对侧巨刺法联合患侧关节松动术治疗膝骨关节炎临床观察

Clinical Observation on the Treatment of Knee Osteoarthritis with Giant Needling of Contralateral Combined with Joint Mobilization of the Affacted Side

目的:观察对侧巨刺法联合患侧关节松动术对膝骨关节炎的临床疗效。方法:将60例膝骨关节炎患者随机分为治疗组和对照组,每组30例。对照组给予常规取穴配合膝关节松动术治疗,治疗组给予对侧巨刺法配合患侧关节松动术治疗。2组均治疗3周。观察2组临床疗效,以及治疗前后WOMAC疼痛评分、关节活动度变化情况。结果:治疗组临床治愈9例,显效13例,有效6例,无效2例,总有效率为93.33%;对照组临床治愈6例,显效9例,有效11例,无效4例,总有效率为86.67%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组WOMAC骨关节炎疼痛指数评分、关节活动度较治疗前均有改善(P<0.05),且治疗组WOMAC骨关节炎疼痛指数评分优于对照组(P<0.05)。结论:对侧巨刺法联合患侧关节松动术治疗膝骨关节炎的综合效果显著,可提高临床疗效,有深入研究与推广的价值。

Objective：To observe the curative effect of giant needling of contralateral combined with joint mobilization of the affacted side in the treatment of knee osteoarthritis.Methods：Sixty cases of knee osteoarthritis were randomly divided into two groups：a treatment group and a control group,30 cases in each group.The control group were given conventional acupoints combined with knee joint mobilization,while the treatment group were treated with giant needling of contralateral combined with joint mobilization of the affacted side.The 2 groups were treated for 3 weeks.The clinical efficacy, WOMAC pain score,joint activity changes before and after treatment were observed.Results：In the treatment group,9 cases were clinical cure, 13 cases were markedly effective,6 cases were effective,2 cases were ineffective,and the total effective rate was 93.33%;while in the control group,6 cases was clinical cure,9 cases were markedly effective, 11 cases were effective,4 cases were ineffective,and the total effective rate was 86.67%.The difference was statistically significant between the 2 groups （ P 〈 0.05 ） .After treatment,the WOMAC pain score,joint activity changes of the 2 groups were significantly improved compared with those before treatment （ P 〈 0.05 ） ,and the treatment group WOMAC osteoarthritis pain index score was better than the control group （ P 〈 0.05 ） .Conclusion：The effect of giant needling of contralateral combined with joint mobilization of the affacted side for the treatment of knee osteoarthritis is significant,which can improve the clinical efficacy, and has the value of further research and popularization.