温针灸联合臭氧用于治疗膝关节骨性关节炎的疗效观察

Clinical efficacy of warm acupuncture plus ozone on knee osteoarthritis

目的:观察温针灸、温针灸联合臭氧注射及口服药物治疗膝关节骨性关节炎的临床疗效差异。方法:将96例膝关节骨性关节炎患者随机分为A组(温针灸治疗组)、B组(温针灸联合臭氧组)和C组(口服药物组),每组32例。A组和B组均取犊鼻、内膝眼、阳陵泉、血海、足三里、梁丘、阴陵泉,并进行辨证加减配穴,A组行温针灸疗法;B组行温针灸联合膝关节腔臭氧注射疗法;C组口服塞来昔布及氨基葡萄糖。A组给予温针灸每天治疗1次,10d为一个疗程;B组给予温针灸,每天治疗1次,10d为一个疗程;臭氧注射4天一次,共5次。以上三组疗程间隔2d,治疗2个疗程。经2个疗程后观察三组治疗前后疼痛评分及WOMAC评分变化并进行临床疗效综合评价。结果:B组较A组和C组患者的VAS评分及WOMAC积分降低更明显(P <0.01);B组的总有效率为93.75%(30/32),优于A组的84.38%(27/32)(P <0.05)和C组的68.75%(22/32,P <0.01)。结论:温针灸联合臭氧注射治疗膝关节骨性关节炎的临床疗效优于温针灸和口服药物,其疗效肯定。

Objective： To observe the clinical efects of warm acupuncture plus ozone injection on knee osteoarthritis. Methods： 96 patients with knee osteoarthritis were randomly divided into group A （the warm acupuncture group）, group B （the warm acupuncture plus ozone injection group） and group C （the oral drugs group）, 32 cases in each. Group A and group B was selected Dubi （犊鼻）, Neixiyan （内膝眼 ）, Yanglingquan （阳陵泉 ）, Xuehai （血海）, Zusanli （足三里）, Liangqiu （梁丘） and Yinlingquan （阴陵泉 ）. Group A was treated by warm acupuncture, group B was treated by warm acupuncture plus ozone injection, group C was treated with celebrex and glucosamine. Results： VAS scores and WOMAC scores in group B were reduced more than those in group A and group C. The total efective rate was 93.75% （30/32） in group B, better than 84.38% （27/32） in group A （P〈0.05） and 68.75% （22/32） in group C （P〈0.01）. Conclusion： Warm acupuncture plus ozone injection is efective, and worthy of promotion.