摘要
目的:观察电针与药物治疗髋关节骨关节炎的疗效差异。方法:将60例患者随机分为电针组和药物组,每组30例。电针组选取髀关、居髎、足五里、阴廉,采用电针治疗;药物组口服双氯芬酸钠治疗,治疗1个月后比较两组疼痛视觉模拟评分(VAS)和Harris评分变化情况。结果:电针组治疗前后的VAS评分分别为67.83±8.48和55.83±9.66,药物组分别为68.67±8.09和61.50±7.78,两组治疗后髋关节VAS疼痛评分均明显降低(均P<0.001),电针组较对照组降低更明显(P<0.05)。电针组治疗后Harris总分及关节疼痛、功能和运动范围单项评分均较治疗前明显增加(均P<0.001);药物组治疗后Harris总分、疼痛评分亦较治疗前明显增加(均P<0.001);电针组治疗后Harris总分、疼痛评分和功能评分较药物组增加更明显(均P<0.05)。结论:电针可有效地治疗髋关节骨关节炎,能够缓解关节疼痛、改善关节功能,疗效优于口服双氯芬酸钠治疗。
Objective To observe the differences of effect of electroacupuncture and medication on hip osteoarthritis. Methods Sixty cases were randomly divided into an electroacupuncture group and a medication group, 30 cases in each one. In electroacupuncture group, electroacupuncture was applied at Biguan （ST 31）, Juliao （GB 29）, Zuwuli （LR 10） and Yinlian （LR 11）. In medication group, Diclofenac Sodium was prescribed for oral administration. One month after treatment, Visual Analogue Seale（VAS）and Harris score were compared between two groups. Results VAS scores were 67.83±8.48 and 55.83±9.66 before and after treatment in eledtroacupuncture group, and were 68.67±8.09 and 61.50±7.78 in medication group separately. VAS pain scores after treatment were reduced remarkably in two groups （both P〈0. 001）, but the score was reduced much more remarkably in elec- troacupuncture group as compared with medication group. In eleetroacupuncture group, after treatment, Harris total score, the single scores of joint pain, function and motion range increased apparently as compared with those before treatment （all P〈0. 001）. In medication group, after treatment, Harris total score and pain score increased remarkably as compared with those before treatment （both P〈0. 001）. Harris total score, pain score and function score after treatment in eleetroacupuncture group increased much more remarkably as compared with those in medication group （all P〈0.05）. Conclusion Eleetroacupuneture can treat effectively hip osteoarth＇ritis, relieve joint pain and improve joint function. The efficacy of it is superior to that of oral administration of Dictofenac Sodium.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第12期982-984,共3页
Chinese Acupuncture & Moxibustion
关键词
骨关节炎
髋
电针
疼痛测定
Osteoarthritis, Hip
Electroacupuncture
Pain Measurement
