Clinical Observation on Internal Heat-type Acupuncture Needle in the Treatment of 38 Cases of Patients with Early Knee Osteoarthritis

YIN Jing; LI Man; ZHANG Zhaoqing; YU Lingling; CHEN Bangguo; LUO Xiaojuan; DUAN Yixuan; JU Shiru

doi:10.13288/j.11-2166/r.2019.18.012

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Clinical Observation on Internal Heat-type Acupuncture Needle in the Treatment of 38 Cases of Patients with Early Knee Osteoarthritis

更新时间：2021-11-10

- Clinical Observation on Internal Heat-type Acupuncture Needle in the Treatment of 38 Cases of Patients with Early Knee Osteoarthritis
- Journal of Traditional Chinese Medicine Vol. 60, Issue 18, Pages: 1578-1582(2019)
- 作者机构：
  
  1. 湖北中医药大学针灸骨伤学院
  2. 武汉大学附属同仁医院/武汉市第三医院
  3. 华中科技大学同济医学院
  4. 华中科技大学同济医学院附属同济医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2019.18.012
  CLC： R246.9
- Published：2019
- 稿件说明：
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[1]尹晶,李熳,张照庆,余玲玲,陈邦国,骆小娟,段轶轩,居诗如.内热针治疗早期膝骨性关节炎患者38例临床观察[J].中医杂志,2019,60(18):1578-1582.

YIN Jing, LI Man, ZHANG Zhaoqing, et al. Clinical Observation on Internal Heat-type Acupuncture Needle in the Treatment of 38 Cases of Patients with Early Knee Osteoarthritis[J]. Journal of Traditional Chinese Medicine2019, 60(18): 1578-1582.
[1]尹晶,李熳,张照庆,余玲玲,陈邦国,骆小娟,段轶轩,居诗如.内热针治疗早期膝骨性关节炎患者38例临床观察[J].中医杂志,2019,60(18):1578-1582. DOI： 10.13288/j.11-2166/r.2019.18.012.

YIN Jing, LI Man, ZHANG Zhaoqing, et al. Clinical Observation on Internal Heat-type Acupuncture Needle in the Treatment of 38 Cases of Patients with Early Knee Osteoarthritis[J]. Journal of Traditional Chinese Medicine2019, 60(18): 1578-1582. DOI： 10.13288/j.11-2166/r.2019.18.012.

摘要

目的观察内热针对早期膝骨性关节炎（KOA）患者的近期和远期疗效

以及对弥漫性伤害抑制性控制（DNIC）系统的影响。方法将80例KOA患者随机分为内热针组、针刺组

每组40例。两组患者分别给予内热针和普通针刺治疗

均取患侧内膝眼、犊鼻、梁丘、血海、足三里和阿是穴

每次20 min

每周2次

疗程4周。分别观察治疗前后及治疗后6个月（随访时）两组患者疼痛视觉模拟评分（VAS）、DNIC评分、骨关节炎指数（WOMAC）评分

治疗后及随访时判定近期和远期临床疗效

并观察不良反应。结果治疗前两组患者VAS、DNIC、WOMAC评分比较差异均无统计学意义;与治疗前比较

治疗后和随访时两组患者VAS和WOMAC评分均明显下降

DNIC明显提高（P <0. 05）

且内热针组VAS、DNIC、WOMAC评分的改善程度明显高于针刺组（P <0. 05）。治疗后内热针组临床疗效总有效率为97. 4%、针刺组为76. 9%

随访时内热针组总有效率为97. 4%、针刺组为79. 5%

内热针组疗效明显高于针刺组（P <0. 05）。结论内热针疗法能有效修复早期KOA患者的DNIC功能

改善近期和远期症状

控制慢性疼痛进展

疗效优于普通针刺。

Abstract

Objective To analyze the short-term and long-term effects of internal heat-type acupuncture needle（ IHTAN） therapy on early knee osteoarthritis（ KOA） patients and the repair effect of diffuse noxious inhibitory controls（ DNIC） system. Methods A total of 80 patients with KOA were divided into an IHTAN group and an acupuncture group in a ratio of 1 ∶ 1. Both groups were given IHTAN therapy and normal acupuncture treatment respectively at Neixiyan（ EX-LE 5）

Dubi（ ST 35）

Liangqiu（ ST 34）

Xuehai（ SP 10）

Zusanli（ ST36） and Ashi points on the affected side

20 min every time

twice a week for 4 weeks. The outcome measures included Visual Analogous Scale（ VAS）

Western Ontario and McMaster Universities Osteoarthritis（ WOMAC）

functional score of DNIC of the 2 groups before and 6 months（ follow-up period） were observed. The short-term and long term clinical efficacy was determined after treatment and during follow-up period. The adverse reactions were observed. Results There was no statistical significance in the scores of VAS

DNIC and WOMAC of the 2 groups before treatment. Compared with before treatment

the VAS and WOMAC scores of the 2 groups were significantly decreased after treatment and at the follow-up

and DNIC was significantly increased（ P < 0. 05）. The improvement of VAS

DNIC and WOMAC scores in the IHTAN group was significantly more remarkable than that in the acupuncture group（ P <0. 05）. After treatment

the total effective rate was 97. 4% in the IHTAN group and 76. 9% in the acupuncture group. The total effective rate was 97. 4% in the IHTAN group and 79. 5% in the acupuncture group at follow-up.The IHTAN group was significantly more effective than the acupuncture group（ P < 0. 05）. Conclusion The IHTAN therapy can effectively repair DNIC function in the early stage of KOA patients

improve short-term and longterm symptoms and control the process of chronic pain. The IHTAN therapy is superior to ordinary acupuncture treatment in this respect.

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