针刺研究2025，Vol.50Issue(4)：433-438,466,7.DOI:10.13702/j.1000-0607.20231059
超声引导下温针刀治疗晚期膝关节骨关节炎的远期临床效应研究
The long-term follow-up clinical research of ultrasound-guided warm needle knife in treatment of advanced knee osteoarthritis
摘要
Abstract
Objective To evaluate the long-term efficacy and safety of ultrasound-guided warm needle knife therapy for patients with advanced knee osteoarthritis(KOA).Methods A total of 70 advanced KOA patients were recruited from the Department of Pain and Rehabilitation of the Third Hospital of Wuhan from June 2020 to June 2022.They were randomized to a treatment group or a control group in a 1∶1 ratio.Patients in the treatment group received ultrasound guided warm needle knife treatment,while patients in the control group received ultrasound guided radiofrequency treatment of the knee sensory plexus,both for 1 time.The primary outcome was the changes in Western Ontario McMaster University Osteoarthritis Index(WOMAC)scores.Other outcomes included the Visual Analogue Pain Scale(VAS)scores,value of Young's modulus of A-shi points,proportion of patients achieving improvement,and adverse events related to study interventions.Results Compared with baseline,the WOMAC and VAS scores in the two groups were significantly decreased at each timepoints(P<0.05),and the value of Young's modulus was significantly decreased at 12 months after treatment.Compared with the control group,the treatment group reported a significantly greater reduction in WOMAC and VAS scores at 6 months and 12 months after treatment(P<0.05).The proportion of patients achieving improvement in the treatment group were significantly higher than the control group at 12 months after treatment(P<0.05).The value of Young's modulus in the treatment group was significantly lower than the control group at 12 months after treatment(P<0.05).No adverse events were reported.Conclusion Ultrasound guided warm needle knife is effective in improving the function of knee joint and relieving pain in patients with advanced KOA.Further,the long-term efficacy of ultrasound guided warm needle knife for advanced KOA was superior to the ultrasound guided radiofrequency therapy.关键词
晚期膝关节骨关节炎/超声引导/温针刀/射频疗法Key words
Advanced knee osteoarthritis/Ultrasound guidance/Warm needle knife/Radio frequency therapy引用本文复制引用
尹晶,居诗如,骆小娟,段轶轩,张照庆,陈惠君..超声引导下温针刀治疗晚期膝关节骨关节炎的远期临床效应研究[J].针刺研究,2025,50(4):433-438,466,7.基金项目
武汉市卫健委医学科研项目(No.WZ21Q28) （No.WZ21Q28）
