Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages

LIAN Jiawei; LAI Zheying; XU Jianfeng; LIN Ruizhu

doi:10.13703/j.0255-2930.20240715-k0004

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Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages

Clinical Research | 更新时间：2025-01-09

- Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 1, Pages: 27-30(2025)
- 作者机构：
  
  1.宁夏医科大学总医院康复医学科，银川　750004
  2.宁夏医科大学第一临床医学院，银川　750004
  3.银川市中医医院
  4.宁夏少数民族医药现代化教育部重点实验室，银川　750004
  5.宁夏医科大学总医院中医骨伤科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240715-k0004
  CLC：
- Received：15 July 2024，
  
  Online First：10 October 2024，
  
  Published：12 January 2025
- 稿件说明：
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LIAN Jiawei, LAI Zheying, XU Jianfeng, et al. Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 27-30.
DOI：

LIAN Jiawei, LAI Zheying, XU Jianfeng, et al. Internal heat acupuncture therapy for 44 cases knee osteoarthritis of early to middle stages[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 27-30. DOI： 10.13703/j.0255-2930.20240715-k0004.

摘要

目的：

观察内热针疗法治疗早中期膝关节骨关节炎（KOA）的临床疗效，并探究其对软骨厚度的影响。

方法：

招募44例早中期KOA患者采用内热针疗法治疗，穴取阿是穴（多位于髌下脂肪垫、髌韧带两侧、股四头肌肌腱处、内外侧副韧带附着处），每周1次，共治疗4周。比较患者治疗前后及治疗结束后3个月（随访）疼痛视觉模拟量表（VAS）评分、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分、30 s椅立测试（30sCST）次数、股骨髁间软骨厚度及膝关节超声评分，并评定临床疗效。

结果：

与治疗前比较，患者治疗后VAS、WOMAC、膝关节超声评分降低（

0.05），30sCST次数增加（

0.05）；随访时VAS、WOMAC评分降低（

0.05），30sCST次数和股骨髁间软骨厚度增加（

0.05）。治疗后总有效率为93.2%（41/44），随访时总有效率为95.5%（42/44）。

结论：

内热针治疗早中期KOA患者疗效较好，可减轻疼痛、改善关节功能，并有助于延缓软骨退变和疾病进展。

Abstract

Objective

To observe the clinical effect of internal heat acupuncture therapy for knee osteoarthritis of early to middle stages

and explore its influence on cartilage thickness.

Methods

A total of 44 patients with knee osteoarthritis of early to middle stages were treated with internal heat acupuncture therapy at

ashi

points (most of them are located at the subpatellar fat pad

both sides of the patellar ligament

the tendon of the quadriceps and the attachment of the medial and lateral collateral ligaments)

once a week

a total of 4 weeks of treatment. Before and after treatment

after 3 months of treatment completion (in the follow-up)

the visual analogue scale (VAS) score

Western Ontario and McMaster Universities osteoarthritis index (WOMAC) score

frequency of 30-second chair stand test (30sCST)

cartilage thickness of femoral intercondylar and knee joint ultrasound score were compared

and the clinical effect was evaluated.

Results

After treatment

the VAS、WOMAC and knee joint ultrasound scores were reduced (

0.05)

frequency of 30sCST was increased (

0.05) compared with those before treatment; in the follow-up

the VAS、WOMAC scores were reduced (

0.05)

frequency of 30sCST and cartilage thickness of femoral intercondylar were increased (

0.05) compared with those before treatment. After treatment

the total effective rate was 93.2% (41/44)

in the follow-up

the total effective rate was 95.5% (42/44).

Conclusion

Internal heat acupuncture therapy is effective in the treatment of knee osteoarthritis of early to middle stages

could relieve the pain

improve the joint function

and delay cartilage degeneration and disease progression.

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