揿针在骨科退行性变疾病的应用进展

Recent Advances in the Application of Press-Needle Therapy for Degenerative Orthopedic Diseases

摘要: 骨科退行性变疾病以疼痛与功能障碍为核心临床特征，是临床常见病种，而传统治疗手段如口服药物、物理治疗、手术等因存在副作用显著、疗效维持短暂、创伤性大等局限，难以满足疾病长期管理需求。揿针作为中医浅刺法的创新实践，通过皮内埋针形成“久留针”效应，以持续刺激穴位调节气血运行、改善局部微循环。本文系统检索近年相关文献并分析发现，揿针单独应用或与常规针刺、冲击波、中药熏洗等疗法联合时，在颈椎病、肩周炎、肱骨外上髁炎、膝骨关节炎等临床退行性变疾病中均表现出显著的镇痛效果与关节功能改善作用。其操作微创、安全性高、患者依从性强的特点，不仅突破了传统疗法的局限性，更为骨科退行性疾病的非药物干预及长期管理提供了新的理论依据与实践路径。

Abstract: Degenerative orthopedic diseases, characterized by pain and dysfunction as their core clinical features, are common clinical entities. However, traditional treatment methods such as oral medications, physical therapy, and surgery have limitations including significant side effects, short-lived therapeutic effects, and high invasiveness, making it difficult to meet the needs of long-term disease management. As an innovative practice of superficial needling in traditional Chinese medicine, press-needle achieves a “prolonged needle retention” effect through intradermal needle embedding, which continuously stimulates acupoints to regulate qi and blood circulation and improve local microcirculation. This article systematically searched and analyzed relevant literature in recent years and found that press-needle, when used alone or in combination with conventional acupuncture, shock wave therapy, Chinese herbal fumigation, and other treatments, shows significant analgesic effects and improvement in joint function in clinical degenerative diseases such as cervical spondylosis, scapulohumeral periarthritis, lateral epicondylitis of the humerus, and knee osteoarthritis. Its characteristics of minimally invasive operation, high safety, and strong patient compliance not only break through the limitations of traditional therapies but also provide a new theoretical basis and practical pathway for non-pharmacological intervention and long-term management of degenerative orthopedic diseases.