Effect of oblique insertion at <italic style="font-style: italic">ashi</italic> point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages

LI Xi; ZHANG Yongwang; GAO Tianci; YIN Shilin; LIU Lu; QI Liqing

doi:10.13703/j.0255-2930.20231228-k0005

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Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages

Clinical Research | 更新时间：2024-09-25

- Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 9, Pages: 1017-1022(2024)
- 作者机构：
  
  1.河北中医药大学第一附属医院骨伤三科，石家庄　050000
  3.河北中医药大学第一附属医院治未病科，石家庄　050000
  2.河北中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231228-k0005
  CLC：
- Received：28 December 2023，
  
  Online First：05 July 2024，
  
  Published：12 September 2024
- 稿件说明：
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LI Xi, ZHANG Yongwang, GAO Tianci, et al. Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages[J]. Chinese Acupuncture & Moxibustion, 2024, 44(9): 1017-1022. DOI: 10.13703/j.0255-2930.20231228-k0005.
DOI：

LI Xi, ZHANG Yongwang, GAO Tianci, et al. Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages[J]. Chinese Acupuncture & Moxibustion, 2024, 44(9): 1017-1022. DOI: 10.13703/j.0255-2930.20231228-k0005. DOI：

摘要

目的：

比较长针斜刺阿是穴与口服塞来昔布胶囊对女性早中期膝关节骨关节炎（KOA）患者关节功能的改善情况。

方法：

将105例女性早中期KOA患者随机分为观察组（65例，脱落6例，中止3例）和对照组（40例，脱落6例，中止2例）。观察组运用长针斜刺阿是穴（股四头肌、腘绳肌、腘肌等硬结处）治疗，间隔3 d治疗1次，每周治疗2次，共治疗2周。对照组采用口服塞来昔布胶囊治疗，每次0.2 g，每日1次，共治疗2周。两组均于治疗2周后开始进行功能锻炼。分别于治疗前后和治疗结束后6周（随访）观察两组患者西安大略和麦克马斯特骨关节炎指数（WOMAC）关节功能积分、疼痛视觉模拟量表（VAS）评分，比较两组患者治疗前及随访时生活质量评分简明版（SF-12）评分，评定两组治疗安全性。

结果：

治疗后及随访时，两组患者WOMAC关节功能积分、VAS评分均较治疗前降低（

0.05）；随访时，两组患者WOMAC关节功能积分、VAS评分均较治疗后降低（

0.05），SF-12评分较治疗前升高

（

0.05）。治疗后，观察组患者WOMAC关节功能积分低于对照组、VAS评分高于对照组（

0.001，

0.01）；随访时，观察组患者SF-12评分高于对照组（

0.05）。两组均未发生严重不良反应。

结论：

长针斜刺阿是穴可改善女性早中期KOA患者膝关节功能、提高患者生活质量，较口服塞来昔布胶囊治疗效果更佳。

Abstract

Objective

To compare the improvement of joint function in female patients with early-middle-stage knee osteoarthritis (KOA) treated by oblique insertion at

ashi

point with long needle and oral celecoxib capsule.

Methods

A total of 105 female patients with early-middle-stage KOA were randomly divided into an observation group (65 cases

6 cases dropped out

3 cases were discontinued) and a control group (40 cases

6 cases dropped out

2 cases were discontinued). Patients in the observation group were treated with oblique insertion at

ashi

point (hard knots of quadriceps femoris

hamstring muscle

popliteal muscle

etc.) with long needle

once every other 3 days

twice a week

for a total of 2 weeks. Patients in the control group were treated with oral celecoxib capsules

0.2 g each time

once a day for 2 weeks. Both groups started functional exercise after 2 weeks of treatment. The joint function score of Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and pain visual analogue scale (VAS) score of the two groups were observed before and after treatment and after 6 weeks of treatment completion (follow-up)

the 12-item short-form health survey (SF-12) score was compared between the two groups before treatment and in follow-up

and the safety of the two groups was evaluated.

Results

After treatment and during the follow-up

the joint function scores of WOMAC and VAS scores of the two groups were lower than those before treatment (

0.05). During the follow-up

the joint function scores of WOMAC and VAS scores were

lower than those after treatment (

0.05)

and the SF-12 scores were higher than those before treatment (

0.05) in the two groups. After treatment

the joint function score of WOMAC of the observation group was lower and the VAS score was higher than those of the control group (

0.001

0.01). During the follow-up

the SF-12 score of the observation group was higher than that of the control group (

0.05). No serious adverse reactions occurred in both groups.

Conclusion

The treatment of oblique insertion at

ashi

point with long needle can improve the knee joint function and quality of life of female patients with early-middle-staqe KOA

which is better than oral celecoxib capsule.

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⁰

Effect of oblique insertion at ashi point with long needle on joint function in female patients with knee osteoarthritis of early and middle stages

DOI：10.13703/j.0255-2930.20231228-k0005

摘要

Abstract

关键词

Keywords

references