电热针配合关节松动手法治疗膝骨关节炎疗效观察

Observations on the Efficacy of Electrothermal Acupuncture plus Joint Mobilization in Treating Knee Osteoarthritis

目的观察电热针配合关节松动手法治疗膝骨关节炎的临床疗效。方法将100例膝骨关节炎患者随机分为治疗组和对照组,每组50例。对照组采用麦特兰德手法治疗,治疗组在对照组基础上采用电热针治疗。治疗4星期后,观察两组治疗前后骨关节炎指数量表评分及各项细胞因子(IL-1、IL-6、TNF-?)含量的变化情况,并比较两组临床疗效。结果治疗组总有效率为91.5%,对照组为80.0%,两组比较差异有统计学意义(P<0.05)。两组治疗后WOMAC量表评分及各项细胞因子含量与同组治疗前比较,差异均有统计学意义(P<0.01,P<0.05)。治疗组治疗后WOMAC量表评分及各项细胞因子含量与对照组比较,差异均具有统计学意义(P<0.05)。结论电热针配合关节松动手法是一种治疗膝骨关节炎的有效方法。

Objective To investigate the clinical efficacy of electrothermal acupuncture plus joint mobilization in treating knee osteoarthritis. Methods One hundred patients with knee osteoarthritis were randomized to treatment and control groups, 50 cases each. The control group received Maitland’s technique and the treatment group, electrothermal acupuncture in addition. The Osteoarthritis Index score was recorded and cytokines （IL-1, IL-6 and TNF-α） contents were measured in the two groups before and after four weeks of treatment. The clinical therapeutic effects were compared between the two groups. Results The total efficacy rate was 91.5% in the treatment group and 80.0% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. There were statistically significant pre-/post-treatment differences in the WOMAC score and cytokines in the two groups （P〈0.01, P〈0.05）. There were statistically significant post-treatment differences in the WOMAC score and cytokines between the treatment and control groups （P〈0.05）. Conclusion Electrothermal acupuncture plus joint mobilization is an effective way to treat knee osteoarthritis.