杨天鹏手法联合圆针刀治疗膝骨关节炎的疗效观察OA

Objective:This study explores the clinical efficacy of Yang Tianpeng's manipulation combined with circular nee-dle knife based on the theory of equal emphasis on muscles and bones for the treatment of knee osteoarthritis(KOA).Methods:A total of 98 patients with KOA admitted from November 2023 to May 2025 were randomly divided into an cir-cular needle knife group and a combination therapy group using a random number table.The circular needle knife group adopts independently developed circular needle knife treatment;the combination therapy group was treated with circular needle knife combined with Yang Tianpeng's manipulation.Both groups received treatment for 4 consecutive weeks.Com-pare the visual analogue scale(VAS)scores,traditional Chinese medicine syndrome scores,Western Ontario and McMaster University osteoarthritis index(WOMAC)scores,AIMS2-SF scores,inflammatory factors(C-reactive protein(CRP),interleukin-6(IL-6)),and clinical efficacy before and after intervention,as well as monitor the occur-rence of adverse reactions between two groups.Results:In terms of pain,after 1,2,and 4 weeks of treatment,the VAS scores of the combination therapy group were lower than those of the circular needle knife group,and the differences were statistically significant(P＜0.05).In terms of traditional Chinese medicine symptom scores,the combination therapy group had lower scores in pain,stiffness,swelling,restricted mobility,and lumbar and knee soreness and weakness than the circular needle knife group(P＜0.05).In terms of joint function,quality of life,and inflammatory factors,the combination therapy group had lower average levels of WOMAC scores,CRP,and IL-6 compared to the circular needle knife group(P＜0.05),while there was no statistically significant difference between the AIMS2-SF groups(P＞0.05).In terms of clinical efficacy,the combination therapy group was higher than the circular needle knife group(Z=2.920,P＜0.05).However,there was no statistically significant differ-ence in the total effective rate between the two groups(x2=3.161,P＞0.05).There was no statistically significant differ-ence in the incidence of adverse reactions between the two groups(x2=0.005,P＞0.05).Conclusion:Yang Tianpeng's integrated approach-combining circular needle knife therapy with syndrome differentiation for early-to mid-stage KOA patients presenting liver-kidney deficiency syndrome-more effectively alleviate joint pain,improves joint function and range of motion,and reduce inflammatory factor levels.The short-term efficacy is superior to that of circular needle knife therapy alone,while its long-term outcomes require extended follow-up validation.