不同针灸疗法治疗膝骨关节炎的比较与分析
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摘要
文章总结了不同针灸疗法治疗膝骨关节炎的研究现状,发现针灸治疗膝骨关节炎的方法多样,包括毫针、艾灸、针刀、电针、激光照射、火针等10余种,其中毫针、艾灸、针刀和电针最为常用,且多采用综合疗法。与国外研究相比,国内研究具有较高的临床有效率,但难以排除研究偏倚对结果的影响,对于疗效的评价缺乏有说服力的高质量研究。今后应加强临床研究的顶层设计,优化针灸的治疗方案,建立不同针灸疗法治疗膝骨关节炎的技术操作规范。
A computer-based online search of CNKI, VIP, Wanfang and CBMdisc databases of acupuncture and moxibustion in the treatment of knee osteoarthritis clinical research literature, systematically analyzed the related documents. It is found that the methods of acupuncture and moxibustion in the treatment of knee osteoarthritis is diverse, including manual acupuncture, electro-acupuncture, acupotomy, moxibustion, laser acupuncture, fire needle and more than 10 species. Manual acupuncture, electro-acupuncture, acupotomy and warming needle are most commonly used, especially comprehensive therapy. Compared with foreign studies, domestic research has a high clinical efficiency, but it is difficult to rule out the impact of research bias on the results of the evaluation of the lack of convincing high-quality research. In the future, we should strengthen the top design of clinical research, optimize the treatment plan of acupuncture and moxibustion, and establish the technical operation standard of different acupuncture and moxibustion therapy for knee osteoarthritis.
A computer-based online search of CNKI, VIP, Wanfang and CBMdisc databases of acupuncture and moxibustion in the treatment of knee osteoarthritis clinical research literature, systematically analyzed the related documents. It is found that the methods of acupuncture and moxibustion in the treatment of knee osteoarthritis is diverse, including manual acupuncture, electro-acupuncture, acupotomy, moxibustion, laser acupuncture, fire needle and more than 10 species. Manual acupuncture, electro-acupuncture, acupotomy and warming needle are most commonly used, especially comprehensive therapy. Compared with foreign studies, domestic research has a high clinical efficiency, but it is difficult to rule out the impact of research bias on the results of the evaluation of the lack of convincing high-quality research. In the future, we should strengthen the top design of clinical research, optimize the treatment plan of acupuncture and moxibustion, and establish the technical operation standard of different acupuncture and moxibustion therapy for knee osteoarthritis.
引文
[1]Nguyen U S T,Zhang Y,Zhu Y,et al.Increasing prevalence of knee pain and symptomatic knee osteoarthritis:survey and cohort data.Annals of internal medicine,2011,155(11):725-732
[2]Berman B M,Lao L,Langenberg P,et al.Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee:a randomized,controlled trial.Annals of Internal Medicine,2004,141(12):901-910
[3]续龙,井蕾,贺琨,等.针刺配合艾灸治疗膝关节骨性关节炎:随机对照研究.中国针灸,2013,33(10):871-876
[4]麻佳健,吴旦斌,张琦瑶,等.毫针针刺治疗骨关节炎疗效的Meta分析.风湿病与关节炎,2016,5(12):36-41
[5]刘康,田丽芳.针刺内关,太冲穴治疗膝骨性关节炎.中国针灸,2013,33(2):105-108
[6]洪昆达,万甜,陈鸿,等.浅针配合委中放血治疗急性期膝骨性关节炎的临床研究.中华中医药杂志,2015,30(6):2226-2229
[7]顾宜宜,熊源胤,易平.经筋齐刺法治疗膝骨关节炎30例临床观察.中医药学报,2008,36(3):33-35
[8]杨晓初,何少峰,王仁灿,等.温针灸肌肉刺激疗法治疗膝骨性关节炎疗效观察.针刺研究,2012,37(3):237-241
[9]黄振,宋双临.温针灸配合乌蛇土鳖胶囊治疗膝骨性关节炎临床研究.中华中医药学刊,2012,30(12):2776-2778
[10]洪昆达,李俐,阙庆辉,等.天灸治疗阳虚寒凝型膝骨性关节炎的临床研究.中华中医药杂志,2012,27(8):2227-2230
[11]吴凡,张海蒙,王丽祯,等.二氧化碳激光灸影响膝骨关节炎患者生活质量的随机双盲对照.中国组织工程研究,2011,15(26):4885-4890
[12]梁繁荣.针灸学.北京:中国中医药出版社,2016:190-192
[13]王常海,李峰.针刀“动态平衡”理论在膝骨性关节炎中的探讨.中华中医药学刊,2007,25(1):73-75
[14]刘长艳,何坚,张英杰,等.针刀疗法治疗膝骨关节炎现代文献研究.亚太传统医药,2016,12(9):77-79
[15]孙奎,鲍学梅,宋阳春,等.针刀治疗膝骨性关节炎的临床疗效评价.针灸临床杂志,2016,32(10):44-47
[16]丁方平,王人彦,张玉柱,等.小针刀配合手法松解治疗膝骨关节炎的临床研究.中华中医药杂志,2014,29(4):1275-1277
[17]包飞,张燕,吴志宏,等.电针治疗膝骨关节炎疗效观察及对软骨磁共振T2图的影响.中国针灸,2013,33(3):193-197
[18]苏晓川,王义生.电针联合玻璃酸钠注射对膝骨关节炎患者关节液中IL-1β,TNF-α的影响及其疗效.实用医学杂志,2012,28(15):2546-2548
[19]严伟,殷建权,李东,等.穴位贴敷治疗膝关节骨关节炎50例临床研究.江苏中医药,2010,42(6):50-51
[20]刘百生,夏义仁.火针疗法的作用机制探讨.中外医学研究,2011,9(5):105-106
[21]李彬,谢新才,王麟鹏.火针治疗膝骨关节炎临床观察.北京中医药,2011,30(12):923-925
[2]Berman B M,Lao L,Langenberg P,et al.Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee:a randomized,controlled trial.Annals of Internal Medicine,2004,141(12):901-910
[3]续龙,井蕾,贺琨,等.针刺配合艾灸治疗膝关节骨性关节炎:随机对照研究.中国针灸,2013,33(10):871-876
[4]麻佳健,吴旦斌,张琦瑶,等.毫针针刺治疗骨关节炎疗效的Meta分析.风湿病与关节炎,2016,5(12):36-41
[5]刘康,田丽芳.针刺内关,太冲穴治疗膝骨性关节炎.中国针灸,2013,33(2):105-108
[6]洪昆达,万甜,陈鸿,等.浅针配合委中放血治疗急性期膝骨性关节炎的临床研究.中华中医药杂志,2015,30(6):2226-2229
[7]顾宜宜,熊源胤,易平.经筋齐刺法治疗膝骨关节炎30例临床观察.中医药学报,2008,36(3):33-35
[8]杨晓初,何少峰,王仁灿,等.温针灸肌肉刺激疗法治疗膝骨性关节炎疗效观察.针刺研究,2012,37(3):237-241
[9]黄振,宋双临.温针灸配合乌蛇土鳖胶囊治疗膝骨性关节炎临床研究.中华中医药学刊,2012,30(12):2776-2778
[10]洪昆达,李俐,阙庆辉,等.天灸治疗阳虚寒凝型膝骨性关节炎的临床研究.中华中医药杂志,2012,27(8):2227-2230
[11]吴凡,张海蒙,王丽祯,等.二氧化碳激光灸影响膝骨关节炎患者生活质量的随机双盲对照.中国组织工程研究,2011,15(26):4885-4890
[12]梁繁荣.针灸学.北京:中国中医药出版社,2016:190-192
[13]王常海,李峰.针刀“动态平衡”理论在膝骨性关节炎中的探讨.中华中医药学刊,2007,25(1):73-75
[14]刘长艳,何坚,张英杰,等.针刀疗法治疗膝骨关节炎现代文献研究.亚太传统医药,2016,12(9):77-79
[15]孙奎,鲍学梅,宋阳春,等.针刀治疗膝骨性关节炎的临床疗效评价.针灸临床杂志,2016,32(10):44-47
[16]丁方平,王人彦,张玉柱,等.小针刀配合手法松解治疗膝骨关节炎的临床研究.中华中医药杂志,2014,29(4):1275-1277
[17]包飞,张燕,吴志宏,等.电针治疗膝骨关节炎疗效观察及对软骨磁共振T2图的影响.中国针灸,2013,33(3):193-197
[18]苏晓川,王义生.电针联合玻璃酸钠注射对膝骨关节炎患者关节液中IL-1β,TNF-α的影响及其疗效.实用医学杂志,2012,28(15):2546-2548
[19]严伟,殷建权,李东,等.穴位贴敷治疗膝关节骨关节炎50例临床研究.江苏中医药,2010,42(6):50-51
[20]刘百生,夏义仁.火针疗法的作用机制探讨.中外医学研究,2011,9(5):105-106
[21]李彬,谢新才,王麟鹏.火针治疗膝骨关节炎临床观察.北京中医药,2011,30(12):923-925