髋周肌肉调节结合膝关节局部取穴针刺治疗退行性膝关节炎的疗效观察

Curative Observation of Periacetabular Muscle Regulation Combined with Local Acupuncture of Knee Joint for Treating Degenerative Arthritis of Knee Joint

目的:观察髋周肌肉调节结合膝关节局部取穴针刺法治疗退行性膝骨关节炎的疗效。方法:以随机、对照原则将80例确诊为退行性膝关节炎的患者分为观察组(联合治疗组)和对照组(传统治疗组),每组各40例,观察组采用髋周肌肉调节结合膝关节局部取穴针刺法治疗,对照组采用普通电针治疗。通过观察治疗前后患者西安大略和麦克马斯特大学骨关节炎指数(WOMAC)和疗效评定对比分析两种治疗方式的疗效。结果:两组患者分别进行治疗4周,观察组显效率为52.5%和总有效率为97.5%,明显高于对照组(显效率37.5%,总有效率87.5%),与对照组相比观察组具有显著性差异(P<0.05)。结论:髋周肌肉调节结合膝关节局部取穴针刺治疗能明显缓解膝关节疼痛,活动功能障碍等临床症状,值得进行临床推广。

Objective ： To observe the clinical efficacy of periacetabular muscle regulation combined with local acupuncture of knee joint for treating degenerative arthritis of knee joint. Methods ： 80 patients with degenerative arthritis of knee joint were ran- domly divided into observation group （combining acupuncture group） and controlled group （traditional acupuncture group）, 40 cases for each group. The observation group was given combing acupuncture therapy both on hip and knee; the controlled group was given traditional acupuncture with electric acupuncture apparatus. Clinical status was evaluated using WOMAC index （West- em Ontario and McMaster Universities Osteoarthritis Index, WOMAC） and therapeutic effect. Results： The markedly and total effective was 52. 5% and 84% in observation group, respectively. The controlled group had a marked effective of 37. 5% and total effective of 87. 5%, differences were statistically significant （P 〈 0. 05）. Conclusion： Periacetabular muscle regulation combined with local acupuncture of knee joint for treating degenerative arthritis of knee joint can significantly relieve knee pain and dysfunction of knee joint, and worthy of clinical application.