体外冲击波循经取穴疗法对膝骨关节炎患者膝关节功能的影响  

Clinical effect on the treatment on knee joint function of patients with knee osteoarthritis by extracorporeal shockwave therapy combinated with acupoints along the channel

作　　者：杨文丽 张晓 范小波[1] 于文浩[1] 焦鹏增 赵志峻 文庆信 YANG Wenli;ZHANG Xiao;FAN Xiaobo;YU Wenhao;JIAO Pengzeng;ZHAO Zhijun;WEN Qingxin(Department of Orthopedics,East District,Handan First Hospital,Handan,Heibei 056001)

机构地区：[1]河北省邯郸市第一医院东区骨科,河北邯郸056001

出　　处：《河北中医》2021年第7期1111-1114,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省卫生和计划生育委员会河北省2018年度医学科学研究重点课题(编号:20181656)。

摘　　要：目的观察体外冲击波循经取穴疗法对膝骨关节炎(KOA)患者膝关节功能的影响。方法将150例KOA患者按照随机数字表法分为2组,治疗组75例予体外冲击波循经取穴疗法,对照组75例予体外冲击波常规冲击疗法。2组均4 d治疗1次,治疗5次为1个疗程,共治疗3个疗程。观察2组治疗前及治疗1、2、3个疗程膝关节活动度、疼痛视觉模拟评分(VAS)变化,以及2组治疗前后西安大略和麦克马斯特(WOMAC)骨关节炎指数评分变化。结果2组治疗1、2、3个疗程膝关节活动度均较本组治疗前增加(P<0.05),且治疗组均高于对照组同期(P<0.05)。2组治疗1、2、3个疗程疼痛VAS均较本组治疗前降低(P<0.05),且治疗组均低于对照组同期(P<0.05)。2组治疗后WOMAC骨关节炎指数评分疼痛、僵硬、日常生活难度评分及总评分均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05)。结论体外冲击波循经取穴疗法治疗KOA,能增加患者膝关节活动度,减轻膝关节疼痛,改善膝关节功能,提高日常生活质量。Objective To observe the effect on the treatment on knee joint function of patients with knee osteoarthritis(KOA)by extracorporeal shockwave therapy(ESWT)combinated with acupoints along the channel.Methods Totally 150 KOA patients were randomly divided into treatment group and control group(75 cases in each).Control group was treated with the intervention of ESWT on pain-points alone,and treatment group was treated with the intervention of ESWT on pain-points combinated with acupoints along the channel;All the patients were treated 3 course(1 time/4 days,5 times/course),the key observation was knee joint activity,visual analgue scale(VAS)for pain,the western Ontario and McMaster universities osteoarthritis index(WOMAC).Results After treatment,knee joint activity in groups was increased(P<0.05),which increased notably in treatment group when compared with cortrol group(P<0.05);VAS for pain in groups remarkably decreased(P<0.05),improvement of which in treatment group were significantly better(P<0.05);pain,stiffness and daily life difficulty in groups were lower after treatment(P<0.05),which in treatment group were significantly decreased(P<0.05).Conclusion For KOA patients,the intervene of ESWT on pain-points combinated with acupoints along the channel reduce pain of knee joint,improve knee joint function and quality-of-life.

关 键 词：骨关节炎 穴位疗法 中西医结合疗法 

分 类 号：R684.305.8[医药卫生—骨科学] R245.9[医药卫生—外科学]