火针治疗膝骨关节炎的远期临床疗效观察

陈俊伟; 袁芳; 冯耀辉; 张玉琢; 孙三峰; 梁瑞丽; 王丽娜; 吴立雨; 葛杜娟; 付渊博

doi:10.13703/j.0255-2930.20240627-0002

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火针治疗膝骨关节炎的远期临床疗效观察

临床研究 | 更新时间：2026-05-12

- 火针治疗膝骨关节炎的远期临床疗效观察
- Long-term clinical effect of fire needling on knee osteoarthritis
- 中国针灸 2026年46卷第5期页码：732-737
- 作者机构：
  
  首都医科大学附属北京中医医院，儿科，北京　100010
  首都医科大学附属北京中医医院，针灸科，北京　100010
  首都医科大学附属北京中医医院，医院综合科，北京　100010
  针灸神经调控北京市重点实验室，北京　100010
  北京市怀柔区中医医院，康复科
  北京市怀柔区中医医院，针灸科
- 作者简介：
  
  ✉付渊博，副教授。E-mail：fybsir@126.com
- 基金信息：
  
  国家自然科学基金资助项目(82205246);北京市医院管理中心“登峰”人才培养计划团队项目(DFL20241001);2021年度“扬帆”计划重点医学专业（重点扶持专业）——中西医结合康复项目(ZYLX202140)
- DOI：10.13703/j.0255-2930.20240627-0002
  中图分类号：
- 收稿：2024-06-27，
  
  修回：2026-03-10，
  
  网络首发：2026-03-23，
  
  纸质出版：2026-05-12
- 稿件说明：
移动端阅览
陈俊伟, 袁芳, 冯耀辉, 等. 火针治疗膝骨关节炎的远期临床疗效观察[J]. 中国针灸, 2026,46(5):732-737.

CHEN Junwei, YUAN Fang, FENG Yaohui, et al. Long-term clinical effect of fire needling on knee osteoarthritis[J]. Chinese Acupuncture & Moxibustion, 2026, 46(5): 732-737.
陈俊伟, 袁芳, 冯耀辉, 等. 火针治疗膝骨关节炎的远期临床疗效观察[J]. 中国针灸, 2026,46(5):732-737. DOI： 10.13703/j.0255-2930.20240627-0002.

CHEN Junwei, YUAN Fang, FENG Yaohui, et al. Long-term clinical effect of fire needling on knee osteoarthritis[J]. Chinese Acupuncture & Moxibustion, 2026, 46(5): 732-737. DOI： 10.13703/j.0255-2930.20240627-0002.

摘要

目的：

观察火针疗法治疗膝骨关节炎的远期临床疗效及安全性。

方法：

将60例膝骨关节炎患者随机分为观察组（30例，脱落4例、剔除1例）和对照组（30例，脱落4例、剔除2例）。两组均取患侧阳陵泉、内膝眼、犊鼻、血海、梁丘、阿是穴1~2个，观察组予火针治疗，对照组予毫针针刺治疗，均隔日1次，每周3次，连续治疗2周。分别在治疗前后及治疗结束后6个月、1年随访时观察两组患者西安大略和麦克马斯特大学骨关节炎指数（WOMAC）量表评分，并在治疗后及治疗结束后6个月、1年随访时评定两组临床疗效及安全性。

结果：

治疗后及随访6个月，两组患者WOMAC量表疼痛、僵硬、日常活动难度评分及总分均较治疗前降低（

0.05）；随访1年，观察组患者WOMAC量表疼痛、僵硬、日常活动难度评分及总分均较治疗前降低（

0.05），对照组患者WOMAC量表疼痛评分较治疗前降低（

0.05）。治疗后，观察组患者WOMAC量表疼痛、僵硬评分及总分均低于对照组（

0.05）；随访6个月，观察组患者WOMAC量表疼痛、僵硬、日常活动难度评分及总分均低于对照组（

0.05）；随访1年，观察组患者WOMAC量表僵硬、日常活动难度评分及总分均低于对照组（

0.05）。随访6个月，观察组总有效率为76.0%（19/25），高于对照组的41.7%（10/24，

0.05）；随访1年，观察组总有效率为64.0%（16/25），高于对照组的33.3%（8/24，

0.05）。两组患者均未出现与针刺相关的不良反应与不良事件。

结论：

火针疗法可有效改善KOA症状，远期临床疗效确切。

Abstract

Objective

To observe the long-term clinical efficacy and safety of fire needling in the treatment of knee osteoarthritis.

Methods

Sixty patients with knee osteoarthritis were randomized into an observation group (30 cases

4 cases dropped out

1 case was eliminated) and a control group (30 cases

4 cases dropped out

2 cases were eliminated). Yanglingquan (GB34)

Neixiyan (EX-LE4)

Dubi (ST35)

Xuehai (SP10)

Liangqiu (ST34) and 1-2

ashi

points on the affected side were selected in the two groups. Fire needling was applied in the observation group

while conventional filiform needling was applied in the control group. The treatments in both groups were delivered once every other day

3 times a week for 2 consecutive weeks. The Western Ontario and McMaster Universities osteoarthritis index (WOMAC) score was observed before and after treatment

as well as at follow-ups of 6 months and 1 year after treatment completion

the clinical efficacy and safety were evaluated after treatment and at follow-ups of 6 months and 1 year after treatment completion.

Results

After treatment and at 6-month follow-up

the pain

stiffness

difficulty in daily activities scores and total scores of WOMAC were decreased compared with those b

efore treatment in both groups (

0.05). At 1-year follow-up

the pain

stiffness

difficulty in daily activities scores and total score of WOMAC were decreased compared with those before treatment in the observation group (

0.05)

the pain score of WOMAC was decreased compared with that before treatment in the control group (

0.05). After treatment

the pain score

stiffness score and total score of WOMAC in the observation group were lower than those in the control group (

0.05). At 6-month follow-up

the pain

stiffness

difficulty in daily activities scores and total score of WOMAC in the observation group were lower than those in the control group (

0.05). At 1-year follow-up

the stiffness score

difficulty in daily activities score and total score of WOMAC in the observation group were lower than those in the control group (

0.05). At 6-month follow-up

the total effective rate was 76.0% (19/25) in the observation group

which was higher than 41.7% (10/24) in the control group (

0.05). At 1-year follow-up

the total effective rate was 64.0% (16/25) in the observation group

which was higher than 33.3% (8/24) in the control group (

0.05). No acupuncture-related adverse reactions or events occurred in the two groups.

Conclusion

Fire needling effectively improves the symptoms of KOA

and has a definite long-term clinical efficacy.

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