針灸治療退化性膝關節炎的文獻探討

本文回顧針灸治療膝關節退化性關節炎之文獻，基本選取以隨機方式且有對照組為優先，針灸治療有常規針刺、溫針療法、火針療法、電針療法。四種療法選用穴位主要是以局部取穴為主。常規刺法應用透刺法能加強表裏經及鄰近經脈的溝通，使針感易於傳導；溫針法有針刺促使氣血調和、通經活絡的作用，又有艾灸調和氣血、舒筋止痛等作用；火針直接刺激病灶的反射點，能迅速改善局部組織水腫、充血、鈣化、攣縮等病理變化；電針能修復透明軟骨，有效的減緩退變速度，改善臨床症狀。在評估臨床療效時，建議採用國際認可的LKSS或WOMAC評分法較具代表性。

關鍵字

骨關節炎；針灸；溫針；火針；電針；透刺；對照組

並列摘要

This article reviews the literature of acupuncture treatment of knee osteoarthritis, the basic selection is random and the control group will be the priority, acupuncture treatment with conventional acupuncture, warm acupuncture, fire needle, electroacupuncture. Four kinds of therapy selection acupuncture points mainly based on local acupoints. Conventional acupuncture can be used to enhance the penetration through the meridians and adjacent meridians communication, so that acupuncture is easy to conduct ; warm acupuncture to promote qi and blood circulation, through the active role, and moxibustion to reconcile qi and blood, relax tendons and analgesic effect. The fire needle directly stimulates the reflex point of the lesion, which can rapidly improve the local tissue edema, congestion, calcification, contracture and other pathological changes. Electroacupuncture can repair the hyaline cartilage, effectively slow down the degenerative speed and improve the clinical symptoms. In assessing clinical outcomes, it is recommended that internationally recognized LKSS or WOMAC scores be representative.