针刺推拿结合疗法治疗膝骨关节炎疗效观察

Acupuncture Combined with Chinese Massage in the Treatment of Knee Osteoarthritis

目的:明确针刺推拿结合疗法治疗膝骨关节炎(KOA)的临床疗效。方法:将96例KOA患者随机分为针推组和针刺组,分别采用针刺推拿结合疗法和单纯针刺法,以疼痛视觉模拟评分VAS、WOMAC骨关节炎指数为观察指标,治疗4周20次后评定疗效。结果:针推组46例、针刺组45例完成观察。两组均取得明显的临床疗效,且针推组明显优于针刺组(P<0.01);两种疗法均能显著降低患者VAS评分、WOMAC骨关节炎指数总分及其疼痛、僵硬、功能评分,这些变化针推组与针刺组相比具有显著性差异(P<0.05)。结论:针刺推拿结合疗法、针刺疗法治疗膝骨关节炎疗效确切,且针刺推拿结合疗法的疗效明显优于针刺法,尤其在止痛和改善关节僵硬、功能方面具有明显的优势,值得临床推广应用。

Objective：To observe the efficacy of acupuncture combined with Chinese massage in the treatment of Knee Osteoarthritis （ KOA） .Methods：96 outpatients with KOA were randomly assigned to be treated by acu-puncture and Chinese massage or only by acupuncture , 5 times a week for 4 weeks.The co-primary outcome measures were the changes in pain intensity （ visual analogue scale , VAS） and WOMAC index （ Western Ontar-io and McMaster Universities Arthritis Index ） after 4 weeks.Results：46 patients by acupuncture with Chinese massage and 45 patients by acupuncture completed the study .Both groups achieved obvious clinical efficacy , and improvement in clinical efficacy by acupuncture with Chinese massage was greater than only by acupuncture （ P〈0 .01 ） .The endpoint from baseline was significantly decreased in VAS score , pain score ,stiffness score , function scores and total score of WOMAC index for both therapies , and improvements were significantly greater for acupuncture with Chinese massage than only acupuncture for these changes （ P〈0 .05 ） .Conclusion：Acu-puncture combined with Chinese massage or acupuncture is effective in the treatment of KOA , and the efficacy of acupuncture combined with Chinese massage is superior to acupuncture obviously , particularly with more ad-vantages in relieving pain and stiffness , improving knee joint function of patients ,which is worth promoting and applying especially .