电针联合中药离子导入治疗膝骨关节炎35例临床观察

Clinical observation of electroacupuncture combined with Chinese medicine iontophoresis in treating 35 cases of knee osteoarthritis

目的观察电针联合中药离子导入治疗膝骨关节炎(KOA)的临床疗效。方法将67例KOA患者随机分为治疗组35例和对照组32例。治疗组给予电针联合中药离子导入治疗,对照组口服醋氯芬酸肠溶片(100 mg/次,2次/d)联合硫酸氨基葡萄糖胶囊(0.5 g/次,3次/d)治疗。2组均以30 d为1个疗程,1个疗程后观察并比较2组治疗前后视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎调查表(WOMAC)评分。结果治疗组总有效率为88.57%,对照组为62.50%,2组比较差异有统计学意义(P<0.05)。2组治疗后VAS,WOMAC评分均较治疗前显著降低(P<0.05),且治疗组降低更显著,差异有统计学意义(P<0.05)。结论电针联合中药离子导入治疗KOA疗效显著,可更好地改善膝关节疼痛症状及关节功能,值得临床推广。

Objective To investigate the clinical efficacy of electroacupuncture combined with Chinese medi- cine iontophoresis in treating knee osteoarthritis （KOA）. Methods 67 cases of KOA were randomly divided into treatment group （35 cases） and control group （32 cases）. The treatment group was given electroaeupuncture com- bined with Chinese medicine iontophoresis while the control group took aceclofenac enteric-coated tablets （100 mg each time, 2 times a day） and glucosamine sulfate capsules （0.5 g each time, 3 times a day） orally, 30 days as one course. VAS and WOMAC of both groups were observed and compared after one course. Results Total effec- tive rates of treatment group and control group were 88.57% and 62.50% respectively, the difference was signifi- cant （P〈0.05）. VAS and WOMAC of two groups decreased after treatment while that of treatment group changed more, there was a significant difference （ P〈0.05 ）. Conclusion The combined therapy is effective in relieving knee pain and improving joint function. It deserves clinical promotion.