温针灸与电针对膝关节骨性关节炎疗效分析

Effect of Needle Warming Moxibustion and Electroacupuncture in Treatment of Knee Osteoarthritis

目的：研究温针灸与电针对膝关节骨性关节炎的治疗效果。方法：选取2011年3月—2013年7月就诊患者,共171例,将171例膝关节骨性关节患者用随机数字表法分为3组：温针灸组、电针组、对照组,各57例。温针灸组患者给予温针灸进行治疗,电针组患者给予疏密波电针进行治疗,对照组患者给予普通针刺进行治疗。经2个疗程后,对3组患者的临床疗效、膝关节JOA评分进行对比。结果：3组患者有效率两两比较无效率无显著差异（均P〉0.05）;治疗前,3组患者膝关节JOA评分两两比较无显著差异（均P〉0.05）;治疗后,3组治愈＋显效例数、膝关节JOA评分总分两两比较有显著差异（均P〈0.05）,显示各组疗效、膝关节JOA评分改善幅度不同;3组患者疗效、膝关节JOA评分进行Kruskal-Wallis H分析,P〈0.05,各组疗效、膝关节JOA评分构成有显著性差异。结论：温针灸治疗效果最好,可有效改善关节功能,缓解疼痛,延缓老年膝关节患者进一步退变,电针次之。临床应扩大温针灸在该病中的使用,电针疗效与温针灸尚有差距。

Objective ：To study the effect of needle warming moxibustion and electroacupuncture in treatment of knee osteoarthritis. Methods ：171 cases of patients with knee osteoarthritis were randomly divided into 3 groups ：acupuncture and moxibustion group,electroacupuncture group,control group of 57 cases in each. The efficacy of the 3 groups was compared after 2 courses of post. Results ：Efficiency of the 3 groups of patients had no significant difference（P〉0.05）;The cure rate and significant efficiency rate of 3 groups had significantly different（P〈0.05）,it showed that the improvement of curative effect of each group was different;the efficacy of the 3 groups through Kruskal-Wallis H,P〈0.05,there was statistically significant difference between 3 groups. Conclusion ：The needle warming moxibustion has a best treatment effect and the electroacupuncture takes the second place. We should expand the use of acupuncture and moxibustion for the disease in clinical,the therapeutic effect of electroacupuncture has a gap with the needle warming moxibustion.