温针灸对老年膝骨关节炎疼痛及生活质量的影响

The effects of warm-acupuncture on pain and quality of life of elderly knee osteoarthritis

目的:观察温针灸对老年膝骨关节炎疼痛及生活质量的影响。方法:纳入我院2014年5月-2016年6月确诊为老年膝骨关节炎的患者90例作为研究对象,采用随机分组方法分为观察组和对照组,每组各45例患者。其中,观察组患者采用温针灸方法治疗,30~45min/次,治疗周期为5次/周;对照组患者采用口服硫酸氨基葡萄糖胶囊药物治疗,2粒/次,3次/d。两组疗程均为4周。采用膝关节骨性关节炎自评量表(WOMAC)比较两组患者治疗第2周和治疗结束时评分,采用生活质量量表(SF-36)比较两组患者治疗前后生活质量变化情况。结果:两组患者治疗第2周和治疗结束时疼痛、僵硬评分及活动评分均较治疗前明显改善,且观察组患者各项指标评分均优于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗结束后躯体功能(PF)、生理职能(RP)、躯体疼痛(BP)、社会功能(SF)、情感职能(RE)、活力(VT)、心理健康(MH)及整体健康(GH)各项评分显著高于治疗前和对照组(P<0.05)。结论:与西药口服治疗方法相比,温针灸治疗可以明显缓解老年膝骨关节炎疼痛症状,改善患者生活质量。

Objective:To observe the effect of warm-acupuncture on pain and quality of life of the elderly knee osteoarthritis.Methods:90 patients were randomly divided into the observation group and control group,45 cases in each group.The observation group was treated by warm-acupuncture,30～45min one time,5 times a week;the control group was treated with glucosamine sulfate capsules,2 capsules a time,3 times daily,for 4 weeks.After 2 weeks and 4 weeks,the scores were compared by WOMAC;the quality of life was compared by SF-36.Results:After 2 weeks and 4 weeks,pain,stiffness and activity score were significantly improved;and those in the observation group were higher than the control group,with statistically significant differences(P<0.05).After treatment,the PF,RP,BP,SF,RE,VT,MH and GH scores in the observation group were significantly higher than those before treatment and the control group(P<0.05).Conclusion:Warm-acupuncture can obviously relieve the pain symptoms of elderly knee osteoarthritis,and improve the quality of life.