浮针结合再灌注活动治疗膝骨关节炎的临床观察

目的 观察浮针结合再灌注活动治疗膝骨关节炎的临床疗效。方法 将60例膝骨关节炎患者，随机分为浮针疗法组、常规针刺组，每组30例。浮针疗法组以膝关节周围患肌为针刺靶点，采用浮针结合再灌注活动治疗；常规针刺组采用以局部经穴、阿是穴为主的常规针灸疗法，配合生物灯照射治疗。于治疗前后，采集两组患者疼痛视觉模拟评分（VAS）、西安大略麦克马斯特大学骨关节炎指数（WOMAC）评分，并于治疗结束时及1月后进行疗效评定。结果 （1）两组患者治疗后的VAS评分、WOMAC评分均较治疗前明显降低（P<0.01）；（2）浮针疗法组治疗后的VAS评分、治疗后及随访1个月的WOMAC评分均较常规针刺组减少得更明显（P<0.05）；（3）6次治疗结束时两组总有效率分别为93.3%和80%（P>0.05），浮针疗法组愈显率为66.7%明显高于常规针刺组的26.7%（P<0.01）；（4）治疗结束1月后随访，浮针疗法组愈显率和总有效率分别为36.7%和76.7%，均明显高于常规针刺组的13.3%和46.7%（P<0.05）。结论 浮针结合再灌注活动能有效缓解膝骨关节炎疼痛、功能障碍，疗效确切，优于常规针刺治疗。

Clinical Effect of Fu's Subcutaneous Needling Combined with Reperfusion Approach on Knee Osteoarthritis

Objective To observe the clinical efficacy on knee osteoarthritis treated by Fu''s subcutaneous needling (FSN) combined with reperfusion approach (RA). Methods Sixty patients with knee osteoarthritis were randomly divided into FSN group (30 cases) and conventional acupuncture (CA) group (30 cases). In FSN group, the tightened muscle around the knee as the needling target were loosened by FSN combined with RA. In CA group, the local acupoint and ahshi point were selected and conventional acupuncture was applied with irradiation of biological treatment. The visual analogue scale(VAS) and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) were picked up for comparison before and after treatment, and the curative effect in two groups was assessed. Results (1) After treatment, VAS and WOMAC scores decreased in both groups (P<0.01). (2) Compared with the CA group, VAS and WOMAC scores decreased more in FSN group (P<0.05). (3) At the end of the 6 treatments, total effective rate was 93.3% in FSN group and 80.0% in CA group (P>0.05). The curative and remarkably efficient rate in FSN group was 66.7%, which was superior to 26.7% in CA group (P<0.05). (4) After treatment for 1 month, the curative and remarkably efficient rate and total effective rate in FSN group were 36.7% and 76.7%, respectively, which were apparently higher than 13.3% and 46.7% in CA group. Conclusion FSN combined with RA could effectively relieve pain and dysfunction of knee osteoarthritis, which is superior to conventional acupuncture therapy.