针刀松解法治疗膝骨关节炎临床对照研究  

Study of the clinical efficacy of acupotomy for treating Knee Osteoarthritis:a randomized,controlled trial

作　　者：张义[1] 郭长青[1] 张秀芬 俞杰 权伍成 付平[1] 黄永强[1] 

机构地区：[1]北京中医药大学针灸学院,100029 [2]武警北京市总队第二医院,100037

出　　处：《中国科技信息》2007年第18期219-220,222,共3页China Science and Technology Information

基　　金：国家重点基础研究发展计划973计划课题(2005CB523307)资助

摘　　要：目的:通过与电针治疗膝骨关节炎的疗效进行对比,观察针刀对膝骨关节炎患者各项指标的影响以及总体疗效如何。方法:采用随机、对照的方法,试验组24例,采用针刀治疗;对照组24例,采用电针治疗。对比两组临床疗效。结果:(1)经过3周的治疗,电针组和针刀组均取得了一定的近期效果,与治疗前相比各项指标均有显著改善,两组的有效率比较无显著差异。(2)疗效的趋向性与治疗方法有关,针刀组更加趋向于临床治愈(P=0.04)。(3)两组患者治疗前后自身指标分值比较:疼痛、关节僵硬、生理功能、压痛、肿胀、关节活动度均有下降,具有统计学意义;针刀组与电针组治疗后各指标分值比较,疼痛、关节僵硬、生理功能、压痛、肿胀均无统计学意义。针刀组患者治疗后关节活动度显著优于电针组。结论:通过上述研究认为针刀治疗膝骨关节炎近期疗效良好,值得进一步深入研究。Objective：To observe the effect of treating knee osteoarthritis with acupotomy and compare it with electric needle and to find weather there is difference and what about the difference.Methods：Acupotomy group is observed group and electric needle is contral group.There are 24 cases in every group.Randomization,comparison is used.Result：（1） By treatment of 3 weeks,two groups get the same short-term significant effect.（2） The effect degree is related to therapeutics and observed group is better than electric needle significantly,（3）Self compare of index mark before and after treatment;the marks of pain,joint ankylosis,function,tenderness,swell,joint nobility decrease siginificantly all;Differen？ce of index mark of pain,joint ankylosis,function,tenderness,swell between observed group and contral group is insignificantly.The effect of observed group on joint mobility mark is better than control group significantly.Conclusion：Through the reseach we consider the short-term effect of treating knee osteoarthritis with acupotomy is favorable.And the therapeutics is worthy to be studied deeply.

关 键 词：骨关节炎 膝 针刀 电针 临床研究 

分 类 号：R274.9[医药卫生—中西医结合]