刺络放血治疗老年膝骨关节炎疗效观察  

Therapeutic Observation of Bloodletting for Senile Knee Osteoarthritis

作　　者：王剑波[1] 郭锦荣[1] 吴克明[1] 

机构地区：[1]上海市徐汇区斜土街道社区卫生服务中心,上海200032

出　　处：《上海针灸杂志》2014年第11期1048-1050,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市徐汇区中医人才培养专项课题(ZYKT201210)

摘　　要：目的观察刺络放血治疗老年膝骨关节炎的临床疗效。方法采用多中心、随机对照的临床试验方法,将60例老年膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用刺络放血治疗,对照组采用口服双氯芬酸钠双释放肠溶胶囊治疗。采用国际公认的治疗膝骨关节炎的VAS评分、WOMAC指数作为临床观察指标,观察两组临床疗效及症状改善情况。结果治疗组治疗后总有效率和愈显率分别为86.7%和46.7%,对照组分别为73.3%和20.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组随访1、3、6个月VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组随访3、6个月VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组随访3、6个月VAS评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组随访1、3、6个月各项WOMAC指数(总分、疼痛评分、关节僵硬评分及功能困难评分)与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组随访3、6个月各项WOMAC指数与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组随访3、6个月各项WOMAC指数与对照组比较,差异均具有统计学意义(P<0.05)。结论刺络放血是一种治疗老年膝骨关节炎的有效方法。Objective To observe the clinical efficacy of bloodletting therapy in treating senile knee osteoarthritis（KOA）. Methods By following the principle of a multi-center randomized controlled trial, sixty elderly KOA patients were randomized into a treatment group and a control group, 30 each. The treatment group was intervened by bloodletting therapy, and the control group was by oral administration of Diclofenac Sodium Dual Release Enteric-coated Capsules. The universally recognized Visual Analogue Scale（VAS） and Western Ontario and Mc Master Universities Index（WOMAC） of osteoarthritis were adopted for evaluation, and the efficacies and improvement of symptoms were observed. Results The total effective rate and recovery and markedly-effective rate were respectively 86.7% and 46.7% in the treatment group, versus 73.3% and 20.0% in the control group, and the differences were statistically significant（P〈0.05）. In the treatment group, the VAS scores at the 1, 3 and 6-month follow-up were significantly different compared to that before intervention（P〈0.05）. In the control group, the VAS scores at the 3 and 6-month follow-up were significantly different compared to that before intervention（P〈0.05）. There were significant differences in comparing the VAS score between the two groups at the 3 and 6-month follow-up studies（P〈0.05）. In the treatment group, the WOMAC scores（total score, pain score, stiffness score, and physical function score） at the 1, 3, and 6-month follow-up studies were significantly different from that before intervention（P〈0.05）. In the control group, the WOMAC scores at the 3 and 6-month follow-up were significantly different compared to that before intervention（P〈0.05）. There were significant differences in comparing the WOMAC scores between the two groups at the 3 and 6-month follow-up studies（P〈0.05）. Conclusion Bloodletting therapy is an effective approach in treating senile KOA.

关 键 词：骨关节炎 膝关节 刺血疗法 视觉模拟评分量表 WOMAC疼痛量表 

分 类 号：R246.2[医药卫生—针灸推拿学]