膝关节镜合电针治疗膝关节骨性关节炎临床观察

Clinical Observation on Knee Osteoarthritis Treated with Arthroscope and Electro-acupuncture

目的探讨关节镜合电针治疗膝关节骨性关节炎（osteoarthritis of the knee，KOA）的临床疗效观察。方法57例（57膝）经临床及影像学检查确诊后行关节镜手术治疗的KOA患者，术后配合电针治疗及康复训练。治疗前后采用HSS膝关节专用评分表对患者膝关节治疗前后功能分别进行量化评分。结果57例膝中：肿痛消失，关节功能恢复正常者39例（68％）：肿痛消失，下蹲略受限者17例（30％）：疼痛及关节功能治疗前后无明显改善者1例（2％）。治疗前后膝关节HSS评分为（50．3±5．42）和（59．2±5．28），两组比较差异有统计学意义（P〈0．05）。结论关节镜合电针治疗KOA有效。

Objective To discuss the clinical effects of knee osteoarthritis treated with arthroscope and electro-acupuncture. Methods 57 patients （57 knee joints involved） , who were diagnosed by physical examinations and MRI as knee osteoarthritis, were treated by arthroscopy preoperatively and electro-acupuncture and rehabilitation training postoperatively. Results Among the total of 57 cases, 39 cases were recovery （68%）, 17 cases were improved （30%）, 1 case was ineffective （2%）. The score of preoperative and postoperative HSS assessment was （ 50.3 ± 5.42）and（ 59.2 ± 5.28 ）respectively（P〈 0.05 ）. Conclusion The treatment of knee osteoarthritis with arthroseope and electro-acupuncture is effective.