Efficacy of acupuncture plus Tuina in agriculturists with knee osteoarthrosis in Phayao,Thailand:a randomized controlled trial  

针刺结合推拿对泰国帕尧府农民的膝骨关节炎的疗效:一项随机对照试验

作　　者：Poonyaphat SIRITEERATHITIKUL Monticha KUNYALUE Yaowasak YAOWAPANKUL Punyisa PUDPONG Namngern CHANTARAMANEE Sasivimol BOOTSIKEAW Taweewun SRISOOKKUM 

机构地区：[1]Department of Traditional Chinese Medicine,School of Public Health,University of Phayao,Phayao 56000,Thailand [2]Giwon Clinic,Chonburi 20150,Thailand [3]Department of Occupational Health and Safety,School of Public Health,University of Phayao,Phayao 56000,Thailand [4]Doctor of Public Health Program,School of Public Health,University of Phayao,Phayao 56000,Thailand

出　　处：《Journal of Acupuncture and Tuina Science》2025年第1期82-88,共7页针灸推拿医学(英文版)

基　　金：registered in the Thai Clinical Trials Registry(No.TCTR20221129004);approved by the Institutional Review Board of the University of Phayao(No.1.2/024/65)。

摘　　要：Objective:To study the efficacy of acupuncture combined with Tuina(Chinese therapeutic massage)compared to acupuncture alone and sham acupuncture in aspects of symptom control and mobility functions in farmers suffering from knee osteoarthrosis(KOA).Methods:Individuals enrolled at a community hospital in Thailand were extended invitations to take part in the research project.Those who volunteered provided informed consent and were then randomly assigned to one of three groups,namely the combined group,the acupuncture group,and the control group.Thirty-four cases in the combined group received acupuncture and Tuina treatments;32 cases in the acupuncture group received acupuncture alone;and 30 cases in the control group received sham acupuncture intervention.Each group underwent therapeutic sessions once daily for 10 d.As the main outcome measured,the Western Ontario and McMaster Universities osteoarthritis index(WOMAC)was used to assess pain,stiffness,and function.The secondary outcomes included movement angles measured with a goniometer and balance function evaluated by the timed up and go test.Results:A total of 96 patients were analyzed.After the intervention,WOMAC total score and pain,stiffness,and function scores were significantly reduced and the joint range of motion was improved in both the combined group and the acupuncture group when compared to the control group(P<0.05);there were no significant differences between the combined group and the acupuncture group.Compared to the acupuncture group,a lowered balance score was observed in the combined group(P<0.05).Conclusion:After once-daily interventions for 10 consecutive days in KOA patients,both the combination of acupuncture and Tuina and acupuncture alone proved effective in alleviating pain and improving the range of motion compared to the control group.目的:探讨针刺结合推拿与单独针刺和假针刺对受到膝骨关节炎(KOA)困扰的农民在缓解症状和活动功能方面的疗效。方法:邀请在泰国社区医院登记的患者参与这项研究。在志愿者知情同意的情况下,随机分为三组,包括联合组,针刺组和对照组。联合组34例接受针刺和推拿治疗;针刺组32例接受针刺治疗;对照组30例接受假针刺治疗。三组均每天治疗1次,持续10 d。西安大略与麦克马斯特大学骨关节炎指数(WOMAC)作为主要结局指标评估疼痛、僵硬和功能。次要结局指标包括测角仪测量的运动角度和计时起立-行走测试评价的平衡功能。结果:共有96例患者纳入分析。干预后,与对照组相比,联合组和针刺组的WOMAC总分、疼痛、僵硬和功能分值均显著降低,关节活动范围均有所改善(P<0.05);联合组和针刺组无统计学差异。与针刺组相比,联合组平衡得分更低(P<0.05)。结论:在对KOA患者进行每天1次,连续10 d的治疗后,针刺结合推拿和单独针刺在有效缓解疼痛,增加活动角度上优于对照组。

关 键 词：ACUPUNCTURE TUINA MASSAGE Alternative Medicine Osteoarthritis Knee Randomized Controlled Trial 

分 类 号：R246.2[医药卫生—针灸推拿学]