短刺法配合电针肌肉起止点治疗膝骨关节炎的临床观察  

Clinical Observation of Short Thrust Needing Combined with Electroacupuncture at the Starting Point and Ending Point of the Muscle in the Treatment of Knee Osteoarthritis

作　　者：甘雨彤 黄超豪 龙庆媚 杜艳[2] 

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《湖南中医药大学学报》2018年第4期443-446,共4页Journal of Hunan University of Chinese Medicine

基　　金：广西中医药大学研究生创新课题(YJS201718)

摘　　要：目的观察短刺法配合电针肌肉起止点治疗膝骨关节炎的临床疗效。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。治疗组予短刺法配合电针肌肉起止点治疗,对照组予塞来昔布治疗,两组疗程均为4周。通过观察治疗前与治疗结束后及治疗结束后4周的膝关节WOMAC量表评分、VAS评分,比较两组患者临床疗效。结果 (1)治疗结束后:两组总有效率差异无统计学意义(P>0.05);WOMAC量表评分及VAS评分,两组自身比较差异有统计学意义(均P<0.01),组间比较差异无统计学意义(P>0.05);(2)治疗结束4周后:两组总有效率差异有统计学意义(P<0.05);与治疗前比较,两组WOMAC量表评分降低差异有统计学意义(P<0.01),治疗组VAS评分降低差异有统计学意义(P<0.01),对照组差异无统计学意义(P=0.05);组间比较,两组WOMAC量表评分及VAS评分差异均有统计学意义(P<0.05)。结论短刺法配合电针肌肉起止点对改善膝关节功能、减少疼痛近期疗效与塞来昔布等效,中期疗效优于塞来昔布。Objective To observe the clinical efficacy of short thrust needing combined with electroacupuncture at the starting point and ending point of the muscle in the treatment of knee osteoarthritis.Methods A total of 60 cases of knee osteoarthritis were randomly divided into the treatment group and control group,30 cases in each group.The treatment group was treated with short thrust needing and electroacupuncture on the starting point and ending point of the muscle,and the control group was received celebrex treatment,with a course of four weeks.The scores of Western Ontario and Mc Master University(WOMAC)Osteoarthritis Index and the VAS score were compared before and after treatment.The clinical efficacy was observed.Evaluating the result after 4 weeks follow-up.Results(1)After treatment:the total effective rate was 86.67%in the treatment group and 80.00%in the control group,there were no significant differences(P>0.05).The WOMAC scores and the VAS scores in the two groups after and before treatment were statistically significant(P<0.05),but the differences between the two groups were not significant(P>0.05).(2)At 4 weeks after treatment:the total effective rate of two groups were statistically significant(P<0.05).The WOMAC score of the two groups decreased after treatment,the difference was statistically significant(P<0.05).The VAS score of the treatment group decreased after treatment,the difference was statistically significant(P<0.05).The difference in the control group was not significant(P>0.05).The WOMAC scores and the VAS scores between the two groups were statistically significant(P<0.05).Conclusion The therapy of short thrust needing combined with electroacupuncture at the starting point and ending point of the muscle has equivalent effect with Celebrex in short term treatment,and it is better than celebrex in mid term effect.

关 键 词：膝骨关节炎 短刺法 电针 股四头肌 塞来昔布 WOMAC VAS 

分 类 号：R246[医药卫生—针灸推拿学] R274[医药卫生—中医临床基础]