较2组患者治疗前后患膝局部机械痛阈值(采用电子VonFrey测痛仪测定)、压痛阈值(采用压力痛觉测试针测定)、疼痛数字评分法(NRS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分,记录2组不良反应发生情况。结果治疗6周后,火针组患者机械痛阈值、压痛阈值均明显高于治疗前及同期西药组(P均<0.05),NRS评分和WOMAC各分项评分均明显低于治疗前及同期西药组(P均<0.05);西药组患者机械痛阈值、压痛阈值、WOMAC各分项评分与治疗前比较差异均无统计学意义(P均>0.05),NRS评分明显低于治疗前(P<0.05)。火针组有1例治疗后出现瘀斑,3 d后自行消退;西药组未见治疗相关不良反应。结论温阳柔筋法火针治疗能有效提高KOA患者疼痛阈值,缓解疼痛,改善关节功能,且安全性良好。
Objective It is to investigate the effects fire acupuncture for warming Yang and softing sinew on pain threshold and knee joint function in patients with(KOA).Methods Sixty patients with KOA recruited from the Acupuncture Department of Beijing Hospital of Traditional Chinese Medicine Hospital Affiliated to Capital Medical University were randomly divided into two groups:the western medicine group(n=30)was treated with diclofenac diethylamine latex by external application on knee joint,and the fire aupuncture group(n=30)was treated with fire acupuncture for warming Yang and softing sinew,both groups were treated for 6 weeks.The local mechanical pain threshold(detected by electronic VonFrey),pressure pain threshold(detected by pressure pain testing needle),pain numerical rating scale(NRS)scores,and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores of patients in the two groups were observed and compared before and after treatment,and the adverse reactions occurred in both groups were also recorded.Results After 6 weeks of treatment,the mechanical pain threshold and pressure pain threshold of patients in the fire acupuncture group were significantly higher than those before treatment and in the western medicine group at the same period(all P<0.05),while the NRS score and WOMAC subscale scores were significantly lower than those before treatment and in the western medicine group at the same period(all P<0.05).There were no statistically significant differences in the mechanical pain threshold,pressure pain threshold and WOMAC subscale scores between before and after treatment in the western medicine group(all P>0.05),while the NRS score after treatment were significantly lower than those before treatment(P<0.05).One case of ecchymosis occurred in the fire acupuncture group after treatment,which resolved spontaneously after 3 days;no treatment-related adverse reactions were observed in the western medicine group.Conclusion Fire acupuncture for warming Yang and softing sinew can effectively increase pain thresholds,alleviate pain,and improve joint function in patients with knee osteoarthritis,with good safety.
作者
徐晓白
侯方旭
袁芳
李彬
陈弘翊
王迷娜
刘璐
王少松
王麟鹏
孙敬青
王雪飞
XU Xiaobai;HOU Fangxu;YUAN Fang;LI Bin;CHEN Hongyi;WANG Mina;LIU Lu;WANG Shaosong;WANG Linpeng;SUN Jingqing;WANG Xuefei(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《现代中西医结合杂志》
2025年第11期1482-1487,共6页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
北京市科学技术学会青年人才托举工程(BYESS2023337)
北京市中医药科技发展基金青年项目(QN-2020-28)
国家自然科学基金资助项目(82004452,82074547,82205246)
北京市医院管理局“扬帆”计划重点医学专业(重点扶持专业)-中西医结合康复(ZYLX202140)。
关键词
膝骨关节炎
温阳柔筋法
机械痛阈值
压痛阈值
关节功能
knee osteoarthritis
fire acupuncture
warming Yang and softing sinew
mechanical pain threshold
pressure pain threshold
joint function
