作　　者： (陈紫岳）; (黄怡然）; (李娜）; (夏晶）; (马莹）; (张冰月）; (梁亚峰）; (李文迅）;

机构地区： 北京中医药大学针灸推拿学院,北京100020

出　　处： 《世界中医药》 2017年第8期1927-1932,共6页

摘　　要： 目的:比较电针和圆利针治疗制动致膝关节功能障碍模型兔的疗效及机制。方法:将新西兰兔24只随机分为4组:正常组、模型组、圆利针组和电针组,每组6只,除正常组外均建立制动致膝关节功能障碍模型。造模6周后干预组接受干预。于造模后4,8,12周测量兔患侧Lequesne MG总指数;于造模后13周通过光学显微镜观察股直肌超微结构;于造模第12周通过X线对膝关节进行整体评价。结果:行为学:电针与圆利针对于关节功能障碍、局部反应、肿胀有明显的疗效(P<0.05)且2种方法差异无统计学意义(P>0.05);光镜:电针组(P<0.05)与圆利针组(P<0.01)治疗起效明显但圆利针组疗效更佳;X线:干预组结果明显优于模型组且圆利针组较佳。结论:针和圆利针对于固定制动引起的关节功能障碍均有确切疗效,但圆利针通过对受损软组织的直接干预,能更有效地治疗制动引起的关节功能障碍。 Objective： To compare curative effect and mechanism of EA therapy and RSA therapy in treating knee joint dysfunction caused by knees immobilization. Methods： Randomly divided 24 New Zealand rabbits into four groups： normal group,model group,RSA group and EA group,with 6 rabbits of each group. Make knee joint dysfunction model except for normal group. Treatment groups received treatment after 6 weeks of modeling. The Lequesne MG was evaluated at 4,8,12 weeks after modeling. HE staining was observed at 13 weeks after modeling. X-ray were used to assess the radiological changes of knee joint dysfunction model rabbits. Results： Behavioral： EA and RSA therapy can effectively relieve movement disorder（ P 0. 05）,swelling local reaction in knee joint dysfunction model rabbits and the effects were similar within two groups（ P 0. 05. Light microscope： EA（ P 0. 05） and RAS（ P 0. 01） therapies could all worked effectively but RSA group behaves better than EA group. X-ray： Tow therapies could all worked effectively but RSA group is superior to EA group. Conclusion： EA and RSA therapy showed definite effect on knee joint dysfunction model rabbits caused by knees immobilization,and RSA therapy is better for its direct intervention on soft tissue.

关 键 词： 电针 圆利针 行为学 超微结构 线