摘要
目的观察针灸治疗膝骨关节炎对患者疾病改善以及预防复发的效果。方法选取膝骨关节炎患者95例,根据随机数字表法将患者分为对照组(47例)和治疗组(48例)。对照组给予西药治疗,治疗组给予西药加针灸治疗。对比治疗后的临床效果,记录患者治疗前、治疗后2周、治疗后4周、治疗后8周疼痛评分、膝关节僵硬度评分、生活质量评分变化,对患者进行1年随访,比较患者病情复发率情况。结果治疗组总有效率为95.8%,对照组为74.5%,两组比较差异具有统计学意义(P<0.05);治疗后2周、治疗后4周、治疗后8周治疗组患者疼痛评分[(6.02±1.02)分、(4.02±0.65)分、(3.10±0.5)8分]低于对照组[(7.01±1.24)分、(5.63±0.75)分、(4.59±0.75)分](P<0.05);治疗后2周、治疗后4周、治疗后8周两组患者膝关节僵硬度评分均降低,治疗组低于对照组(P<0.05);治疗后2周、治疗后4周、治疗后8周患者生活质量均有提高,治疗组高于对照组(P<0.05)。两组患者1年随访,治疗组有2例患者复发,复发率为4.3%,对照组有11例患者复发,复发率为31.4%,两组比较差异具有统计学意义(P<0.05)。结论针灸治疗膝骨关节炎患者,可降低患者的疼痛感受,改善患者膝关节僵硬度,提高患者生活质量,降低疾病复发率。
Objective To investigate the efficacy of acupuncture-moxibustion treatment in relieving the symptoms and preventing the recurrence in patients with knee osteoarthritis. Method Ninety-five patients with knee osteoarthritis were randomized, according to different treatments, to a control group （47 cases） and a treatment group （48cases）. The control group received Western drug treatment and the treatment group, acupuncture and moxibustion in addition. The clinical effects were compared after treatment. The pain score, the knee stiffness score and the quality of life score were recorded in the patients before treatment and at two, four and eight weeks after. One year’s follow-up was performed in the patients. The recurrence rates were compared between the patients. Result The total efficacy rate was 98.5% in the treatment group and 74.5% in the control group; there was a statistically significant difference between the groups （P〈0.05）. The pain score was lower in the treatment group [（6.02±1.02）, （4.02±0.65） and （3.10±0.5）] than in the control group [（7.01±1.24）, （5.63±0.75） and （4.59±0.75）] at two, four and eight weeks aftertreatment （P〈0.05）. The knee stiffness score decreased in both groups of patients and was lower in the treatment groupthan in the control group （P〈0.05） at two, four and eight weeks after treatment. The quality of life improved in the patients and did more in the treatment group than in the control group （P〈0.05） at two, four and eight weeks after treatment. The one year’s follow-up of the two groups showed that two patients of the treatment group had a recurrence with a recurrence rate of 4.3% and 11 patients of the control group had a recurrence with a recurrence rate of 31.4%; there was a statistically significant difference between the groups （P 〈 0.05）. Conclusion Acupuncture-moxibustion treatment for knee osteoarthritis can relieve the pain, reduce knee stiffness, improve the quality of life and decrease its recurrence rate in the patients.
作者
应建伟
裘伟国
刘其顺
田小军
叶承锋
YING Jian-wei;QIU Wei-guo;LIU Qi-shun;TIAN Xiao-jun;YE Cheng-feng(Zhejiang Tonglu County Hospital of Traditional Chinese Medicine,Hangzhou 311500,China;Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,China;Hangzhou Hospital of Zhejiang Medical ＆ Health Group,Hangzhou 310022,China)
出处
《上海针灸杂志》
2018年第10期1202-1206,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药科技计划项目(2015ZA178)
关键词
针灸疗法
针药并用
骨关节炎
膝关节
膝关节僵硬度评分
生活质量评分
视觉模拟评分
Acupuncture-moxibustion therapy
Acupuncture medication combined
Osteoarthritis
knee joint
The knee stiffness score
The quality of life score
Visual Analogue Scale score
