针刀结合圆利针治疗膝骨性关节炎120例疗效观察*

摘要

Objective: To evaluate the efficacy of the treatment of the knee osteoarthritis with the small-needle-scalpel combined with round-sharp-needle. Method:One hundred and twenty patients with knee osteoarthritis were randomly divided into two groups. Sixty patients of the treatment group were treated by the small- needle-scalpel with round-sharp-needle on the key tender points once a week, 3 times a course for 1-2 courses. Sixty patients in the control group were treated with acupuncture and additional use of G-6805 electro-acupuncture instrument in the acu-points of Xiyan inside and outside, Xuehai, Liangqiu, Yangling-quan, Yinlingquan and the corresponding Ashi of, once every other day, 10 times a treatment course for 2 courses. The efficacies of two groups were compared. Result:The therapeutic effect of the treatment group was better than that of the control group after treatment and postoperative 6 months late(t value was 4.774 and 5.095 respectively) P<0.01. Conclusion:Small-needle-scalpel combined with acupuncture in the treatment of the knee osteoarthritis can achieve better clinical efficacy.%　　目的：评价针刀结合圆利针治疗膝骨性关节炎的疗效。方法：将120例膝骨性关节炎的患者随机分为两组，治疗组60例，在关键性压痛点采用针刀治疗，阳性反应点用圆利针针刺，配合手法治疗，1次/周，3次为1个疗程，1∼2疗程；对照组60例，采用针刺内外膝眼、血海、梁丘、阳陵泉、阴陵泉及相应阿是穴，加用G6805电针仪治疗，隔日1次，10次为1疗程，共治疗2个疗程，比较两组疗效。结果：治疗组治疗结束后、术后6个月的疗效均好于对照组（t值分别为4.774、5.095，P<0.01）。结论：针刀结合针灸治疗膝骨性关节炎有较好的临床疗效。