温针灸治疗膝骨关节炎远期疗效观察  

Therapeutic Observation on Warm-needling Therapy for Knee Osteoarthritis

作　　者：陈志刚[1] 吴立红[1] 陈敏杰[1] 汪春[2] 

机构地区：[1]南京军区杭州疗养院军区理体疗专科中心,杭州310007 [2]南京军区杭州疗养院创伤康复中心,杭州310007

出　　处：《上海针灸杂志》2012年第5期339-341,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察温针灸对膝骨关节炎的远期临床疗效。方法将60例膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用温针灸治疗,对照组采用药物治疗。运用患者"膝骨关节炎自评量表"(WOMAC)在治疗前、治疗2个疗程后、治疗后3个月随访时进行疗效评估。结果治疗组治疗2个疗程后总有效率为86.7%,对照组为90.0%,两组比较差异无统计学意义(P>0.05);治疗组治疗后3个月随访总有效率为83.3%,对照组为60.0%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后3个月WOMAC各项评分与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。结论温针灸是一种治疗膝骨关节炎的有效方法。Objective To observe the long-term clinical effect of warm-needling therapy in treating knee osteoarthritis （KOA）. Method Sixty patients with KOA were randomized into a treatment group and a control group, 30 in each. The treatment group was intervened by warm-needling therapy, and the control group was by medication. The WOMAC was used to evaluate the therapeutic effect before treatment, after 2-course treatment, and in the 3-month follow-up study. Result After 2 treatment courses, the total effective rate was 86.7% in the treatment group versus 90.0% in the control group, and the difference was insignificant （P〉 0.05）. The result of the 3-month follow-up study showed that, the total effective rate was 83.3% in the treatment group versus 60.0% in the control group, and the difference was statistically significant （P〈0.05）. The 3-month follow-up study also found that the subitem scores of WOMAC in the treatment group were all significantly different from those in the control group （P〈0.01, P〈0.05）. Conclusion Warm-needling therapy is an effective approach in treating KOA.

关 键 词：针灸疗法 温针灸 骨关节炎 膝关节 

分 类 号：R246.2[医药卫生—针灸推拿学]