电针和推拿手法治疗膝骨性关节炎临床疗效比较研究  

Comparative Study on Clinical Efficacy Between Electroacupuncture and Tuina in Treating Knee Osteoarthritis

作　　者：库秀娟[1] 杨松滨[1] 褚立希[1] 查建林[1] 冯伟[1] 

机构地区：[1]上海中医药大学针灸推拿学院,上海201203

出　　处：《上海中医药杂志》2009年第8期19-21,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家"973"计划子项目(2009CB522901);上海市卫生局基金资助项目(2008L043A);上海市教委基金资助项目(szy0-7011)

摘　　要：目的比较电针和推拿手法治疗膝骨性关节炎的临床疗效。方法将40例膝骨性关节炎患者随机分为两组,分别采用电针和推拿手法治疗1个月。采用骨关节炎指数(WOMAC)量表分别在治疗2周和4周后进行疗效评定。结果治疗2周和4周时两组的总体症状、疼痛、僵硬和日常活动功能积分均较治疗前明显降低(P<0.01),且电针治疗组的各项积分低于推拿治疗组(P<0.05,P<0.01);电针治疗组的WOMAC总评分改善率明显高于推拿治疗组(P<0.01)。结论电针和推拿手法治疗膝骨性关节炎疗效确切,且电针治疗优于推拿手法治疗。Objective To compare the clinical efficacy between electroacupuncture and Tuina therapies for knee osteoarthritis（KOA）. Methods Forty KOA cases were divided into two groups： treatment group in which 20 cases were treated by electroacupuncture and control group in which another 20 cases were treated by Tuina, with a course of one month. Western Ontario MacMaster（WOMAC） scores were observed in the two groups before, during and after treatments. Results After 2- week and 4-week treatments, the WOMAC scores of overall symptoms, pain, stiffness and daily activity were reduced in both groups in comparison with before treatments（ P 〈0.01 ） ; and the scores were reduced more significantly in treatment group than in control group（ P 〈0.05, P 〈0.01 ）. The improvement rate was higher in treatment group than in control group（P 〈0.01 ）. Conclusion Electroacupnnctnre and Tuina are quite effective for KOA, but electroacupnneture works better than Tuina.

关 键 词：膝骨性关节炎 电针疗法 推拿手法 WOMAC评分 

分 类 号：R274.9[医药卫生—中西医结合] R246[医药卫生—中医骨伤科学]