针刺治疗膝骨性关节炎45例临床观察  

Clinical Observation on 45 Cases with Knee Osteoarthritis Treated by Acupuncture

作　　者：曹锐[1] 杨红玲[1] 何润东[2] 

机构地区：[1]天津中医药大学第一附属医院 [2]天津中医药大学

出　　处：《中医杂志》2016年第13期1133-1136,共4页Journal of Traditional Chinese Medicine

摘　　要：目的评价针刺治疗膝骨性关节炎的疗效及安全性。方法将90例膝骨性关节炎患者随机分为针刺组和安慰针组各45例,针刺组取患侧穴位犊鼻、内膝眼、血海、梁丘、鹤顶、阳陵泉、阴陵泉、曲泉、膝阳关、阿是穴进行毫针针刺;安慰针组取相同穴位采用安慰针具施术。两组均每周连续治疗5天,休息2天后进行下周治疗,连续治疗4周。分别于治疗前、治疗2周、4周根据the Western Ontario and Mc Maste universities骨性关节炎指数(WOMAC)评分,治疗前、治疗4周根据世界卫生组织生存质量测定量表简表(WHOQOL-BREF量表)对两组患者膝关节功能和生存质量进行评价。记录治疗过程中不良反应的发生情况。结果两组治疗2周及4周后WOMAC评分均低于治疗前(P<0.05),且针刺组治疗后两时间点WOMAC评分均明显低于安慰针组(P<0.05)。治疗4周后针刺组患者健康状况主观感觉、生理领域评分均高于本组治疗前(P<0.05),安慰针组WHOQOL-BREF量表各维度治疗前后比较差异无统计学意义(P>0.05);治疗4周后针刺组生存质量主观感觉、健康状况主观感觉、生理领域评分均高于安慰针组(P<0.05)。针刺组共计4例5次针刺导致皮下血肿计入不良反应,血肿均自行吸收;安慰针组无不良反应。结论针刺治疗能够改善膝骨性关节炎患者膝关节功能、提高患者生活质量,且安全性良好。Objective To evaluate the efficacy and safety of acupuncture treating knee osteoarthritis. Methods Ninety patients with knee osteoarthritis were randomly divided into acupuncture group and placebo acupuncture group, 45 patients in each group. The researchers used acupuncture needles to acupuncture Dubi （ST35） , Neixiyan （ EX-LE4）, Xuehai （ SP10 ）, Liangxiu （ ST34 ）, Heding （ EX-LE2 ）, Yanglingquan （ GB34 ）, Yinlingquan （ Stx） ）, Ququan（LRS）, Xiyangguan（GB33） and ashi points in the affected side in the acupuncture group, and also treated the same points with placebo acupuncture in the placebo acupuncture group. Both groups were treated for 5 days followed by 2 days rest, totally for 4 weeks continuously. Before treatment, at the end of the 2nd and the 4th week in the treatment, the researchers gave a mark according to the Western Ontario and McMaster Universities Arthritis Index （WOMAC）. Before treatment and at the end of the 4th week, the researchers evaluated knee-joint function and quality of life in both groups according to the WHO Quality of Life-BREF scale （WHOQOL-BREF scale） and recorded unto- ward effects in the process of treatment. Results After treatment for 2 weeks and 4 weeks, WOMAC scores in the two groups were lower than those before treatment （ P 〈 0. 05 ）. At the two time points after treatment WOMAC scores in the acupuncture group were much lower than those in the placebo acupuncture group （P 〈 0. 05 ）. After treatment for 4 weeks, compared with before treatment, subjective feeling for health condition and scores of physiology field in the acupuncture group were higher than those before treatment （P 〈 0. 05） ; before and after treatment, each dimension in the placebo acupuncture group had no statistical difference to compare （ P 〉 0. 05 ）. After treatment for 4 weeks, subjective feeling about quality of life and health condition and scores of physiology field in the acupuncture group were higher than those in the placebo acupu

关 键 词：膝骨性关节炎 针刺疗法 安慰针 WOMAC评分 世界卫生组织生存质量测定量表 

分 类 号：R246.9[医药卫生—针灸推拿学]