摘要
目的观察电针联合手法治疗膝骨关节炎的临床疗效,并对电针手法进行疗效-价值分析。方法选取2023年1月至2024年1月新疆生产建设兵团奎屯中医院门诊收治的膝骨关节炎患者118例作为研究对象,采用随机数字表法分为电针手法组(n=60)和玻璃酸钠组(n=58)。电针手法组患者每周治疗3次,连续治疗3周;玻璃酸钠组患者关节腔内注射玻璃酸钠注射液,每周1次,持续治疗3周。观察两组患者治疗前后膝关节功能改变及有效率,并运用疗效-价值分析方法比较两组差异。结果两组患者的治疗前后比较,膝关节功能评分均有改善,差异有统计学意义(P<0.05)。治疗后两组患者的膝功能评分比较,差异有统计学意义(P<0.05)。两组患者治的疗有效率和不良反应发生率比较,差异有统计学意义(P<0.05)。玻璃酸钠组临床疗效-价值优于电针手法组。结论电针手法及关节腔注射玻璃酸钠均能有效改善患者的关节疼痛及关节功能,关节腔注射玻璃酸钠有更高的不良反应发生率。
Objective To observe the clinical efficacy of electroacupuncture manipulation combined with massage therapy in the treatment of knee osteoarthritis,and to analyze the efficacy-value.Methods A total of 118 patients with knee osteoarthritis admitted to Kuitun Traditional Chinese Medicine Hospital of Xinjiang Production and Construction Corps from January 2023 to January 2024 were selected as research subjects and divided into electroacupuncture manipulation and massage group(n=60)and sodium hyaluronate group(n=58)by random number table methood.Electroacupuncture manipulation and massage group was treated 3 times a week for 3 weeks.Sodium hyaluronate group was injected with sodium hyaluronate injection in the joint cavity once a week for 3 weeks.Knee function scores and effective rate of two groups before and after treatment were observed,and the differences between two treatments were compared by using the health economics evaluation method.Results After comparing the patients before and after treatment,the knee function scores improved.There was significant difference of knee function scores after treatment between two groups(P<0.05).There were significant difference of response rate and the incidence of adverse effects between two groups(P<0.05).Sodium hyaluronate group had a better clinical efficacy-value than electroacupuncture manipulation and massage group.Conclusion Electroacupuncture manipulation and massage and sodium hyaluronate intra-articular injection can effectively improve joint pain and joint function in patients,and intra-articular injection of sodium hyaluronate has a higher incidence of adverse reactions.
作者
魏贤振
王海云
丁以山
陈朝蔚
WEI Xianzhen;WANG Haiyun;DING Yishan;CHEN Chaowei(Department of Orthopaedics and Traumatology,Shanghai Municipal Hospital of TCM Affilited to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Department of Surgery,Kuitun Traditional Chinese Medicine Hospital of Xinjiang Production and Construction Corps,Kuitun 833200,Xinjiang,China)
出处
《中国现代医生》
2025年第5期39-41,52,共4页
China Modern Doctor
基金
第七师胡杨河市科技计划项目(2024A09)
兵团科技计划项目(2024DA062)。
关键词
电针
膝骨关节炎
卫生经济学
疗效-价值
Electroacupuncture
Knee osteoarthritis
Health economics
Efficacy-value
