不同针刺策略对膝关节骨性关节炎治疗预后及炎症因子水平的影响。

IF 2.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Clinics Pub Date : 2026-01-01 Epub Date: 2026-02-14 DOI:10.1016/j.clinsp.2026.100871

Jun Li , Di Wu , Xueli Chen , Guanhua Li

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引用次数: 0

摘要

背景：膝关节骨性关节炎是一种以膝关节软骨进行性变性为特征的退行性关节疾病。针灸治疗作为一种替代疗法，在治疗关节疾病方面已经显示出显著的疗效。本研究比较分析了四种针刺治疗膝关节骨性关节炎的效果。方法：选取2022年5月至2023年5月在九江市第一人民医院诊断为膝骨关节炎的123例患者作为研究对象。患者接受不同的针灸策略，包括传统针灸、电针、温针和火针。然后收集和分析治疗对身体功能和炎症因子的影响。结果：四种治疗策略均能改善患者的生活质量，但电针治疗的效果更强。温针和火针的作用弱于电针，但强于传统针刺。在对膝关节生理功能和炎症指标的影响方面，电针治疗效果也优于其他三种治疗方法。治疗膝骨关节炎的总体疗效在不同治疗策略之间具有可比性，尽管不同针灸策略在细节项目上的效果可能不同。结论：本研究表明，所有针刺策略均能改善患者的身体机能，减轻膝关节疼痛，从而改善患者的生活质量，其中电针对某些检测项目的效果最强。

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Effects of different acupuncture strategies on the prognosis and inflammatory factor levels associated with the treatment of knee osteoarthritis

Background

Knee osteoarthritis is a degenerative joint condition characterized by the progressive degeneration of knee cartilage. Acupuncture therapy, as an alternative treatment, has shown significant efficacy in managing joint disorders. In the current study, the effects of four acupuncture strategies in treating knee osteoarthritis were compared and analyzed.

Methods

123 cases diagnosed with knee osteoarthritis were included in the current study at the First People's Hospital of Jiujiang City from May 2022 to May 2023. The patients received different acupuncture strategies, including traditional acupuncture, electroacupuncture, warm acupuncture, and fire acupuncture. Then the information regarding the treatment effects on physical function and inflammatory cytokines was collected and analyzed.

Results

The data showed that all four treatment strategies could improve the life quality of the patients, but the effects of electroacupuncture were stronger. The effects of warm acupuncture and fire acupuncture were weaker than electroacupuncture, but were stronger than traditional acupuncture. Regarding the effects on knee physical function and inflammatory indicators, electroacupuncture also showed better treatment effects than the other three treatments. The overall efficacy in treating knee osteoarthritis was comparable between different treating strategies, even though the effects of different acupuncture strategies on detailed items might be different.

Conclusions

Collectively, the current study demonstrated that all the acupuncture strategies could improve the physical function and reduce pain in the knee, thereby improving the life quality of patients, with electroacupuncture showing the strongest effects on certain detecting items.

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来源期刊

Clinics 医学-医学：内科

CiteScore

4.10

自引率

3.70%

发文量

129

审稿时长

52 days

期刊介绍： CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.