密集型银质针与电针治疗膝骨关节炎疗效观察

Observation on the Effects of Intensive Silver Needles and Acusector in Treating Knee Osteoarthritis

目的:比较密集型银质针与电针治疗膝骨关节炎的疗效。方法:将膝骨关节炎患者120例随机分为治疗组和对照组各60例,治疗组以密集型银质针治疗,30 min/次,每周1次;对照组取犊鼻、内膝眼、足三里、阳陵泉等穴行疏密波治疗,隔日1次,疗程均为3周。观察治疗3周后及治疗后3月2组患者疼痛视觉模拟评分(VAS)、膝关节功能评分(HSS)情况,并比较2组临床疗效;同时对2组患者进行不同影像学分级及疗效比较。结果:治疗3周后治疗组总有效率为91.67%,对照组为73.33%,治疗组疗效优于对照组(P<0.05);治疗后3月,治疗组总有效率为86.67%,对照组为65.00%,治疗组优于对照组(P<0.05)。2组治疗前后VAS评分、HSS评分比较差异有统计学意义(P<0.01),组间比较:1)VAS评分:治疗3周后及治疗后3月2组VAS评分比较差异有统计学意义(P<0.01);2)HSS评分:治疗后3周HSS评分2组间比较差异无统计学意义(P>0.05),治疗后3个月2组间比较差异有统计学意义(P<0.05)。治疗组对影像学分级较高的病例疗效更好。结论:密集型银质针和电针治疗膝骨关节炎均有较好疗效,但密集型银质针组在控制疼痛、改善关节功能及远期疗效等方面较电针组更优。

Objective:To compare the effects of intensive silver needles and acusector in treating knee osteoarthritis(KOA).Methods:All 120 KOA patients were randomized into the treatment group and the control group,60 cases each group.The patients in the treatment group were treated by intensive silver needles,30 minutes each time,once per week,and the ones in the control group by dilatational wave at DuBi(ST35),NeiXiYan(EX-LE4),ZuSanLi(ST36),YangLingQuan(GB34)and other points,once every other day,the course was three weeks.VAS and HSS of both groups were observed in three weeks and in three months after treating,clinical effects were compared between both groups,simultaneously,clinical effects and different image classification of the medical cases in both groups were compared.Results:Total effective rate of the treatment group was 91.67%,higher than 73.33%of the control group inthreeweeks after treating,and the treatment group was superior to the control group inclinical effects(P<0.05).Total effective rate of the treatment group was 86.67%,higher than 65.00%of the control group in three months after treating,and the treatment group was superior to the control group(P<0.05).The difference had statistical meaning in the comparisons of VAS and HSS scales before and after treating(P<0.01),the comparisons between both groups:1)VAS scales:the difference had statistical meaning in the comparison of VAS after treating and in three months after treating(P<0.01).2)HSS scales:the comparison of HSS scales in three months after treating had no difference(P>0.05),the comparison between both groups in three months after treating had signficant difference(P<0.05).The treatment group showed better effects for the medical cases in higher image classification.Conclusion:Intensive silver needles and acusector are effective in treating KOA,while intensive silver needles are superior to acusector in controlling pain,improving joint function and long-termeffects.