针刺治疗膝关节骨性关节炎疗效观察

Efficacy observation of knee osteoarthritis treated with acupuncture

目的:评价常规针刺治疗膝关节骨性关节炎的临床疗效。方法:73例膝关节骨性关节炎患者,针刺穴取梁丘、犊鼻、足三里、阳陵泉、阴陵泉等,给予4周的常规手针治疗(每周至少治疗3次,最多5次),治疗结束后4周随访。采用西安大略麦马斯特大学骨性关节炎指数(WesternOntario and McMaster Universities osteoarthritis index,WOMAC)和疼痛视觉评分表(visualanalogue scale,VAS)评价患者疗效。结果:73例患者中,49例患者完成试验,脱失患者资料进入最终数据分析。治疗4周后和随访时患者VAS评分和WOMAC各项评分均较治疗前明显下降(P<0.001,P<0.05)。结论:常规针刺治疗能显著改善膝关节骨性关节炎患者关节疼痛程度和关节功能,随访4周针刺疗效仍持续存在。

Objective To evaluate the clinical efficacy of the conventional acupuncture on knee osteoarthritis （KOA）. Methods Seventy-three cases of K（）A were treated with the conventional acupuncture therapy at Liang qiu （ST 34）, Duhi （ST 35）. Zusanli （ST 36）, Yanglingquan （GB 34）, Yinlingquan （SP 9）, etc. The conventio nal acupuncture therapy lasted for 4 weeks （at least 3 treatments and less than 5 times each week）. At the end of treatment, tile follow-up visit lasted for 4 weeks. The Western Ontario and MeMaster Universities osteoarthritis index （WOMAC） and the visual analogue scale （VAS） were adopted for the efficacy assessments of the patients. Results Of 73 cases, 49 cases accomplished the trial. The data of the lost cases were included in the final data analysis. At the end of 4-week treatment and the follow up visit, every score in VAS and WOMAC was decreased apparently （P〈0. 001, P〈0.05）. Conclusion The conventional acupuncture therapy reduces the joint pain for the patients with KOA and improves the joint function. The 4-week follow-up visit indicates that the efficacy of acupuncture is still sustained.