火针和温针治疗膝关节骨性关节炎临床对比研究

Clinical Effect of Fire Needle and Warm Needle in Treating Knee Osteoarthritis

目的:观察火针和温针治疗膝关节骨性关节炎(KOA)的临床疗效。方法:将60例患者随机分成2组各30例,脱落6例,实际完成54例。火针组27例,温针组27例。火针组予火针治疗,温针组予温针治疗。观察2组活动疼痛视觉模拟评分法(VAS)评分、15m行走时间、临床症状及体征积分3项指标。结果:2组治疗4周后活动疼痛VAS评分、15m行走时间、临床症状及体征积分均明显降低,分别与治疗前比较,差异均有显著性意义(P<0.05)。2组治疗后15m行走时间、临床症状及体征积分分别比较,差异均无显著性意义(P>0.05)。2组治疗后活动疼痛VAS评分比较,火针组比温针组下降明显,差异有显著性意义(P<0.05)。2组均未出现明显不良反应。结论:火针疗法和温针疗法均可以明显减轻KOA患者的临床症状、体征,缓解疼痛。火针疗法在缓解KOA患者疼痛方面优于温针疗法。

Objective： To observe the clinical effect of fire needle and warm needle in treating knee osteoarthritis（KOA）. Methods： Sixty KOA patients were equally randomized into two groups. With removal of 6 dropout patients, 27 in fire needle group and 27 in warm needle group were included for the analysis. Visual analogue scale（VAS）scores of pain during movement, 15-meter walking time,, and scores of clinical symptoms and signs were observed in both groups. Results： After 4-week treatment, VAS scores, 15-meter walking time, and scores of clinical symptoms and signs were decreased in both groups （P 〈 0.05 compared with those before treatment）.The differences of 15-meter walking time and scores of clinical symptoms and signs between two groups were not significant （P 〉 0.05）. The difference of the scores of VAS between both groups was significant（P 〈 0.05）. No obvious side effect was reported in both groups. Conclusion： Both fire needle and warm needle can significantly relieve clinical symptoms and signs of KOA patients, and particularly relieve pains. Fire needle therapy has better effect than warm needle therapy in relieving pains of KOA patients.