电针与温针灸治疗瘀血阻滞型膝关节骨性关节炎的研究

The clinical efficacy and safety studies of electric acupuncture and warm acupuncture in treatment of knee osteoarthritis of blood stasis obstruction type

目的探讨电针和温针灸治疗瘀血阻滞型膝关节骨性关节炎的临床疗效及其安全性。方法随机选取该院2013年10月至2015年10月收治的95例瘀血阻滞型膝关节骨性关节炎患者,分为观察组(n=48)和对照组(n=47)。对照组患者采用温针灸治疗,观察组患者实施电针治疗,对比分析2组患者的膝关节症状改善效果及临床疗效。结果治疗后2组患者的膝关节疼痛、肿胀及压痛症状较治疗前均有显著改善,观察组患者的临床症状改善程度明显优于对照组(P<0.05);观察组患者临床总有效率(97.9%)明显高于对照组(83.0%),差异有统计学意义(P<0.05)。结论瘀血阻滞型膝关节骨性关节炎应用温针灸和电针治疗均有良好的临床效果,但电针疗效更为显著,能有效改善患者膝关节运动情况,值得临床推广使用。

Objective To explore the clinical efficacy and safety of electric acupuncture and warm acupuncture in treatment of congestion type of knee osteoarthritis. Methods 95 cases of knee osteoarthritis of blood stasis obstruction type in our hospital from October 2013 to October 2015 were randomly divided into observation group treated with electric acupuncture（n= 48） and control group treated with warm acupuncture（n= 47）, the clinical curative effect was observed and compared. Results After treatment, two groups of patients with knee joint pain, swelling and tenderness symptoms were significantly improved. The improvements of clinical symptoms in observation group of patients were superior than that in the control group（P〈0.05）. At the same time,the total clinical effective rate of observation group patients（97.9%） was significantly higher than the control group（83.0%）（P〈0.05）. Conclusion Both electric acupuncture and warm acupuncture were efficient in the treatment of knee osteoarthritis of blood stasis obstruction type. But the electric acupuncture has better clinical efficacy relative to the warm acupuncture which is worth popularizing in clinical use.