浮针治疗膝骨关节炎的临床疗效观察（英文）

更新时间:2023-05-28

【摘要】Objective:To observe and compare the clinical effect on knee osteoarthritis（KOA） between Fu’s subcutaneous needling therapy（FSN） and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group（40 cases） and a conventional acupuncture group（40 cases） according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index（WOMAC） and Lysholm knee scoring scale（Lysholm）were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5 ± 3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment（all Ppain was reduced to be11.3±2.8 from 18.2 ± 3.0,the score of WOMACstiffness to be 3.0 ± 1.6 from 5.6±1.7,WOMACfunction to be29.8 ± 5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1 ± 7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment（all P <0.05）.WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group（P<0.01）.After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group（both P<0.05）.Lysholm score in the FSN group was higher than that in the conventional acupuncture group（P<0.05）.The total effective rate was 92.5% in the FSN group,higher than 77.5% in the conventional acupuncture group（P<0.05）.Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.

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