针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2014年
6期
35-38
,共4页
膝关节%骨关节炎%针刺疗法%推拿疗法
膝關節%骨關節炎%針刺療法%推拿療法
슬관절%골관절염%침자요법%추나요법
Knee joint%Osteoarthritis%Acupuncture therapy%Chinese massage therapy
目的：明确针刺推拿结合疗法治疗膝骨关节炎（ KOA）的临床疗效。方法：将96例KOA患者随机分为针推组和针刺组，分别采用针刺推拿结合疗法和单纯针刺法，以疼痛视觉模拟评分VAS、WOM-AC骨关节炎指数为观察指标，治疗4周20次后评定疗效。结果：针推组46例、针刺组45例完成观察。两组均取得明显的临床疗效，且针推组明显优于针刺组（ P＜0．01）；两种疗法均能显著降低患者VAS评分、WOMAC骨关节炎指数总分及其疼痛、僵硬、功能评分，这些变化针推组与针刺组相比具有显著性差异（ P＜0．05）。结论：针刺推拿结合疗法、针刺疗法治疗膝骨关节炎疗效确切，且针刺推拿结合疗法的疗效明显优于针刺法，尤其在止痛和改善关节僵硬、功能方面具有明显的优势，值得临床推广应用。
目的：明確針刺推拿結閤療法治療膝骨關節炎（ KOA）的臨床療效。方法：將96例KOA患者隨機分為針推組和針刺組，分彆採用針刺推拿結閤療法和單純針刺法，以疼痛視覺模擬評分VAS、WOM-AC骨關節炎指數為觀察指標，治療4週20次後評定療效。結果：針推組46例、針刺組45例完成觀察。兩組均取得明顯的臨床療效，且針推組明顯優于針刺組（ P＜0．01）；兩種療法均能顯著降低患者VAS評分、WOMAC骨關節炎指數總分及其疼痛、僵硬、功能評分，這些變化針推組與針刺組相比具有顯著性差異（ P＜0．05）。結論：針刺推拿結閤療法、針刺療法治療膝骨關節炎療效確切，且針刺推拿結閤療法的療效明顯優于針刺法，尤其在止痛和改善關節僵硬、功能方麵具有明顯的優勢，值得臨床推廣應用。
목적：명학침자추나결합요법치료슬골관절염（ KOA）적림상료효。방법：장96례KOA환자수궤분위침추조화침자조，분별채용침자추나결합요법화단순침자법，이동통시각모의평분VAS、WOM-AC골관절염지수위관찰지표，치료4주20차후평정료효。결과：침추조46례、침자조45례완성관찰。량조균취득명현적림상료효，차침추조명현우우침자조（ P＜0．01）；량충요법균능현저강저환자VAS평분、WOMAC골관절염지수총분급기동통、강경、공능평분，저사변화침추조여침자조상비구유현저성차이（ P＜0．05）。결론：침자추나결합요법、침자요법치료슬골관절염료효학절，차침자추나결합요법적료효명현우우침자법，우기재지통화개선관절강경、공능방면구유명현적우세，치득림상추엄응용。
Objective:To observe the efficacy of acupuncture combined with Chinese massage in the treatment of Knee Osteoarthritis ( KOA) .Methods:96 outpatients with KOA were randomly assigned to be treated by acu-puncture and Chinese massage or only by acupuncture , 5 times a week for 4 weeks.The co-primary outcome measures were the changes in pain intensity ( visual analogue scale , VAS) and WOMAC index ( Western Ontar-io and McMaster Universities Arthritis Index ) after 4 weeks.Results:46 patients by acupuncture with Chinese massage and 45 patients by acupuncture completed the study .Both groups achieved obvious clinical efficacy , and improvement in clinical efficacy by acupuncture with Chinese massage was greater than only by acupuncture ( P<0 .01 ) .The endpoint from baseline was significantly decreased in VAS score , pain score ,stiffness score , function scores and total score of WOMAC index for both therapies , and improvements were significantly greater for acupuncture with Chinese massage than only acupuncture for these changes ( P<0 .05 ) .Conclusion:Acu-puncture combined with Chinese massage or acupuncture is effective in the treatment of KOA , and the efficacy of acupuncture combined with Chinese massage is superior to acupuncture obviously , particularly with more ad-vantages in relieving pain and stiffness , improving knee joint function of patients ,which is worth promoting and applying especially .
