针灸和推拿治疗膝关节骨性关节炎的临床研究

Clinical Research on Acupuncture and Massage Treating Knee Osteoarthritis

目的：对比分析针灸、推拿治疗膝关节骨性关节炎临床疗效。方法：60例膝关节骨性关节炎患者随机分为针灸组和推拿组各30例，分别采用针灸和推拿手法治疗，WOMAC问卷评价治疗4周后，膝关节疼痛、僵硬程度及患肢功能的改善状况。结果：治疗后两组患者膝关节疼痛均得到明显缓解，僵硬、功能活动度显著改善（P〈0．01）；WOMAC问卷评分证实两组间改善总体症状、缓解疼痛和日常功能活动的效果对比无明显统计学意义（P〉O．05），但是推拿组改善僵硬的效果明显优于针灸组，有统计学意义（P〈O．05）。结论：针灸和推拿手法治疗能有效改善膝关节骨性关节炎的症状，且推拿缓解膝关节僵硬明显优于针灸。

Objective： To comparatively analyze the clinical efficacy of acupuncture and massage treating knee osteoarthritis. Methods： 60 cases of knee osteoarthritis were randomly divided into acupuncture group and massage group with each of 30 cases, respectively adopting acupuncture and massage therapy, improvement situation of knee pain, stiffness and the function of ill extremity was evaluated, with the help of WOMAC question naire after the treatment of 4 weeks. Results： After the treatment, knee pain of two groups were both obviously relieved, stiffness and functional activ ity were improved significantly （P〈0.01）; there was no statistical significance in improving effects of overall symptoms, pain relief and daily func tional activity between two groups, confirmed by scores of WOMAC questionnaire （P〉0.05）, but the improvement effects of stiffness in massage group was obviously superior to that in acupuncture group, with statistical significance （P〈0.05）. Conclusion： Acupuncture and massage therapy can both effectively imorove the symptoms of knee osteoarthritis, and massage relieving stiffness of knees is obviously better than acupuncture.