[精品]刺血合火针点刺治疗膝关节骨性关节炎疗效观察.doc

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1、刺血合火针点刺治疗膝关节骨性关节炎疗效观刺血合火针点刺治疗膝关节骨性关节炎疗效观察文章编号：0255-2930(2008)07-0493-03中图分类号：R246.2文献标志码：A临床研究［摘要］目的：观察刺血合火针点刺治疗膝关节骨性关节炎的临床效果。方法：将129例患者随机分为刺血合火针组和常规针刺组。刺血合火针组73例，采用刺血与火针点刺治疗，刺血取委中穴，火针点刺穴取鹤顶、犊鼻、膝眼、阴陵泉、阳陵泉、悬钟、阿是穴，毎周2次，4次为一疗程。常规针刺组56例，采用常规针刺方法治疗，取穴同火针点刺穴位，每日治疗1次，2周为一疗程。2组分别观察关节疼痛积分和病情严重指数。结

2、果：刺血合火针组与常规针刺组治疗2个疗程后的关节疼痛积分分别为2.68±0.88和4.25±1,02,病情严重指数分别为4.68±1.89和7.46±2・13,2组患者关节疼痛积分和病情严重指数在治疗前后差异均有非常显著性意义(P〈0・01),且刺血合火针组优丁常规针刺组(P〈0・05)o刺血合火针组的临床治愈率为37.0%,总有效率为94.5%,常规针刺组分别为19.6%.89.3%,2组疗效比较，差异有非常显著性意义(P<0.01)o结论：刺血合火针点刺治疗膝关节骨性关节炎疗效显著。［关键词］骨关节炎，膝/针灸疗法；刺血疗法；火针疗法Observationonther

3、apeuticeffectofblood-1ettingpuncturecombinedwithred-hotneedletherapyonkneeosteoarthritisZENGHong-wen,NTEBin,SHTLinTin(SectionofAcupunctureandmoxibustion,GuangdongProvincialSe-condHospitaiofTCM,Guangzhou510095,China)ABSTRACT:ObjectiveToobservethetherapeuticeffectofblood-lettingpuncturecomb

4、inedwithred-hotneedletherapyonkneeosteoarthritis.methodsOnehundredandtwenty-ninecaseswererandomlydividedintoablood-lettingpunctureplusred-hotneedletherapygroup(n二73)andaroutineacupuncturegroup(n二56)・Theblood-lettingpunctureplusred-hotneedletherapygroupweretreatedbyblood-lettingpunctureatW

5、eizhong(BL40),andred-hotneedleprickingHeding(EX-LE2),Dubi(ST35),Xiyan(EX-LE5),Yinlingquan(SP9),Yanglingquan(GB34),Xuanzhong(GB39)andAshipoints,twiceeachweek,4timesconstitutingonecourse・Theroutineaciipiincturegroupweretreatedbyroutineacupunctureatthesamepointsasthoseforred-hotneedleprickin

6、g,onceeachday,twoweeksconstitutingonecourse・ResultsAftertreatmentfor2courses,thejointpainscoreandtheillnessseriousindexwere2.68+0.88and4.25+1.02,and4.68+1.89and7.46+2.13inthetwogroups,respectively,withverysignificantdifferencesbeforeandaftertreatmentinthetwogroups(P<0.01),theformerbeingbe

7、tterthanthelater(P<0.05).Theclinicalcuredrateandthetotaleffectiveratewere37.0%and94.5%intheblood-lettingpunctureplusred-hotneedletherapygroupand19.6%and89.3%intheroutineacupuncturegroup,withaverysignificantdifferencebetweenthetwogroups(P<0.01).WConclusionBlood-letti