针刺配合手法治疗膝骨关节炎疗效观察  

Observations on the Efficacy of Acupuncture plus Manipulation in Treating Knee Osteoarthritis

作　　者：孙奎[1] 鲍学梅[1] 周忠良[1] 宋阳春[1] 刘德春[1] 

机构地区：[1]安徽中医学院附属针灸医院,安徽230061

出　　处：《上海针灸杂志》2010年第3期181-183,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽省教育厅自然科学研究项目(KJ2008B073)

摘　　要：目的观察针刺配合手法治疗膝骨关节炎的临床疗效。方法将51例患者随机分为两组,治疗组27例采用针刺配合手法调整膝关节肌力平衡疗法治疗,对照组24例采用口服双氯芬酸钠缓释片治疗。结果症状、体征分级量化评分积分及关节疼痛、功能、肿胀、膝围积分比较,两组治疗前后组内比较差异均有统计学意义(P<0.01),治疗后两组间比较治疗组优于对照组(P<0.05)。治疗后、治疗结束3个月后,治疗组综合疗效优于对照组(P<0.05)。结论针刺配合手法治疗膝骨关节炎疗效满意,后期疗效优于双氯芬酸钠缓释片。Objective To investigate the clinical efficacy of acupuncture plus manipulation in treating knee osteoarthritis. Method Fifty-one patients were randomly allocated to two groups. The treatment group of 27 cases received acupuncture plus manipulatory regulation of knee myodynamia as equilibrium therapy and the control group of 24 cases took diclofenac sodium extended-release tablets. Results There were statistically significant pre-/post-treatment differences in symptom and sign subscores, joint pain, swelling and function scores, and knee circumference score in both groups （P〈0.01）. After treatment, they improved more in the treatment group than in the control group （P〈0.05）. At the end of treatment and three months after, the overall therapeutic effect was better in the treatment group than in the control group （P〈0.05）. Conclusion Acupuncture plus manipulation has a satisfactory therapeutic effect on knee osteoarthritis. Its after-effect is superior to that of diclofenac sodium extended-release tablets.

关 键 词：骨关节炎 膝关节 针刺 按摩 推拿 

分 类 号：R246.2[医药卫生—针灸推拿学]