针灸治疗膝关节骨性关节炎的临床疗效观察

Clinical Effects of Acupuncture and Moxibustion in Treating Knee Osteoarthritis

目的:观察针灸治疗膝关节骨性关节炎的临床疗效。方法:将93例患者随机分为艾灸组36例、电针组36例和西乐葆组21例。艾灸组给予艾灸治疗(取穴:神阙、内膝眼、外膝眼、血海、梁丘穴),电针组给予电针治疗(取穴:内膝眼、外膝眼、血海、梁丘穴),西乐葆组给予西乐葆药物治疗,疗程均为28 d。观察患者的膝关节疼痛VAS评分及膝关节功能积分。结果:治疗后7 d、14 d、28 d,三组患者的膝关节疼痛VAS评分较治疗前均显著降低(P<0.05,P<0.01),且治疗后28 d,西乐葆组患者的VAS评分较艾灸组和电针组亦显著降低(P<0.05)。治疗后7 d、14 d、28 d,三组患者的膝关节功能积分较治疗前均显著升高(P<0.05,P<0.01),且治疗后28 d,艾灸组和电针组患者的膝关节功能积分较西乐葆组亦显著升高(P<0.05)。结论:艾灸、电针、西乐葆治疗均能有效改善膝关节骨性关节炎患者的临床症状,改善膝关节功能。

Objective： To observe the effects of acupuncture and moxibustion in treating knee osteoarthritis（KOA）.Methods： Ninety-three patients with KOA were randomly divided into moxibustion group（n=36）,electroacupuncture group（n=36） and Celebrex group（n=21）.The moxibustion group was treated with moxibustion at Shenque（CV 8）,Neixiyan（EX-LE 4）,Waixiyan（EX-LE 5）,Xuehai（SP 10） and Liangqiu（ST 34）,the electroacupuncture group was treated with electroacupuncture at Neixiyan（EX-LE 4）,Waixiyan（EX-LE 5）,Xuehai（SP 10） and Liangqiu（ST 34）,and the Celebrex group was treated with Celebrex,with a course of 28 days.The visual analogue scale（VAS） score of knee-joint pain and knee-joint function score were observed.Results： Seven days,fourteen days and twenty-eight days after treatment,the VAS scores of knee-joint pain were obviously decreased in the three groups（P0.05,P0.01）,and twenty-eight days after treatment,the VAS scores of Celebrex group were lower than those of moxibustion group and electroacupuncture group（P0.05）.Seven days,fourteen days and twenty-eight days after treatment,the knee-joint function scores were markedly increased in the three groups（P0.05,P0.01）,and twenty-eight days after treatment,the knee-joint function scores of moxibustion group and electroacupuncture group were higher than those of Celebrex group（P0.05）.Conclusion： Moxibustion therapy,electroacupuncture therapy and Celebrex can improve the clinical symptoms and the knee-joint function in patients with KOA.