针灸配合中药治疗膝骨性关节炎临床疗效研究

Clinical Study of the Treatment of Knee Osteoarthritis by Acupancture with Traditional Chinese Medicine

目的:探讨针灸配合中药治疗膝骨性关节炎临床疗效。方法:选取2013年7月—2015年7月住院治疗的78例膝骨性关节炎患者,采用随机数字法分为观察组和对照组各39例,对照组行中药内服治疗,观察组行针灸配合中药内服治疗。疗程结束后,比较两组患者健康调査简表评分、骨性关节炎指数可视化量表评分、临床疗效以及安全性差异。结果:治疗后,观察组患者生理职能、生理功能、躯体疼痛、总体健康、社会功能、心理健康、情感职能和活力等评分均高于治疗前(P<0.05),且高于对照组(P<0.05),治疗后,对照组患者生理职能和躯体疼痛评分均高于治疗前(P<0.05);治疗后,对照组患者疼痛明显弱于治疗前(P<0.05),生理功能明显优于治疗前(P<0.05),观察组患者疼痛及僵硬均明显弱于治疗前(P<0.05),且弱于对照组治疗前(P<0.05),生理功能明显优于治疗前(P<0.05),且优于对照组(P<0.05);观察组患者痊愈率明显高于对照组(P<0.05),上述差异均具有统计学意义。观察组治疗方案安全性与对照组相比无明显差异,P>0.05,差异无统计学意义。结论:针灸配合中药治疗膝骨性关节炎临床疗效显著,且安全性良好。

Objective ：To investigate the clinical study of the treatment of knee osteoarthritis by acupuncture with traditional Chinese medicine. Methods ：78 patients with knee osteoarthritis treated from July 2013 to July 2015 were randomly divided into an observation group and a control group with 39 cases in each group. The control group was treated by oral administration of traditional Chinese medicine, and the observation group was treated by acupuncture combined with oral administration of Chinese herbal medicine. The difference of the scores of MOS item short from health survey （ SF - 36 ）, Western Ontario and McMaster Universities Osteoarthritis Index （ WOMAC）, clinical efficacy and safety were compared after treatment. Results ： After treatment, the scores of physiology, physiological function, physical pain, physical pain, social function, social function, mental health, emotional function and vigor of patients in the observation group were higher than those before treatment（ P 〈 0.05 ）, and were also higher than those in the control group （P 〈 0.05 ）. After treatment, the scores of physiology the physical pain in the control group were higher than those before treatment （P 〈 0.05 ）. After treatment, the pain in the control group was significantly weaker than that before treatment （ P 〈 0. 05 ）, and the physiological function was significantly better than that before treatment（ P 〈 0.05 ）. The pain and stiffness in the observation group were significantly lower than those before treatment （ P 〈 0.05 ）, and were significantly weaker than those in the control group （ P 〈 0.05 ）. The physiological functions were significantly better than those before treatment （ P 〈 0.05 ）, and were better than those in the control group （ P 〈 0.05 ）. The recovery rate in the observation group was significantly higher than that in the control group （ P 〈 0.05. ）. There was no significant difference of safe evaluation between the observation group and the control group （ P 〉 0.05 ）. Conclusion ： The clinically curative effect on knee osteoarthritis by acupuncture with traditional Chinese medicine is remarkable and the safety is reliable.