电针联合富血小板血浆治疗膝骨关节炎的疗效观察  

Clinical observation of electroacupuncture combined with platelet-rich plasma in the treatment of knee osteoarthritis

作　　者：薛伟[1] 康少英[1] 郭洪生[1] 高庆亮[1] 张英民[1] 高彦平 Xue Wei;Kang Shaoying;Guo Hongsheng;Gao Qingliang;Zhang Yingmin;Gao Yanping(Department of Orthopedics,Handan Central Hospital,Handan 056001,China;Department of Traditional Chinese Medicine Orthopedics&Traumatology,the Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,China)

机构地区：[1]邯郸市中心医院骨三科,056001 [2]南方医科大学第三附属医院中医骨伤科,广州510630

出　　处：《中华针灸电子杂志》2024年第1期13-17,共5页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

摘　　要：目的观察电针联合富血小板血浆(PRP)治疗膝骨关节炎(KOA)的临床疗效。方法收集2018年6月至2022年2月邯郸市中心医院就诊的KOA患者150例,根据治疗方案的不同分为电针组61例,PRP组41例和电针+PRP组48例。电针组采用电针治疗,PRP组采用关节腔内注射PRP治疗,电针+PRP组采用电针联合关节腔内注射PRP治疗。连续治疗5周后,比较3组患者治疗前后视觉模拟量表(VAS)评分、Lequesne评分、西部安大略省和麦克马斯特大学骨关节炎量表(WOMAC)评分及膝关节活动度,并评定3组临床疗效。结果治疗5周后,电针+PRP组患者VAS评分、Lequesne指数、WOMAC评分均低于电针组和PRP组(t=15.925、28.116、16.710、19.822、12.641、15.912,P均<0.05)。电针+PRP组患者膝关节活动度高于电针组和PRP组(t=9.275、20.279,P均<0.05)。结论电针联合PRP关节腔内注射治疗KOA疗效显著,值得临床推广应用。Objective To observe the clinical effect of electroacupuncture combined with platelet-rich plasma(PRP)on knee osteoarthritis(KOA).Methods A total of 150 KOA patients from Handan Central Hospital from June 2018 to February 2022 were collected and divided into 61 patients in electroacupuncture group,41 patients in PRP group and 48 patients in electroacupuncture+PRP group according to different treatment protocols.The electroacupuncture treatment group was treated with electroacupuncture,the PRP group was treated with intra-articular injection of PRP,and the electroacupuncture+PRP group was treated with electroacupuncture combined with PRP.All the continuous treatment lasted for five weeks.Visual Analogue Scale(VAS)scores,Lequesne index,Western Ontario McMaster University Osteoarthritis Index(WOMAC)scores and motion range of knee were compared before and after treatment in the three groups,and the clinical efficacy of the three groups was evaluated.Results After five weeks of treatment,VAS score,Lequesne index and WOMAC score in electroacupuncture+PRP group were lower than those in electroacupuncture and PRP group(t=15.925、28.116、16.710、19.822、12.641、15.912,all P<0.05).The motion of knee joint in electroacupuncture+PRP group was higher than that in electroacupuncture and PRP group(t=9.275、20.279,all P<0.05).Conclusion Electroacupuncture combined with PRP in the treatment of KOA is effective and worthy of clinical application.

关 键 词：骨关节炎 膝 电针 富血小板血浆 

分 类 号：R684.3[医药卫生—骨科学]