Effect of ultrasound-guided acupotomy vs electro-acupuncture on knee osteoarthritis:a randomized controlled study  

作　　者：Ding Yu Wang Yuexiang Shi Xian Luo Yun Gao Yuhong Pan Jingkun 

机构地区：[1]Department of Acupuncture & Moxbus-tion, General Hospital of Chinese People's Liberation Army,Beijing 100853, China [2]Department of Ultrasound, General Hospi-tal of Chinese People's Liberation Army, Beijing 100853,China [3]Institute of Geriatrics, General Hospi-tal of Chinese People's Liberation Army, Beijing 100853,China

出　　处：《Journal of Traditional Chinese Medicine》2016年第4期444-449,共6页中医杂志（英文版）

基　　金：Supported by Beijing Medical Research Development Fund:the Clinical Study on Ultrasound-guided Needle-knife Treatment of Knee Osteoarthritis(No.SF-2009-46)

摘　　要：OBJECTIVE:To investigate the effect of acupotomy on knee osteoarthritis(KOA),compared to electro-acupuncture(EA).METHODS:Sixty KOA patients were randomly divided into 2 groups:ultrasound-guided acupotomy group and EA group;each had 3 weeks' therapy.After the treatment,by contrast before and after therapy,by comparing curative effects among groups,we looked into disease improvement degree through activities of daily living score(ADL),hospital for special surgery index(HSS),visual analogue scales score(VAS) and knee joint's infrared thermal imaging detection.RESULTS:Graded by ADL,the excellent rate in acupotomy group was much higher than EA group;both acupotomy group and EA group had obviouschanges in HSS index before and after the therapy(P < 0.01).And there was remarkable difference in HSS index variation between the groups(P < 0.01).Acupotomy group and EA group showed big difference in pain index before and after treatment(P <0.01).Apparent difference also existed in the comparison among groups(P < 0.01).Both acupotomy group and EA group had apparent changes in infrared thermal imaging detection before and after the treatment(P < 0.01).CONCLUSION:Acupotomy and EA both have significant effects in KOA treatment;the former is better than the latter in relieving pain and improving knee functions.OBJECTIVE： To investigate the effect of acupotomy on knee osteoarthritis （KOA）, compared to elec- tro-acupuncture （EA）. METHODS： Sixty KOA patients were randomly di- vided into 2 groups： ultrasound-guided acupotomy group and EA group; each had 3 weeks＇ therapy. Af- ter the treatment, by contrast before and after ther- apy, by comparing curative effects among groups, we looked into disease improvement degree through activities of daily living score （ADL）, hospi- tal for special surgery index （HSS）, visual analogue scales score （VAS） and knee joint＇s infrared thermal imaging detection. RESULTS： Graded by ADL, the excellent rate in acu- potomy group was much higher than EA group; both acupotomy group and EA group had obvious changes in HSS index before and after the therapy （P 〈 0.01）. And there was remarkable difference in HSS index variation between the groups （P 〈 0.01）. Acupotomy group and EA group showed big differ- ence in pain index before and after treatment （P 〈 0.01）. Apparent difference also existed in the com- parison among groups （P 〈 0.01）. Both acupotomy group and EA group had apparent changes in infra- red thermal imaging detection before and after the treatment （P 〈 0.01 ）. CONCLUSION; Acupotomy and EA both have sig- nificant effects in KOA treatment; the former is bet- ter than the latter in relieving pain and improving knee functions.

关 键 词：Osteoarthritis knee ACUPOTOMY Infra red thermal imaging ULTRASOUND-GUIDED Random ized controlled trail 

分 类 号：R246.9[医药卫生—针灸推拿学]