上海针灸杂志2025，Vol.44Issue(3)：283-289,7.DOI:10.13460/j.issn.1005-0957.2024.13.4015
运气学说结合杵针治疗气滞血瘀型膝骨关节炎的疗效观察
Observations on the efficacy of pestle needle therapy based on the theory of five circuits and six qi for knee osteoarthritis of qi stagnation and blood stasis type
摘要
Abstract
Objective To observe the clinical efficacy of pestle needle therapy based on the theory of five circuits and six qi for knee osteoarthritis of qi stagnation and blood stasis type.Method One hundred and eight patients with knee osteoarthritis of qi stagnation and blood stasis type were randomized to conventional,pestle needle and five circuits and six qi-based pestle needle groups,with 36 cases in each group.The conventional group received conventional treatment and nursing;the pestle needle group,pestle needle therapy plus conventional treatment and nursing;the five circuits and six qi-based pestle needle group,pestle needle therapy based on the theory of five circuits and six qi plus conventional treatment and nursing.The visual analog scale(VAS)score,the Western Ontario and McMaster University osteoarthritis index(WOMAC)score,the TCM symptom score and the physical component summary(PCS)and mental component summary(MCS)scores in the 12-item short-form health survey(SF-12)were compared between the three groups before and after treatment and at the follow-up.The clinical therapeutic effects were compared between the three groups.Result The VAS score,the WOMAC score and the TCM symptom score decreased in the three groups after one course and the completion of treatment and at the follow-up compared with before(P＜0.05)and after the completion of treatment compared with after one course(P＜0.05)and increased in the conventional and pestle needle groups at the follow-up compared with after the completion of treatment(P＜0.05).The VAS score had no statistically significant difference between the three groups after one course of treatment(P＞0.05)and was lower in the pestle needle and five circuits and six qi-based pestle needle groups than in the conventional group after the completion of treatment(P＜0.05).The WOMAC score and the TCM symptom score were lower in the pestle needle and five circuits and six qi-based pestle needle groups than in the conventional group after one course of and the completion of treatment(P＜0.05).The VAS score,the WOMAC score and the TCM symptom score were lower in the five circuits and six qi-based pestle needle group than in the pestle needle and conventional groups and were lower in the pestle needle group than in the conventional group at the follow-up with statistically significant differences in all(P＜0.05).The PCS and MCS scores increased in the three groups after the completion of treatment and at the follow-up compared with before treatment(P＜0.05).The PCS and MCS scores were higher in the pestle needle and five circuits and six qi-based pestle needle groups than in the conventional group after the completion of treatment(P＜0.05);the PCS score was higher in the five circuits and six qi-based pestle needle group than in the conventional group at the follow-up(P＜0.05);the MCS score was higher in the five circuits and six qi-based pestle needle group than in the pestle needle and conventional groups and in the pestle needle than in the conventional group at the follow-up with statistically significant differences in all(P＜0.05).The total efficacy rate was 83.3%in the conventional group,94.4%in the pestle needle group and 97.1%in the five circuits and six qi-based pestle needle group;it was higher in the pestle needle and five circuits and six qi-based pestle needle groups than in the conventional group(P＜0.05).Conclusion Pestle needle therapy based on the theory of five circuits and six qi can relieve knee joint pains,improve knee joint function and raise the quality of life in treating knee osteoarthritis of qi stagnation and blood stasis type.It is more effective than pestle needle therapy and conventional treatment and produces a longer-lasting therapeutic effect.关键词
杵针疗法/气滞血瘀型/骨关节炎,膝/五运六气/随机对照试验Key words
Pestle needle therapy/Qi stagnation and blood stasis type/Osteoarthritis,Knee/Five circuits and six qi/Randomized controlled trial分类
医药卫生引用本文复制引用
杨春枝,姚洁,董博,邓楠,种文强,赵军,范洪伟,武霜,赵琛..运气学说结合杵针治疗气滞血瘀型膝骨关节炎的疗效观察[J].上海针灸杂志,2025,44(3):283-289,7.基金项目
陕西中医药大学优势特色与交叉学科支持计划项目(2022XKZC05) （2022XKZC05）
