北京中医药2026，Vol.45Issue(1)：11-15,5.DOI:10.16025/j.1674-1307.2026.01.003
耳穴压豆联合韦贵康经筋骨三维立体手法治疗膝骨关节炎的临床疗效观察
Clinical efficacy of ear acupoint pressing with beans combined with WEI Guikang's three-dimensional manipulation of meridians,tendons,and bones in the treatment of knee osteoarthritis
摘要
Abstract
Objective To observe the clinical efficacy of ear acupoint pressing with beans combined with WEI Guikang's three-dimensional manipulation of the meridians,tendons,and bones in the treatment of knee osteoarthritis(KOA).Methods Sixty KOA patients admitted to the Ren'ai Branch of the First Affiliated Hospital of Guangxi University of Chinese Medicine from January to December 2023 were enrolled and randomly assigned into an observation group and a control group(30 patients each)according to a random number table.The control group received WEI Guikang's three-dimensional manipulation treatment alone,while the observation group received the same manipulation combined with ear acupoint pressing with beans for 4 consecutive weeks.Before and after treatment,joint dysfunction was assessed using the Lequesne functional index.Knee function was evaluated with the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC).Pain was assessed using the Visual Analog Scale(VAS).Knee function and stability were evaluated with the Lysholm score.Standing and walking ability was assessed using the Timed Up and Go Test(TUGT).Balance was measured with the Berg Balance Scale(BBS).Lower-limb muscle strength and dynamic balance were evaluated using the Five Times Sit-to-Stand Test(FTSST).Safety and clinical efficacy during treatment were compared between the two groups.Results After treatment,VAS,WOMAC,and Lequesne scores decreased and Lysholm scores increased in both groups compared with baseline(both P<0.05).The observation group showed greater improvement than the control group(P<0.05).FTSST and TUGT scores decreased,and BBS scores increased in both groups after treatment(both P<0.05).The observation group improved more than the control group(P<0.05).At 4,8,and 12 weeks post-treatment,the observation group had a higher total effective rate than the control group(P<0.05).No significant adverse reactions occurred in either group during treatment.Conclusion Ear acupoint pressing with beans combined with WEI Guikang's three-dimensional manipulation of the meridians,tendons,and bones provides a lasting therapeutic effect in patients with KOA.关键词
耳穴压豆疗法/韦贵康/经筋骨三维立体手法/膝骨关节炎Key words
Ear acupoint pressing with bean therapy/WEI Guikang/three-dimensional manipulation of the meridians,tendons,and bones/knee osteoarthritis引用本文复制引用
刘渊,廖溶,何柳吉,伍叙洲,梁福宁,蔡雨,韦贵康..耳穴压豆联合韦贵康经筋骨三维立体手法治疗膝骨关节炎的临床疗效观察[J].北京中医药,2026,45(1):11-15,5.基金项目
广西中医药大学科研课题面上项目(2021MS007) （2021MS007）
2025年自治区级大学生创新创业训练计划项目(S202510600111,S202513643031) （S202510600111,S202513643031）
广西中医药大学"国医大师韦贵康学术思想与临床诊疗传承发展研究中心"资助项目(2022V001) （2022V001）
广西中医药大学2024年校级大学生创新创业训练计划项目(X202410600055,X202410600146) （X202410600055,X202410600146）
广西中医药大学2025年校级大学生创新创业训练计划项目(X202510600138) （X202510600138）
