子午流注纳子法杵针治疗肝肾亏虚型膝痹病临床观察OA
Clinical Observation of Midnight-Noon Ebb-Flow Hour-Prescription of Points for Pestling Acupunture in the Treatment of Knee Joint Osteoarthritis with Liver-Kidney Deficiency Syndrome
目的:观察子午流注纳子法杵针治疗肝肾亏虚型膝痹病的临床疗效.方法:选取2022年1-12月成都中医药大学附属医院骨伤科门诊收治的肝肾亏虚型膝痹病患者72例,按照随机数字表法分为对照组和观察组,每组36例.实际纳入研究的患者对照组33例、观察组34例.两组患者按照膝痹病中医诊疗常规给予杵针治疗,对照组杵针治疗的时间根据患者每日来院的时间灵活安排,多为上午时段,观察组选择十二时辰中肾经流注最旺盛的酉时(17:00～19:00)实施杵针治疗.比较两组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、西安大略与麦克马斯特大学骨关节炎评分量表(the western ontario and mcmaster universities osteoarthritis index,WOMAC)评分及不良反应发生情况.结果:观察组治疗后WOMAC评分低于对照组,差异具有统计学意义(P＜0.05);观察组治疗后VAS评分低于对照组,差异具有统计学意义(P＜0.05);观察组患者有2例、对照组患者有1例出现杵针治疗后局部皮下瘀青,两组不良反应发生情况比较,差异无统计学意义(P＞0.05).结论:子午流注纳子法杵针治疗肝肾亏虚型膝痹病,选择肾经流注旺盛的酉时进行治疗,能有效缓解患者疼痛,改善患者症状和体征,安全性高.
Objective:To observe the clinical efficacy of midnight-noon ebb-flow hour-prescription of points for pestling acupunture on knee joint osteoarthritis(KOA)with liver-kidney deficiency syndrome.Methods:A total of 72 patients with KOA with liver-kidney defi-ciency syndrome admitted to the Orthopedics Department of Chengdu University of Traditional Chinese Medicine from January to De-cember 2022 were selected and divided into the control group and the observation group according to the random number table method,with 36 cases in each group.There were 33 cases of actual included patients in the control group and 34 cases in the observation group.The two groups were first given acupuncture treatment according to the routine diagnosis and treatment of KOA.The time of acupuncture treatment in the control group was flexibly arranged according to the time of patients'daily visit,mostly in the morning,and the observa-tion group selected Youshi(17:00-19:00)of the twelve meridians when the kidney meridian was most active for pestling acupunc-ture.The TUGT score and TCM syndrome scores of the two groups were compared before and after intervention.Results:After treat-ment,the WOMAC score of the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05);the VAS score of the observation group was lower than that of the control group,and the difference was statistically signifi-cant(P＜0.05);There were 2 cases in the observation group and 1 case in the control group with local subcutaneous bruising after the treatment of needling,and there was no statistically significant difference in the occurrence of adverse reactions between the two groups(P＞0.05).Conclusion:In terms of KO A with liver-kidney deficiency syndrome,midnight-noon ebb-flow hour-prescription of points for pestling acupunture,which is carried out at Youshi when the kidney meridian is vigorous,can effectively relieve the pain of patients,im-prove the symptoms and signs,and has high safety.
董远蔚;袁雷;邹锦文;刘栩豪;钟磊
成都中医药大学,四川成都 610075邛崃市医疗中心医院,四川成都 611500成都中医药大学附属医院,四川成都 610000
中医学
膝痹病子午流注纳子法杵针肝肾亏虚证酉时
knee joint osteoarthritis(KOA)midnight-noon ebb-flow hour-prescription of pointspestling acupuntureliver-kidney defi-ciency syndromeYoushi(17:00-19:00)
《河南中医》 2024 (006)
920-924 / 5
四川省卫生与健康委员会干部保健科研项目(CGB2023089);四川省科学技术厅科学普及项目(2022JDKP0082);四川省中医药管理局省级财政中医药发展专项补助资金项目(CJJ2022055);四川省科学技术厅重点研发项目(2021YFS0268)
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