电针联合温针灸治疗退行性膝关节炎的疗效研究
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摘要
目的:观察局部循经取穴,电针联合温针灸治疗退行性膝关节炎的临床疗效。方法:将80例退行性膝关节炎的患者随机分为联合组和对照组,每组40例,联合组采用电针联合温针灸治疗,对照组采用常规电针治疗,每日治疗1次,以7 d为一个疗程,疗程间隔2 d,连续观察2个疗程,依据HSS膝关节评分标准,将主、客观指标列为观测项目,进行量表法评估,同时对中医临床症状及日常功能活动量化评分进行评价,对两组治疗结果进行统计学分析。结果:联合组基本痊愈25例(62.5%)、显效8例(20.0%)、有效5例(12.5%)、无效2例(5.0%),总有效率38例(95.0%);对照组基本痊愈15例(37.5%)、显效4例(10.0%)、有效11例(27.5%)、无效10例(25.0%),总有效率30例(75.0%)。联合组总有效率高于对照组,差异有统计学意义(P <0.05)。结论:电针联合温针灸治疗退行性膝关节炎,较常规电针治疗效果显著,该法操作简单易行,安全可靠,适合在临床推广应用。
Objective: To observe the clinical efficacy of electro-acupuncture puls warming acupuncture and moxibustion on degenerative osteoarthritis of knee. Methods: 80 patients were randomly divided into the combined group and the control group,40 cases in each group. The combined group was treated by electro-acupuncture puls warming acupuncture and moxibustion.The control group was treated by conventional electro-acupuncture. The subjective and objective indicators were classified as observation items according to the HSS knee score standard, and evaluated by scale method. The clinical symptoms of TCM and quantitative score of daily functional activities were evaluated. The results of treatment were analyzed statistically.Results: In the combined group, 25 cases(62.5%) were cured; 8 cases(20.0%) were marked; 5 cases(12.5%) were effective;2 cases(5.0%) were ineffective; and the total efficiency was 95.0%. In the control group, 15 cases(37.5%) were mostly cured;4 cases(10.0%) were marked; 11 cases(27.5%) were effective; 10 cases(25.0%) were ineffective; and the total efficiency was75.0%. The efficiency in the combined group was higher than the control group, with a statistically significant difference(P<0.05). Conclusion: Electro-acupuncture plus warming acupuncture and moxibustion on degenerative osteoarthritis of knee show a significant effect, with simple and easy operation, safe and reliable, and suitable for clinical application.
Objective: To observe the clinical efficacy of electro-acupuncture puls warming acupuncture and moxibustion on degenerative osteoarthritis of knee. Methods: 80 patients were randomly divided into the combined group and the control group,40 cases in each group. The combined group was treated by electro-acupuncture puls warming acupuncture and moxibustion.The control group was treated by conventional electro-acupuncture. The subjective and objective indicators were classified as observation items according to the HSS knee score standard, and evaluated by scale method. The clinical symptoms of TCM and quantitative score of daily functional activities were evaluated. The results of treatment were analyzed statistically.Results: In the combined group, 25 cases(62.5%) were cured; 8 cases(20.0%) were marked; 5 cases(12.5%) were effective;2 cases(5.0%) were ineffective; and the total efficiency was 95.0%. In the control group, 15 cases(37.5%) were mostly cured;4 cases(10.0%) were marked; 11 cases(27.5%) were effective; 10 cases(25.0%) were ineffective; and the total efficiency was75.0%. The efficiency in the combined group was higher than the control group, with a statistically significant difference(P<0.05). Conclusion: Electro-acupuncture plus warming acupuncture and moxibustion on degenerative osteoarthritis of knee show a significant effect, with simple and easy operation, safe and reliable, and suitable for clinical application.
引文
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[15]林国华.李万瑶.苏田龙,等.温针灸治疗膝骨性关节炎40例疗效观察[J].新中医,2004,36(10):48-49.
[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:48.
[3]中华医学会骨科学分会.骨关节炎诊治指南[J].中华骨科学杂志,2007,27(10):793-796.
[4]陆廷仁.骨科康复学[M].北京:人民卫生出版社,2007.
[5]谭惠予,冯云亮.温针灸深刺犊鼻、内膝眼治疗膝关节骨性关节炎的临床疗效分析[J].中医临床研究,2016,8(14):23.
[6]李月霞.电针对兔膝骨关节炎软骨水通道蛋白3表达的影响[D].泸州:泸州医学院,2014:245.
[7]巫子涵.电温针对膝骨关节炎患者血清细胞因子与生存质量的影响[D].广州:广州中医药大学学报,2011:9,246.
[8]张建平.电针加温和灸治疗退行性膝关节炎67例疗效观察[J].针灸临床杂志,2003,l9(l0):31.
[9]李树成,袁训林,覃彪民,等.电温针法治疗退行性膝关节炎61例[J].现代康复,2001,5(11):138.
[10]吕厚山.髋、膝关节骨性关节炎的研究现状和进展[J].实用老年医学,2001,15(05):229-230.
[11]张磊,吴林生.关节软骨损伤的研究进展[J].中国骨伤,1997,10(02):60-62.
[12]郭长青.针灸学现代研究与应用[M].北京:学苑出版社,1998:75-176.
[13]黄泰康.针灸辨证治疗学[M].北京:中国医药科学出版社,2000:30.
[14]张宏荣,车晓棠.温针灸治疗退行性膝关节炎60例[J].实用中医药杂志,2001,10(17):l0.
[15]林国华.李万瑶.苏田龙,等.温针灸治疗膝骨性关节炎40例疗效观察[J].新中医,2004,36(10):48-49.