温针灸治疗膝骨关节炎的临床疗效及对膝关节功能的影响  

Clinical efficacy of warm acupuncture for knee osteoarthritis and its influence on knee joint function

作　　者：何栩[1] 彭倩 路怀民[1] 罗小兵[1] HE Xu;PENG Qian;LU Huaimin;LUO Xiaobing(Department of Prophylaxis,Sports Medicine,Sichuan Province Orthopedic Hospital,Sichuan,Chengdu 610041)

机构地区：[1]四川省骨科医院运动医学治未病科,四川成都610041

出　　处：《河北中医》2021年第9期1537-1540,1545,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：四川省2020年干部保健科研课题(编号:川干研2020-607)。

摘　　要：目的观察温针灸治疗膝骨关节炎(KOA)的临床疗效及对膝关节功能的影响。方法将92例KOA患者按照随机数字表法分为2组,对照组46例予西医常规治疗,治疗组46例在对照组治疗基础上加温针灸治疗。比较2组疗效;观察2组治疗前后Lysholm膝关节功能评分、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分及疼痛症状评分变化;观察2组不良反应发生情况。结果治疗组总有效率95.7%(44/46),对照组总有效率76.1%(35/46),治疗组疗效优于对照组(P<0.05)。2组治疗后Lysholm膝关节功能评分较本组治疗前升高(P<0.05),WOMAC骨关节炎指数评分较本组治疗前降低(P<0.05);治疗后治疗组Lysholm膝关节功能评分高于对照组(P<0.05),WOMAC骨关节炎指数评分低于对照组(P<0.05)。2组治疗后活动痛指数、静息痛指数、关节压痛指数、关节肿胀指数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)。治疗组不良反应发生率6.5%(3/46),对照组不良反应发生率30.4%(14/46),治疗组不良反应发生情况较对照组轻(P<0.05)。结论温针灸治疗KOA,可有效改善患者膝关节疼痛、肿胀等临床症状,改善膝关节功能,减少不良反应发生。Objective To observe the clinical efficacy of warm acupuncture for knee osteoarthritis(KOA)and its influence on knee joint function.Methods Totally 92 KOA patients were randomly divided into two groups,46 cases in control group were treated with conventional treatment of western medicine,and 46 cases in treatment group with warm acupuncture on the basis of control group.The key observations were Lysholm Knee Scoring(LKS),Western Ontario and McMaster Universities(WOMAC)osteoarthritis index,pain score,and curative effects,as well as adverse reaction between groups before and after treatment.Results The total effective rates in treatment group and control group were 95.7%(44/46)and 76.1%(35/46),respectively,the curative effect being better in treatment group than control group(P<0.05).After treatment,LKS in groups was significantly increased(P<0.05),treatment group was higher than control group(P<0.05);WOMAC index was evidently decreased,treatment group was obviously decreased in comparison with control group(P<0.05);pain scores including activity pain,rest pain,joint tenderness,joint swelling in groups were remarkably decreased(P<0.05),improvement of which in treatment group were significantly better(P<0.05).The incidence of adverse reactions was lower in treatment group than in control group[6.5%(3/46)vs 30.4%(14/46),(P<0.05),respectively].Conclusion For KOA patients,warm acupuncture can effectively improve the clinical symptom such as knee joint pain,swelling,improve knee joint function,and reduce adverse reaction.

关 键 词：骨关节炎 膝 温针疗法 

分 类 号：R684.3[医药卫生—骨科学] R245.315[医药卫生—外科学]