CAJ | 학술논문

目的：观察针刺激痛点与传统经穴治疗膝骨性关节炎（knee osteoarthritis，KOA）的临床疗效。方法将100例 KOA 患者随机分为治疗组（激痛点针刺组，50例）和对照组（传统经穴针刺组，50例）。治疗组按照激痛点选穴规律进行针刺；对照组按照传统经穴选穴规律进行针刺。1次/ d，30 min/次，7 d 为1个疗程，2个疗程间休息2 d，两组均治疗4个疗程后，对比疗效。结果治疗结束后，对照组的总有效率为76.0%，愈显率为34.0%，治疗组的总有效率为92.0%，愈显率为56.0%，两组总有效率差异无统计学意义（ P >0.05），但愈显率差异有统计学意义（ P <0.05）。两组治疗后VAS、WOMAC 评分明显低于治疗前，差异均有统计学意义（ P <0.05）；治疗后组间比较，差异有统计学意义（P <0.05）。治疗组的疗效更优于对照组。结论针刺激痛点治疗膝骨性关节炎具有较佳疗效，是治疗本病的一种简便易行、经济实用的有效方法，值得临床推广应用。
목적：관찰침자격통점여전통경혈치료슬골성관절염（knee osteoarthritis，KOA）적림상료효。방법장100례 KOA 환자수궤분위치료조（격통점침자조，50례）화대조조（전통경혈침자조，50례）。치료조안조격통점선혈규률진행침자；대조조안조전통경혈선혈규률진행침자。1차/ d，30 min/차，7 d 위1개료정，2개료정간휴식2 d，량조균치료4개료정후，대비료효。결과치료결속후，대조조적총유효솔위76.0%，유현솔위34.0%，치료조적총유효솔위92.0%，유현솔위56.0%，량조총유효솔차이무통계학의의（ P >0.05），단유현솔차이유통계학의의（ P <0.05）。량조치료후VAS、WOMAC 평분명현저우치료전，차이균유통계학의의（ P <0.05）；치료후조간비교，차이유통계학의의（P <0.05）。치료조적료효경우우대조조。결론침자격통점치료슬골성관절염구유교가료효，시치료본병적일충간편역행、경제실용적유효방법，치득림상추엄응용。
Objective To discuss the clinical efficacy on knee osteoarthritis(KOA)treated with ac-upuncture at the trigger points and traditional meridian points. Methods One hundred KOA patients were randomized into a treatment group(50 cases,acupuncture at the trigger points)and a control group(30 cases, acupuncture at the traditional meridian points). In the treatment,acupuncture was applied to the trigger points. In the control group,acupuncture was applied to the meridian points,once a day,for 30 min each time. The treatment for 7 days made 1 session. There were 2 days of interval between the two sessions. The ef-ficacy was compared after 4 sessions of treatment in the two groups. Results After treatment,the total effec-tive rate was 76. 0% and the curative and remarkably effective rate was 34. 0% in the control group and there were 92. 0% and 56. 0% in the treatment group separately. The total effective rate was not significantly dif-ferent between the two groups(P > 0. 05),but the curative and remarkably effective rate was different signifi-cantly(P < 0. 05). After treatment,VAS and WOMAC scores were lower apparently than those before treat-ment in the two groups,indicating the significant difference(P < 0. 05). The differences were significant in comparison of two groups after treatment(P < 0. 05). The efficacy in the treatment group was much better than that in the control group. Conclusion Acupuncture at the trigger points achieves the better efficacy on KOA. It is a simple,economic and effective approach and deserves to be promoted in clinic.