不同针灸方式对虚寒型膝骨关节炎患者WOMAC评分及疼痛症状的影响比较

Influence comparison of WOMAC score and pain symptoms of different acupuncture styles on cold type of knee osteoarthritis patients

目的:研究比较不同针灸方式对虚寒型膝骨关节炎(CTKO)患者骨性关节炎指数(WOMAC)评分及疼痛症状的影响。方法:选择CTKO患者162例,按数字表法为患者分成观察组及对照组各81例,观察组通过温针灸方式治疗,对照组不进行艾灸。对比两组疗效,WOMAC评分以及疼痛症状。结果:观察组显效率是62.96%,总有效率是98.77%,均分别明显高于对照组的46.91%及90.12%(P<0.05)。治疗后两组的WOMAC评分均分别较治疗前明显降低,且观察组的WOMAC评分明显较对照组更低(P<0.05)。治疗后两组的主诉疼痛分级(VRS)及数字评价量表(NRS)评分均分别较治疗前明显降低,且观察组明显较对照组更低(P<0.05)。结论:利用温针灸治疗CTKO患者可产生较好的疗效,还可有效降低其WOMAC评分及疼痛症状。

Objective：To study influence comparison of WOMAC score and pain symptoms of different methods of acupuncture style on cold type of knee osteoarthritis （CTKO） patients.Methods：162 patients with CTKO were selected.According to the digital table method divided into observation group and control group each 81 cases, the observation group was treated by warm acupuncture and moxibustion, in the control group not given moxibustion.Compared the efficacy of the two groups, osteoarthritis index （WOMAC score） and pain symptoms score.Results：The effective rate of the observation group was 62.96%, the total effective rate was 98.77%, which were significantly higher than the control group of 90.12% and 46.91%（P 〈 0.05）.After treatment, the WOMAC scores of the two groups were significantly lower than before treatment, and the WOMAC score of the observation group was significantly lower than the control group（P〈0.05）.After treatment, the VRS and NRS scores of the two groups were significantly lower than those before treatment, and the observation group was significantly lower than the control group（P〈0.05）.Conclusion：The treatment of CTKO patients with warm acupuncture can produce good curative effect, but also can effectively reduce the WOMAC score and pain symptom score.