电针配合穴位注射治疗膝骨性关节炎的疗效观察(英文)

Observation on therapeutic effect of knee osteoarthritis treated with electroacupuncture and acupoint injection

目的:探讨穴位注射对膝骨性关节炎治疗作用。方法:将82例患者随机分为观察组和对照组,每组41例。观察组采用电针配合当归注射液穴位注射治疗,电针穴取犊鼻、内膝眼、梁丘等,穴位注射穴取梁丘、血海、阳陵泉等;对照组采用电针治疗(同观察组)。2个疗程治疗结束后,进行膝关节功能评分及临床疗效的比较。结果:治疗后两组患者膝关节疼痛、活动范围、主动屈伸、步行能力、日常动作及总积分方面均显著改善,差异均有统计学意义(均P<0.05),且观察组均优于对照组(均P<0.05)。观察组总有效率为92.7%(38/41),明显优于对照组的73.2%(30/41)(P<0.05)。结论:电针配合穴位注射治疗膝骨性关节炎有较好的临床疗效,并且优于单纯电针治疗。

Objective To observe the clinical therapeutic effect of knee osteoarthritis treated with electroacupuncture and acupoint injection. Methods Eighty-two cases were randomly divided into observation group and control group, 41 cases in each group. In observation group, electroacupuncture and Danggui （当归 Angelica Sinensis） injection therapy were applied, Dúbí（犊鼻 ST 35）, Nèixīyǎn（内膝 眼 EX-LE 4）, Liángqiū（梁丘 ST 34）, etc. were applied for electroacupuncture, and Liángqiū（梁丘 ST 34）, Xuèhǎi（血海 SP 10）, Yánglíngquán（阳陵泉 GB 34）, etc. were applied for acupoint injection. In control group, electroacupuncture therapy （same as that in observation group） was applied. After two courses treatment, knee function scale and clinical curative effects were compared. Results The improvements of scores of joint pain, range of activity, independent flexion-extension, walking ability, activities of daily living and total scores in two groups after treatment were more signif icant than those before treatment （all P0.05）, and the scores in observation group were superior to those in control group（all P0.05）. The total effective rate was 92.7% （38/41） in observation group, which was obviously superior to that of 73.2%（30/41） in control group （P0.05）. Conclusion The clinical therapeutic effect of knee osteoarthritis treated by electroacupuncture combined with acupoint injection is favorable, and superior to that by electroacupuncture therapy only.