CAJ | 학술논문

目的：探讨点穴经筋疗法治疗膝骨关节炎（ KOA）的疗效。方法对KOA患者30例46个患病膝关节，其中16例为双膝32个患病膝关节，14例为单膝14个患病膝关节，采用点穴经筋疗法治疗。在治疗前及治疗3个月结束时，采用彩色多普勒超声诊断仪测量患病膝关节腔积液情况，采用KOA病情严重指数（ ISOA）进行评价。结果30例治疗3个月， ISOA 评分降低明显，治疗前后比较差异有统计学意义（ t ＝15.652，P＝0.000）；彩色多普勒超声诊断仪显示患病膝关节腔积液前后径合计总数量减少，差异有统计学意义（ t＝3.446，P＝0.001），积液关节个数减少，差异无统计学意义（χ2＝1.848，P＝0.257）。结论点穴经筋疗法治疗KOA是减轻或消除临床症状的有效方法。
목적：탐토점혈경근요법치료슬골관절염（ KOA）적료효。방법대KOA환자30례46개환병슬관절，기중16례위쌍슬32개환병슬관절，14례위단슬14개환병슬관절，채용점혈경근요법치료。재치료전급치료3개월결속시，채용채색다보륵초성진단의측량환병슬관절강적액정황，채용KOA병정엄중지수（ ISOA）진행평개。결과30례치료3개월， ISOA 평분강저명현，치료전후비교차이유통계학의의（ t ＝15.652，P＝0.000）；채색다보륵초성진단의현시환병슬관절강적액전후경합계총수량감소，차이유통계학의의（ t＝3.446，P＝0.001），적액관절개수감소，차이무통계학의의（χ2＝1.848，P＝0.257）。결론점혈경근요법치료KOA시감경혹소제림상증상적유효방법。
Objective To explore the effect of digital acupoint pressure therapy in the treatment of knee os -teoarthritis(KOA).Methods There were totally 46 knee joint with KOA in 30 patients, in which there were 16 pa-tients with 32 KOA knees, and 14 patients with 14 KOA knees.All of the patients accepted digital acupoint pressure therapy.The knee joint effusion was measured with color Doppler ultrasonography before and 3 months after treat-ment , and the severity of KOA was assessed with KOA severity index ( ISOA) .Results In the thirty patients with 46 KOA knees, after accepting the pointing treatment for 3 months, the ISOA score was obviously decreased compared to that before the treatment , the difference was statistically significant ( t=15.652 , P=0.000 ) .Color Doppler ultra-sonography showed that the diameter of effusion in knee joint cavity decreased significantly ( t=3.446 , P=0.001 ) , however , the reduction of the number of effusion joint , compared to those before treatment , was not statistically sig-nificant(χ2 =1.848, P=0.257).Conclusion The digital acupoint pressure can effectively release or eliminate the clinical symptoms of KOA .