毫火针针刺高应力点治疗髌骨软化症疗效观察.pdf

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1、中国针灸2014年6月第34卷第6期ChineseAcupuncture&iVIoxibustion，Jun2014，Vo1．34No．6文章编号：02552930(2014)06—0551—04中图分类号：R246．2文献标志码：A毫火针针刺高应力点治疗髌骨软化症疗效观察黄洁李里娄必丹谭朝坚刘智叶勇黄艾李霞章薇圆(湖南中医药大学第一附属医院针灸推拿科，长沙410007)[摘要]目的：比较毫火针针刺高应力点与常规穴针刺治疗髌骨软化症的临床疗效差异，为针刺治疗髌骨软化症提供更佳的方法。方法：将6O例患者随机分为毫火针组(28例)与常规针刺组(32例)。毫火针组按症状、触诊、影像学表现

2、三步定位法，选取高应力点5～6个，予毫火针针刺治疗，隔天治疗1次，5次为一疗程，治疗1个疗程；常规针刺组常规针刺犊鼻、膝关、阳陵泉、阴陵泉、足三里等穴，每天治疗1次，5次为一疗程，治疗1个疗程。观察两组治疗前后Lysholm膝关节功能评分、视觉模拟量表(VSA)疼痛评分和患膝髌骨倾斜角(PTA)、外侧髌股角(LPA)变化及治疗后临床疗效。结果：两组治疗后Lysholm膝关节功能评分、VSA疼痛评分、PTA与LPA角度均较治疗前明显改善(均P<0．01)，毫火针组治疗后Lysholm膝关节功能评分、VSA疼痛评分、PTA与LPA角度较常规针刺组改善更明显(均P<0．05)；毫火针组有

3、效率为92．9(26,／28)，优于常规针刺组的87．5(28／32，P(O．01)。结论：毫火针针刺高应力点治疗髌骨软化症患者能较好改善髌骨软化症临床症状并恢复髌骨生物力学结构。[关键词]髌骨软化症；毫火针；高应力点EffieacyobservationonchrondromalaciapatellaetreatedwithfireneedlingtechniqueathighstresspointsHUANGJie，LILi，LOUBi—dan，TANChao-jzan，LIUZh，YEYong，HUANGAi，LjXia，ZHANGW圜(DepartmentofAcupunc

4、ture-MoxibustionandTuina，FirstAffiliatedHospitalofHunanUniversityofTCM，Changsha410007，China)ABSTRACTObjectiveTocomparetheclinicalefficacydifferencesbetweenfireneedlingtechniqueoffiliformneedleathighstresspointsandregularacupunctureonchrondromalaciapatellaesoastoprovidethebettertherapyforthetre

5、atmentofthisdisease．MethodsSixtycasesofchrondromalaciapatellaewererandomizedintoafirenee—dlinggroup(28cases)andaroutineacupuncturegroup(32cases)．Inthefireneedlinggroup，5to6highstresspointswerelocalizedaccordingtothesymptoms，palpationandimagingconditionandwerestimulatedwithfireneedlingtechnique

6、offiliformneedle．Thetreatmentwasgi’venonceeverytwodays，5treatmentsmadeoneses—sion．Intheroutineacupuncturegroup，theregularacupuncturewasappliedatDubi(ST35)，：Xiguan(LR7)，Yanglingquan(GB34)，Yinlingquan(SP9)，Zusanli(ST36)，etc．Thetreatmentwasgivenonceeveryday,5treatmentsmadeonesessi‘on．Lysholmscore

7、，VSAscore，patellatitleangle(PTA)andlateralpatellaangle(LPA)oftheaffectedkneesbeforeandaftertreatment，aswellastheclinicalefficacyaftertreatmentwereob—servedinthetwogroups．ResultsAftertreatment。，Lysholmscore,VSAscore，PTAandLPAwerea1limpro