电针联合温针灸治疗退行性膝关节炎的疗效研究

An effective study on treating degenerative osteoarthritis of knee by electro-acupuncture plus warming acupuncture and moxibustion

目的:观察局部循经取穴,电针联合温针灸治疗退行性膝关节炎的临床疗效。方法:将80例退行性膝关节炎的患者随机分为联合组和对照组,每组40例,联合组采用电针联合温针灸治疗,对照组采用常规电针治疗,每日治疗1次,以7 d为一个疗程,疗程间隔2 d,连续观察2个疗程,依据HSS膝关节评分标准,将主、客观指标列为观测项目,进行量表法评估,同时对中医临床症状及日常功能活动量化评分进行评价,对两组治疗结果进行统计学分析。结果:联合组基本痊愈25例(62.5%)、显效8例(20.0%)、有效5例(12.5%)、无效2例(5.0%),总有效率38例(95.0%);对照组基本痊愈15例(37.5%)、显效4例(10.0%)、有效11例(27.5%)、无效10例(25.0%),总有效率30例(75.0%)。联合组总有效率高于对照组,差异有统计学意义(P <0.05)。结论:电针联合温针灸治疗退行性膝关节炎,较常规电针治疗效果显著,该法操作简单易行,安全可靠,适合在临床推广应用。

Objective: To observe the clinical efficacy of electro-acupuncture puls warming acupuncture and moxibustion on degenerative osteoarthritis of knee. Methods: 80 patients were randomly divided into the combined group and the control group, 40 cases in each group. The combined group was treated by electro-acupuncture puls warming acupuncture and moxibustion. The control group was treated by conventional electro-acupuncture. The subjective and objective indicators were classified as observation items according to the HSS knee score standard, and evaluated by scale method. The clinical symptoms of TCM and quantitative score of daily functional activities were evaluated. The results of treatment were analyzed statistically. Results: In the combined group, 25 cases (62.5%) were cured;8 cases (20.0%) were marked;5 cases (12.5%) were effective;2 cases (5.0%) were ineffective;and the total efficiency was 95.0%. In the control group, 15 cases (37.5%) were mostly cured;4 cases (10.0%) were marked;11 cases (27.5%) were effective;10 cases (25.0%) were ineffective;and the total efficiency was 75.0%. The efficiency in the combined group was higher than the control group, with a statistically significant difference ( P < 0.05). Conclusion: Electro-acupuncture plus warming acupuncture and moxibustion on degenerative osteoarthritis of knee show a significant effect, with simple and easy operation, safe and reliable, and suitable for clinical application.