冲击波穴位疗法治疗膝骨性关节炎的临床研究

Clinical Study on Shock Wave Acupoint Therapy for Knee Osteoarthritis

目的:观察运用体外冲击波刺激穴位疗法治疗膝关节骨性关节炎的临床疗效。方法:将150例膝关节骨性关节炎患者随机分为两组,治疗组75例,采用冲击波穴位疗法,沿足阳明胃经、足太阴脾经、足少阳胆经及相应穴位进行冲击;对照组75例,采用冲击波常规疗法,对膝关节周围痛点进行冲击。两组均4d治疗一次,5次为1疗程,共治疗3个疗程。通过WOMAC评分对膝关节功能进行综合评价。结果:治疗后两组患者的疼痛及膝关节功能均有改善,WOMAC评分穴位组低于常规痛点组,穴位冲击治疗组总有效率(92.00%)高于常规痛点冲击对照组总有效率(76.00%)。结论:采用冲击波穴位疗法治疗膝骨性关节炎能够明显减轻患者疼痛、僵硬及膝关节功能,提高患者生活质量,疗效显著,方法简便,患者易接受,值得临床广泛推广。

Objective:To observe the clinical effect of shock wave stimulation acupoint therapy in the treatment of osteoarthritis of knee joint.Methods:150 patients with osteoarthritis of knee joint were randomly divided into two groups,75 cases of treatment group,shock wave acupuncture point therapy,along the foot Yangming stomach meridians,foot Taiyin spleen meridians,foot Shaoyang bile meridians and corresponding acupoints impact;75 cases of contrast group,shock wave conventional therapy was used to impact the pain points around the knee joint.In both groups,4d was treated once,5 times was 1 course,and 3 courses were treated.The knee joint function was evaluated by WOMAC score.Results:The pain and knee function of the two groups improved after treatment.The WOMAC score acupuncture point group was lower than the normal pain point group,and the total effective rate(92.00%)was higher than that of the pain point impact group(76.00%).Conclusion:After treatment,the pain and knee joint function of the two groups were improved.WOMAC score was lower in the acupoint group than in the conventional pain point group,and the total effective rate in the acupoint impact treatment group(92.00%)was higher than that in the conventional pain point impact control group(76.00%).