针灸临床杂志2025，Vol.41Issue(8)：42-46,5.DOI:10.19917/j.cnki.1005-0779.025153
浮针治疗轻、中度膝骨关节炎的疗效及对炎症因子表达影响的临床研究
Clinical Study of Fu's Subcutaneous Needling in Treatment of Mild-to-Moderate KOA and Its Impact on Inflammatory Factors
摘要
Abstract
Objective:To observe the clinical efficacy of Fu's subcutaneous needling in treatment of knee osteoarthritis(KOA)and its impact on serum levels of C-reactive protein(CPR),interleukin-6(IL-6)and tumor necrosis factor(TNF-α).Methods:60 KOA patients were divided into the control group and the treatment group,with 30 patients in each group.Both groups were treated with oral Diclofenac Sodium Sustained-release Capsule;on which basis,the control group was treated with traditional acupuncture,and the treatment group was treated with Fu's subcutaneous needling.The clinical efficacy was compared between the two groups.The pain degree and motor function of lower limbs were observed before and after the treatment in the two groups by evaluating the scores of VAS,JOA,and HSS.The changes in serum inflammatory factors were observed in the two groups.Results:The total effective rate was 90.00％(27/30)in the treatment group,which was higher than 63.33％(19/30)in the control group(P＜0.05).The scores of VAS and the serum levels of inflammatory factors were significantly decreased,and the scores of JOA and HSS were significantly increased after the treatment compared to those before the treatment in the two groups(P＜0.01);of which the improvements were more significant in the treatment group than those in the control group(P＜0.05,P＜0.01).Conclusion:Fu's subcutaneous needling can promote the functional recovery of knee joint and relieve muscle tension and pain by decreasing the serum inflammatory factors of CRP,IL-6 and TNF-α.The therapy is more effective than traditional acupuncture.关键词
骨关节炎/膝关节/浮针/传统针刺/疼痛Key words
Knee osteoarthritis/Knee joint/Fu's subcutaneous needling/Traditional acupuncture/Pain分类
医药卫生引用本文复制引用
鄢承元,王梅,王勇,郭太巧,罗叶..浮针治疗轻、中度膝骨关节炎的疗效及对炎症因子表达影响的临床研究[J].针灸临床杂志,2025,41(8):42-46,5.基金项目
贵州省中医药管理局中医药、民族医药科学技术研究课题,编号:QZYY-2023-056. （）
