针灸治疗膝骨性关节炎的临床研究进展

Clinical Research Progress of Acupuncture for Knee Osteoarthritis

摘要: 膝骨关节炎病(KOA)又被称之为膝退性骨关节病，其主要症状是膝关节软骨组织变性、破坏及局部骨质增生症；主要临床特征上则表现为持续性膝关节部位疼痛、肿胀、关节周围僵硬和变形、功能障碍。膝骨关节炎病在中老年人群当中是一种很常见的且具有多发性的疾病。对中老年人生活质量已经产生相当严重的影响。在治疗过程中，采用口服西药方法治疗该病治疗的初期效果一般并远低于临床的效果，且往往具有副作用，长期反复使用该西药制剂将会对其身体系统产生极为严重的影响。而采用中药针灸的治疗方法效果更加显著，且又具有临床风险范围小、费用低、副作用小的特点，及其他医学优点，在治疗膝骨关节炎上起到了重要的作用。本文首先针对中国近五年以来治疗腿痛膝骨关节炎研究的部分相关临床文献材料进行研究综述，同时，针对中医临床常用行之有效的中医针灸辅助治疗风湿病的诊疗模式实施比较，详细的探讨和总结病例，继而为今后在针灸治疗方面提出有针对性的解决对策。

Abstract: Knee osteoarthritis (KOA) is also called knee degenerative osteoarthropathy, and its main symp-toms are degeneration, destruction of cartilage tissues of the knee joint and localized osteomalacia; the main clinical features are persistent knee pain, swelling, stiffness and deformity around the joint, and functional impairment. Osteoarthritis of the knee is a very common and frequent disease among middle-aged and elderly people. It has a serious impact on the quality of life of middle-aged and elderly people. In the process of treatment, the initial effect of oral western medicine is gener-ally much lower than the clinical effect, and often has side effects, the long-term repeated use of the western medicine will have a very serious impact on the body system. The use of traditional Chinese medicine and acupuncture is more effective and has a small clinical risk range, low cost, small side effects, and other medical advantages, and plays an important role in the treatment of osteoarthri-tis of the knee. In this paper, we firstly review the clinical literature on the treatment of osteoar-thritis of the knee since the last five years, and at the same time, we compare the clinical modes of acupuncture and moxibustion in the treatment of rheumatism with those of traditional Chinese medicine, and we discuss and summarize the cases in detail, and then we propose targeted coun-termeasures for the future treatment of acupuncture and moxibustion.