摘要
目的:比较针灸治疗与针灸配合功能训练治疗膝关节骨性关节炎的远、近期疗效。方法:99例患者随机分成针灸治疗组和综合治疗组,针灸治疗组仅接受针灸治疗,综合治疗组接受针灸治疗及功能训练。每组患者接受3—4个疗程的治疗,参照Lequesne的评估法对每位患者的临床指标进行疗前、疗后评分;3个月后随访,登记症状复发的阳性率,并进行统计处理。结果:治疗后两组患者膝关节症状及日常生活能力均比各自治疗前明显改善,积分值减少(P<0.05),疗后两组积分比无明显差异(P>0.05),3个月后随访两组的症状复发的阳性率比,综合治疗组低于针灸治疗组(P<0.05)。结论:针灸治疗对OA有肯定的疗效,如果配合功能训练,其疗效更加稳定,不易反复。
Objective:To investigate the short-term and long-term effect of acupuncture therapy with and without therapeutic exercise on patients with osteoarthritis of the knee. Method: 99 patients with knee osteoarthritis (KOA) were randomly divided into acupuncture therapy group(AG, n=50) which were treated by acupuncture and acupuncture plus therapeutic exercise group(A&&TG,n=49) which were treated by acupuncture and therapeutic exercise. Lequesne Assessment Method(LAM) were applied to all of the patients before and after received 3-4 courses of treatment to evaluate the short-term effect.All patients were followed up three months later after treatment to evaluate the long-term effect.Result:The scores of LAM decreased in both groups after treatment (P<0.05).But the final scores in the AG were near to the A&&TG level (P>0.05). The recurrence rate in the AG was higher than in the A&&TG three months later after treatment (P<0.05).Conclusion:The present study showe that acupuncture therapy is effective for KOA and it strongly suggest that therapeutic exercise have to be applied to achieve better result for KOA patients. Author′s address The First Affiliated Hospital, Sun Yat-Sun Uniersity, Guangzhou, 510080
出处
《中国康复医学杂志》
CAS
CSCD
2003年第10期606-608,共3页
Chinese Journal of Rehabilitation Medicine
关键词
针灸
功能训练
联合治疗
膝骨性关节炎
acupuncture therapy
therapeutic exercise
knee osteoarthritis
