[1]张钊敏,陈国华,王洁,等.针刀联合自创环膝手法松解术治疗膝骨关节炎的临床研究[J].西部中医药,2026,39(04):155-160.[doi:10.12174/j.issn.2096-9600.2026.04.34]
　ZHANG Zhaomin,CHEN Guohua,WANG Jie,et al.Clinical Study on Needle-knife and Self-created Periarticular Knee Manipulation for Adhesiolysis in the Treatment of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2026,39(04):155-160.[doi:10.12174/j.issn.2096-9600.2026.04.34]
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针刀联合自创环膝手法松解术治疗膝骨关节炎的临床研究()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
155-160
栏目:
特色医疗
出版日期:
2026-04-15

文章信息/Info

Title:
Clinical Study on Needle-knife and Self-created Periarticular Knee Manipulation for Adhesiolysis in the Treatment of Knee Osteoarthritis
作者:
张钊敏1, 陈国华1, 王洁1, 郑加春1, 许秀玫1, 肖聪1, 王泽华1, 符文彬2
1.汕头市中医医院，广东 汕头 515000
2.广州中医药大学第二附属医院，广东 广州 510120
Author(s):
ZHANG Zhaomin1, CHEN Guohua1, WANG Jie1, ZHENG Jiachun1, XU Xiumei1, XIAO Cong1, WANG Zehua1, FU Wenbin2
1.Shantou Hospital of TCM, Shantou 515000, China
2.The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
关键词:
骨关节炎; 膝; 针刀; 自创环膝手法松解术
Keywords:
osteoarthritis;  knee; needle-knife; self-created periarticular knee manipulation for adhesiolysis
分类号:
R244
DOI:
10.12174/j.issn.2096-9600.2026.04.34
文献标志码:
B
摘要:
目的探讨针刀联合自创环膝手法松解术治疗膝骨关节炎的临床价值。 方法选取120例膝骨关节炎患者为研究对象，采用随机数字表法分为对照组与治疗组，每组60例。对照组采用常规针刺治疗，治疗组采用针刀联合自创环膝手法松解术治疗，连续治疗2周。比较两组临床疗效，以及治疗前后西安大略和麦克马斯特大学骨关节炎指数评分（Western Ontario and McMaster Universities osteoarthritis index，WOMAC）、视觉模拟评分（visual analogue scale，VAS）、中医证候积分及生活质量评分。 结果治疗后，治疗组总有效率高于对照组（P＜0.05）；两组双膝患者疗效优于单膝患者，病程＜3年患者疗效优于病程≥3年患者（P＜0.05）。治疗后，治疗组WOMAC、VAS评分均低于对照组（P＜0.05）；两组双膝及病程＜3年患者的WOMAC、VAS评分均低于单膝及病程≥3年患者（P＜0.05）。治疗组中医证候各项评分均低于对照组（P＜0.05），生活质量各项评分均高于对照组（P＜0.05）。 结论针刀联合自创环膝手法松解术治疗膝骨关节炎临床疗效确切，可显著提高患者生活质量，对病程3年以下的双膝患者疼痛症状改善效果更佳。
Abstract:
ObjectiveTo survey clinical values of needle-knife and self-created periarticular knee manipula-tion for adhesiolysis in the treatment of knee osteoarthritis (KOA). MethodsA total of 120 KOA patients were selected as study subjects and divided into a control group and a treatment group using a random number table, with 60 cases in each group. The control group received conventional acupuncture treatment, while the treatment group was treated with needle-knife combined with self-created periarticular knee manipulation for adhesiolysis. Both groups were treated continuously for two weeks. To compare clinical effects, WOMAC scores, VAS scores, TCM syndrome scores and quality of life scores before and after the treatment in the two groups. ResultsAfter treatment, the total effective rate in the treatment group was higher than that in the control group (P<0.05). In both groups, patients with bilateral knee involvement showed better therapeutic effects than those with unilateral knee involvement, and patients with a disease course of less than three years showed better effects than those with a disease course of three years or longer (P<0.05). After treatment, the WOMAC and VAS scores in the treatment group were lower than those in the control group (P<0.05); in both groups, the WOMAC and VAS scores of patients with bilateral knee involvement and those with a disease course of less than three years were lower than those of patients with unilateral knee involvement and those with a disease course of three years or longer (P<0.05). All TCM syndrome scores in the treatment group were lower than those in the control group (P<0.05), and all quality of life scores were higher than those in the control group (P<0.05). ConclusionNeedle-knife and self-created periarticular knee manipulation for adhesiolysis achieves a definitive clinical effect in treating KOA, significantly improving patients’ quality of life. This combination therapy is particularly effective in alleviating pain symptoms in patients with bilateral knee involvement and a disease course of less than three years.

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备注/Memo

备注/Memo:
广东省重点领域研发项目（2020B11120007）；汕头市科技计划医疗卫生类别项目（190219225263237）。张钊敏（1987—），男，主治医师。研究方向：颈肩腰腿痛的治疗。Email：Z396409657@163.com。
更新日期/Last Update: 2026-04-15