CAJ | 학술논문

目的:以针刺传统腧穴为对照,观察针刺结筋病灶点治疗膝关节骨性关节炎的临床疗效. 方法:将符合研究标准的60例膝关节骨性关节炎患者随机分为两组,治疗组30例,采用针刺结筋病灶点治疗,对照组30例,采用针刺传统腧穴治疗. 治疗4个疗程,综合采用骨关节炎指数评分( WOMAC )、视觉模拟评分( VAS )及健康调查简表( SF-36 )在治疗前、治疗后进行评分记录观察患者各项评分变化,评估其临床疗效. 结果:治疗组总有效率96 .67%,对照组总有效率90%,总体疗效组间比较差异有统计学意义(P<0.05 ). 治疗前后各项评分组内比较差异有统计学意义(P<0.05). 治疗后各项评分组间比较差异有统计学意义( P<0.05 ). 结论:两种针刺治疗方法都有很好的临床疗效,但治疗组总体疗效优于对照组. 治疗组对疼痛、僵硬、日常活动难度及生活质量的改善均优于对照组,并且近期疗效优于对照组.
목적:이침자전통수혈위대조,관찰침자결근병조점치료슬관절골성관절염적림상료효. 방법:장부합연구표준적60례슬관절골성관절염환자수궤분위량조,치료조30례,채용침자결근병조점치료,대조조30례,채용침자전통수혈치료. 치료4개료정,종합채용골관절염지수평분( WOMAC )、시각모의평분( VAS )급건강조사간표( SF-36 )재치료전、치료후진행평분기록관찰환자각항평분변화,평고기림상료효. 결과:치료조총유효솔96 .67%,대조조총유효솔90%,총체료효조간비교차이유통계학의의(P<0.05 ). 치료전후각항평분조내비교차이유통계학의의(P<0.05). 치료후각항평분조간비교차이유통계학의의( P<0.05 ). 결론:량충침자치료방법도유흔호적림상료효,단치료조총체료효우우대조조. 치료조대동통、강경、일상활동난도급생활질량적개선균우우대조조,병차근기료효우우대조조.
Objectiv e:To observe the therapeutic effect of acupuncture with Muscle Meridan Focus in the treat-ment of knee osteoarthritis with the comparison of traditional acupoints .Methods:Sixty patients with knee osteo-arthritis meeting the research requirement were randomly assigned into two groups ,the treatment group ( 30 pa-tients treated by acupuncture with Muscle Meridan Focus ) and the control group ( another 30 patients treated by acupuncture with traditional acupoints ) .The treatment had four courses .The clinical efficacy was assessed by WOMAC, VAS and SF -36 scoring before the treatment and after the treatment .Results:The total effective rates of the treatment group and the control group were 96 .67%and 90%respectively .The difference showed a statistical significance (P <0.05 ) .The comparison of scale in each group before and after the treatment showed a statistical significance (P<0.05).The comparison of every scale between two groups after the treat -ment showed a statistical significance( P<0.05 ) .Conclusion:Two kinds of acupuncture treatment for KOA are effective in terms of clinically therapeutic effect ,but the total effect of the treatment group is better than that of the control group .The short-term clinical effect of the treatment group is better than that of the control group , particularly with regard to alleviating pain , relieving stiffness , reducing difficulty in activity of daily living and improving the quality of life of patients with KOA .