内灸式He-Ne激光针灸针治疗膝关节扭伤100例

Comparative Observation on Efficacy of He-Ne Moxibustion Laser Acupuncture in the Treatment of 100 Patients with Sprained Knees

目的观察内灸式激光针灸针治疗膝关节扭伤的临床疗效。方法膝关节扭伤患者100例,随机分为试验组和对照组,每组患者50例。试验组采用内灸式激光针灸针治疗;对照组采用传统针刺法治疗。治疗后应用疼痛视觉模拟量表(visual analogue scale,VAS)和Oswestry功能障碍指数(oswestry dability index,ODI)评估疗效。结果两组患者治疗后与治疗前比较,VAS评分均显著下降(P<0.05);治疗10次后两组患者的Oswestry评分均显著下降,与治疗前比较差异有显著意义(P<0.05)。结论内灸式激光针灸针法治疗膝关节扭伤即时止痛效果优于传统针刺疗法,但治疗1次对提/携物、坐、站立、行走各项功能无明显改善;治疗1个疗程后两种疗法皆可止痛及改善各种功能。

Objective Observed in clinical curative effect with moxibustion laser acupuncture for the treatment of sprained knees. Methods The clinic 100 patients with sprained knees were divided into two groups： experimental group received laser acupuncture in the treatment of 50 patients, and 50 patients in the control group with the same period the use of traditional acupuncture mainly for comparison. Use pain Visual Analogue Scale （VAS） and Oswestry Disability Index（ODI） to assess the efficacy. Results （ 1 ） Visual Analogue Scale ： Compared with previous treatment, after treatment of 2 groups of VAS score were significantly decreased （ P 〈 0. 05） ; Experimental group after the first treatment for VAS score （ 3.95 ± 1.9 ） was＇ significantly lower than control group （4. 94 ± 2. 1 ） points. Comparative differences on two groups were statistically significant （ P 〉 0. 05 ）. Treatment group after treatment 10 times period for VAS score （3.50 ± 1.2）, the control group （3.69 ± 1.3） for VAS score points, there was no statistically sig-nificant difference on two groups （ P 〉 0. 05 ）. （2） Oswestry Disability Index： There was no statistically significant difference on the two groups before treatment ODI score. （P 〉 0. 05）. Experimental group after the first treatment for ODI score （ 16. 28± 7. 8）, the control group after the first treatment for ODI score（ 16. 14 ± 7. 2）, compared with before treatment differences had no statistical significance（ P 〉 0. 05 ）, and there was no statistically significant difference when we compare with two groups （ P 〉 0. 05 ）. After 10 times treatments Oswestry scores of two groups were significantly decreased, compared with before treatment was statistically significant difference （ P 〈 0. 05）, comparing the difference between the 2 groups were significant（ P 〉0. 05）.Conclusions Laser acupuncture on the treatment of sprained knee is better than traditional acupuncture, however, after one time treatment, there is no obvious effect on the capability of lift/carry object, sitting, walking. After a course of treatment, these two acupuncture therapies are both proved to be effective on the treatment of sprained knees ; but the laser acupuncture is more effective. There are significant differences in efficacy between two groups. Laser acupuncture can significantly improve the clinical efficacy of sprained knees.