滞针“膝外穴”配合整治手法治疗急性膝骨关节炎的临床疗效分析

Analysis of clinical effect of sticking needle “outside knee point” combined with regulation technique in the treatment of acute knee osteoarthritis

关键词:  急性膝骨性关节炎  滞针  膝外穴  整治手法  临床疗效

Key words:  acute knee osteoarthritis  sticking the needle  acupoint outside the knee  regulation method  clinical effect

摘要:

[目的] 探讨滞针“膝外穴”配合整治手法治疗急性膝骨关节炎（KOA）的临床疗效。[方法] 选取2022年3月—2024年3月医院收治的92例急性KOA患者，应用随机数字表法将患者分为两组。对照组接受滞针“膝外穴”治疗6周，观察组接受滞针“膝外穴” 配合整治手法治疗6周。比较两组疗效、膝关节疼痛、功能、影像学参数、实验室指标以及不良反应。[结果] 治疗期间2例脱落，余下90例均完成治疗，对照组45例，观察组45例。观察组治疗总有效率高于对照组（P＜0.05）。两组治疗后视觉模拟评分法（VAS）、Lequesne指数、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分，血清肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）水平均较治疗前降低（P＜0.05），下肢功能评价量表（LEFS）评分较治疗前增高（P＜0.05），外侧关节间隙、内侧关节间隙较治疗前增加（P＜0.05）。观察组治疗后VAS评分、Lequesne指数、WOMAC评分，血清TNF-α、IL-6水平低于对照组（P＜0.05），LEFS评分、外侧关节间隙、内侧关节间隙高于对照组（P＜0.05）。两组不良反应比较差异无统计学意义（P＞0.05）。[结论] 滞针“膝外穴”配合整治手法能有效抑制KOA炎症反应，减轻疼痛程度，改善膝关节功能。

Abstract:

[Objective] To investigate the clinical effect of the treatment of acute knee osteoarthritis（KOA） by sticking needle “outside knee point” combined with manipulation. [Methods] The 92 patients with acute KOA admitted to our hospital from March 2022 to March 2024 were divided into two groups by random number table method. The control group received 6 weeks of treatment at “knee outside point”，and the observation group received 6 weeks of treatment at “knee outside point” combined with regulation. Efficacy，knee pain，function，imaging parameters，laboratory indicators and adverse reactions were compared between the two groups. [Results] During the treatment，2 cases fell off，and the remaining 90 cases completed the treatment，45 cases in the control group and 45 cases in the observation group. The total effective rate of the observation group was higher than that of the control group（P＜0.05）. Visual analogue scales（VAS） score，Lequesne index，Western ontario and mcmaster universities osteoarthritis index（WOMAC）score，serum tumor necrosis factor -α（TNF-α）and interleukin-6（IL-6） levels in both groups after treatment were decreased compared with before treatment（P＜0.05），lower extremity functional scale（LEFS） score was increased compared with before treatment（P＜0.05），lateral joint space and medial joint space were increased compared with before treatment（P＜0.05）. VAS score，Lequesne index，WOMAC score，serum TNF-α and IL-6 levels in observation group were lower than those in control group after treatment（P＜0.05），LEFS score，lateral joint space and medial joint space were higher than those in control group（P＜0.05）. There was no significant difference in adverse reactions between the two groups（P＞0.05）. [Conclusion] The combination of stick acupuncture with “knee outside point” can effectively inhibit inflammation，reduce pain and improve knee joint function.