上海针灸杂志2025，Vol.44Issue(12)：1401-1408,8.DOI:10.13460/j.issn.1005-0957.2025.12.1401
针刺对膝骨关节炎患者疼痛及负性情绪的影响
Impact of acupuncture on pain and negative emotions in patients with knee osteoarthritis
摘要
Abstract
Objective To observe the impact of acupuncture on pain and negative emotions in patients with knee osteoarthritis(KOA).Method Eighty-seven KOA patients were randomized into a treatment group,a control group,and a sham group,with 29 cases in each group.The treatment group had 2 dropout cases,and the sham group had 1 dropout case.The sham group received sham electroacupuncture(EA).The control group received EA at the same points as selected in the sham group,with the EA apparatus connected to Liangqiu(ST34)and Zusanli(ST36)on the affected side.The treatment group also received EA treatment,with Baihui(GV20)added based on the points selected in the control group,and the EA connection was identical to that in the control group.Before and after treatment and at 1 month post-treatment(follow-up),the three groups were assessed using the visual analog scale(VAS),Western Ontario and McMaster Universities osteoarthritis index(WOMAC),self-rating depression scale(SDS),and self-rating anxiety scale(SAS).The prevalence of depression and anxiety was compared among the three groups.Result The VAS,WOMAC,SDS and SAS scores showed significant interaction effects between group and time(P＜0.05).After treatment,both the treatment and control groups showed a decrease in the VAS,WOMAC,SDS,and SAS scores compared to those before treatment(P＜0.05),these scores were lower in the treatment group than those in the control group and the sham group(P＜0.05),and these scores were lower in the control group than those in the sham group(P＜0.05).At follow-up,the decrease in the VAS,WOMAC,SDS,and SAS scores was maintained in the treatment group and the control group compared to those before treatment(P＜0.05),the decrease in these scores was maintained in the treatment group compared to those after treatment(P＜0.05),and the decrease in VAS and WOMAC scores was maintained in the control group compared to those after treatment(P＜0.05);the VAS,WOMAC,SDS and SAS scores were lower in the treatment group than those in the control group and the sham group(P＜0.05).After treatment and at follow-up,the control group had a lower prevalence of depression and anxiety than the sham group(P＜0.05),while the treatment group had the lowest prevalence among the three groups(P＜0.05).Conclusion EA can reduce pain,improve joint function,and ease depression and anxiety in treating KOA;integrating Baihui with body points yields more significant efficacy than using body points alone in EA treatment of KOA.关键词
针刺疗法/电针/穴,百会/骨关节炎,膝/膝痛/抑郁/焦虑Key words
Acupuncture therapy/Electroacupuncture/Point,Baihui(GV20)/Osteoarthritis,Knee/Knee pain/Depression/Anxiety分类
医药卫生引用本文复制引用
WANG Yunge,CHENG Xiaohan,ZHANG Xinyue,YANG Liqun,CUI Huashun..针刺对膝骨关节炎患者疼痛及负性情绪的影响[J].上海针灸杂志,2025,44(12):1401-1408,8.基金项目
国家自然科学基金面上项目(82074535) （82074535）
国家自然科学基金区域创新发展联合项目(U23A20508) （U23A20508）
