针刺运动疗法对膝骨关节炎患者疗效及关节功能的影响

Effects of Acupuncture Exercise Therapy on Patients with Knee Osteoarthritis and Their Joint Function

目的:探讨针刺运动疗法治疗膝骨关节炎患者的疗效及对患侧关节功能的影响。方法:在2015年1月1日至2015年7月1日期间,本院收治的的膝骨关节炎患者95例,随机分成针运组(针刺运动疗法组)35例、对照1组(微波配合动态干扰电治疗组)30例,对照2组(普通针刺治疗组)30例,观察症状改善情况。结果:针运组35例患者中,临床痊愈占51.43%,有效8.57%,显效34.29%,无效仅2例,占5.71%,有效率高达94.29%,对照1组中30例患者,达临床痊愈标准的仅5例,占16.67%,有效23.33%,显效26.67%,无效却有10例,总有效率仅仅为66.67%,对照2组中有痊愈33.33%,有效23.33%,显效26.67%,无效16.67%,总有效率也达83.33%。发现针运组与对照1组间,具有明显统计学意义(P<0.05);而针运组与对照2组比较,无统计学意义(P>0.05),但在愈显率方面上,差异却具有统计学意义(P<0.05),治疗的临床效果更令患者满意。比较各组MOWAC量表得分,发现治疗前疼痛、僵硬、功能得分经t检验P>0.05。治疗后疼痛、僵硬、功能得分前后比较都有统计学意义P<0.05,组间比较,针运组优于其他2组。结论:针刺运动疗法可以明显快速缓解膝骨关节炎患者的症状,改善患侧膝关节运动功能,提高该类患者的生命质量及自理能力,具有较好的使用前景。

Objective： To learn clinical effect of acupuncture exercise therapy on patients with knee osteoarthritis and on joint function. Methods： In total,95 patients with knee osteoarthritis hospitalized from January 2015 to July 2015 were divided into a treatment group（ acupuncture exercise therapy group） of 35 cases,a control group 1（ dynamic interference with microwave treatment group） of 30 cases and a control group 2（ common acupuncture treatment group） of 30 cases,observing their improvement of symptoms. Results： In 35 cases of the treatment group,clinical recovery accounted for 51. 43%,effective 8. 57%,markedly effective 34. 29%,only 2 cases ineffective,accounting for 5. 71%,the effective rate was as high as 94. 29%. In the control group1 of 30 patients,only 5 cases fitted the clinical recovery criteria,accounting for 16. 67%,and effective rate 23. 33%,markedly effective 26. 67%,10 cases ineffective,and the total effective rate was only 66. 67%. In control group 2 of 30 patients,33. 33%recovered,23. 33% effective,26. 67% markedly effective,16. 67% ineffective,the total effective rate was 83. 33%. Comparison between acupuncture exercise therapy group and control group 1 showed a clear difference（ P〈0. 05）; while between acupuncture exercise therapy group and control group 2,there is no difference（ P〉0. 05）,but had statistical significant in markedly effective rate（ P〈0. 05）,with satisfactory clinical results. Comparing MOWAC scale scores in each group,before treatment the pain,stiffness,function score by t test was found（ P〉0. 05）. After the treatment of pain,stiffness,function before and after comparison of scores were significant（ P〈0. 05）,acupuncture exercise therapy group better than the control group. Conclusion： Acupuncture exercice therapy can significantly relieve symptoms of knee osteoarthritis patients,improve knee function and daily living and quality of life with a good prospect.