摘要
目的:观察"膝五刀"治疗膝骨性关节炎(knee osteoarthritis,KOA)的临床疗效。方法:将72例患者随机分为观察组和对照组,每组36例。观察组给予"膝五刀"疗法治疗,对照组则运用针刺治疗。两组各治疗3个疗程。分别于治疗前,治疗后1周、3周、6周进行相关疗效评定,治疗后6个月及12个月再进行随访,以"症状、体征评分量表"(简称"量表")作为评定指标。结果:观察组在治疗后1周、3周、6周各项评分逐渐降低,与治疗前比较,差异均有统计学意义(P<0.05),且在同一时间点观察组均低于对照组,差异均有统计学意义(P<0.05)。对照组仅疼痛评分、沉重评分在治疗后1周、3周、6周逐渐降低,且在治疗后6周时与治疗前比较,差异有统计学意义(P<0.05)。观察组治疗后6、12个月时各项评分与治疗前比较,下降明显,差异有统计学意义(P<0.05)。对照组仅"沉重"评分在治疗后6个月时较治疗前显著下降,差异有统计学意义(P<0.05)。治疗后6、12个月时上述指标两组比较,差异有统计学意义(P<0.05)。结论:"膝五刀"在治疗KOA方面较传统针刺疗法,疗效确切,优势明显,近期效果显著,远期效果良好;且操作相对简便,不良反应少。
Objective:To observe clinical effects of"knee five knives"in the treatment of knee osteoarthritis(KOA).Methods:All 72 patients were randomized into the control group and the observation group,36 cases each group.The observation group was treated by"knee five knives",and the control group by needling.Both groups were treated for three courses respectively.The related clinical effects were assessed before treating,one week,three and six weeks after treating respectively,"the scales of symptoms and body signs"were used as the evaluation indexes in the follow-up of six months and 12 months after treating.Results:Different indexes scores reduced in the observation group one week,three and six weeks after treating,the difference had statistical meaning compared with before treating(P<0.05),and the observation group was lower than the control group at the same time points,and the difference had statistical meaning(P<0.05).Only pain scores and heavy scores of the control group lowered gradually one week,three and six weeks after treating,the difference showed statistical meaning when six weeks after treating were compared with before treating(P<0.05).Different scores of the observation group six and 12 months after treating were compared with these before treating,and they lowered notably,and the difference had statistical meaning(P<0.05).Only heavy scores six months after treating in the control group lowered compared with these before treating,and the difference presented statistical meaning(P<0.05).The difference was statistically significant in these indexes between both groups six and 12 months after treating(P<0.05).Conclusion:"Knee five knives"in the treatment of KOA could obtain definite clinical effects,notable advantages,remarkable short-term effects,good long-term effects,relatively simple operation and minor adverse reaction compared with traditional acupuncture therapy.
作者
李海洋
刘智斌
李彬锋
王卫刚
LI Haiyang;LIU Zhibin;LI Binfeng;WANG Weigang(Shaanxi University of Chinese Medicine,Xianyang 712046,China;Affiliated Hospital of Shaanxi University of Chinese Medicine)
出处
《西部中医药》
2020年第6期108-111,共4页
Western Journal of Traditional Chinese Medicine
基金
陕西省重点研发计划项目(2017SF-283)。
关键词
关节炎
骨性
膝关节
膝五刀
临床疗效
osteoarthritis
knee joint
knee five knives
clinical effects
