针刀联合埋线疗法对膝骨关节炎患者功能改善机制的研究

Research on the Functional Improvement Mechanism of Needle-Knife Combined with Thread Embedding Therapy in Patients with Knee Osteoarthritis

摘要: 目的：探讨针刀联合埋线疗法对膝骨关节炎患者功能改善机制。方法：将2023年1月至2025年12月在淄博市中西医结合医院门诊治疗的80例中晚期膝骨关节炎患者随机分为2组，每组40例。试验组予针刀松解 + 埋线治疗，每月治疗一次，共进行6次。对照组予口服盐酸氨基葡萄糖片 + 双氯芬酸钠缓释片，使用3个疗程，持续6个月，分别于治疗前及之后记录并比较2组患者的Lysholm膝关节评分、膝关节骨关节炎MOAKS评分及不良反应发生情况。结果：① 患者退出情况。试验组2例患者退出，对照组3例患者退出。② Lysholm膝关节评分。2组膝关节Lysholm评分较治疗前明显改善，且试验组改善效果优于对照组(t = 6.04, p = 0.00)。③ MOAKS评分。2组MOAKS评分仅在滑膜炎评分的治疗前后比较中存在显著差异，且试验组优于对照组(t = −3.54, p = 0.00)。④ 安全性。2组患者不良反应发生率比较，试验组优于对照组(p = 0.025)。结论：对于中晚期膝骨关节炎患者，针刀 + 埋线疗法能起到与西药相似的关节抗炎功能，能够有效缓解关节疼痛，改善关节功能，且安全性可靠，但两者短期内对骨及软骨的改善作用均不明显。

Abstract: Objective: To explore the functional improvement mechanism of needle-knife combined with thread embedding therapy in patients with knee osteoarthritis. Methods: From January 2023 to December 2025, 80 patients with moderate to advanced knee osteoarthritis who were treated in the outpatient department of Zibo Hospital of Integrated Traditional Chinese and Western Medicine were randomly divided into 2 groups, with 40 cases in each group. The experimental group was treated with needle-knife release and thread embedding once a month for a total of 6 sessions. The control group was given oral glucosamine hydrochloride tablets + diclofenac sodium sustained-release tablets for 3 courses of treatment, lasting for 6 months. The Lysholm knee joint score, MOAKS score of knee osteoarthritis and the occurrence of adverse reactions of the two groups of patients were recorded and compared before and after the treatment. Result: ① Patient withdrawal situation. Two patients in the experimental group withdrew, and three patients in the control group withdrew. ② Lysholm Knee Joint score. The Lysholm scores of the knee joints in both groups were significantly improved compared with those before treatment, and the improvement effect of the experimental group was better than that of the control group (t = 6.04, p = 0.00). ③ MOAKS score. The MOAKS scores of the two groups only showed significant differences in the comparison of synovitis scores before and after treatment, and the experimental group was superior to the control group (t = −3.54, p = 0.00). ④ Safety. The comparison of the incidence of adverse reactions between the two groups of patients showed that the experimental group was superior to the control group (p = 0.025). Conclusion: For patients with moderate to advanced knee osteoarthritis, acupotomology combined with catgut embedding therapy achieves an anti-inflammatory effect on joints similar to that of Western medicine, can effectively relieve joint pain and improve joint function with reliable safety. However, neither treatment shows obvious improvement in bone and cartilage in the short term.