摘要
目的观察使用药罐进行刺络拔罐治疗膝骨关节炎的临床疗效。方法选取60例膝骨关节炎患者,随机分为药罐刺络拔罐组(以下称治疗组)和传统治疗组(以下称对照组),每组30例。治疗组采用放血针于膝周特定穴位点刺后将煮好的药罐吸拔于点刺部位进行放血的方法治疗;对照组采用在相同穴位针刺结合患处微波治疗。在治疗前和疗程结束后,对两组患者进行WOMAC量表评分,通过对比两组治疗前后的积分进行疗效评定。结果两组治疗前后WOMAC总评分比较差异均有统计学意义(P<0.01)。治疗组WOMAC总评分降低的幅度明显大于对照组,两组治疗后总评分有显著差异(P<0.01)。两组治疗后WOMAC各子项评分均有不同程度的下降(P<0.01)。治疗组总有效率明显高于对照组,治疗组临床疗效明显优于对照组,差异有统计学意义(P<0.05)。结论使用药罐进行刺络拔罐疗法治疗膝骨关节炎的疗效明显优于传统针刺治疗,可有效缓解疼痛、僵硬,改善膝关节功能,能明显提高患者生活质量。
Objective To investigate the clinical efficacy of pricking-medicinal cupping bloodletting therapy for knee osteoarthritis.Method Sixty patients with knee osteoarthritis were randomly allocated to pricking-cupping bloodletting（treatment） and conventional treatment（control） groups,30 cases each.In the treatment group,specific points around the knee were pricked with bloodletting needles and blood was removed by cupping with decoction.In the control group,the same points were given acupuncture and the affected part was given microwave treatment.The WOMAC score was recorded in the two groups of patients before treatment and after the end of treatment course.The therapeutic effect was evaluated by comparing the pre-and post-treatment scores between the two groups.Result There was a statistically significant pre-/post-treatment difference in the WOMAC total score in the two groups（P〈0.01）.The range of decrease in the WOMAC total score was significantly larger in the treatment group than in the control group.There was a statistically significant post-treatment difference in the WOMAC total score between the two groups（P〈0.01）.The WOMAC item scores decreased in varying degrees in both groups after treatment（P〈0.01）.The total efficacy rate was statistically higher in the treatment group than in the control group;there was a statistically significant difference（P〈0.05）.The clinical therapeutic effect was statistically better in the treatment group than in the control group.Conclusion Pricking-medicinal cupping bloodletting is statistically better than conventional treatment in treating knee osteoarthritis.It can effectively relieve the pain and stiffness and improve knee function and the quality of life in the patients.
出处
《上海针灸杂志》
2016年第8期992-996,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
刺络拔罐疗法
药罐
骨关节炎
膝关节
WOMAC量表
Pricking-cupping bloodletting therapy
Medicinal cupping
Osteoarthritis
knee
WOMAC
