电热针结合关节松动术治疗早中期膝骨关节炎临床研究

Clinical Study on Electrothermal Acupuncture Combined with Joint Mobilization for Knee Osteoarthritis at Early and Middle Stages

目的:观察电热针结合关节松动术治疗早中期膝骨关节炎(KOA)的临床疗效。方法:将92例早中期KOA患者按随机数字表法分为对照组和治疗组各46例。对照组予关节松动术治疗,治疗组在对照组基础上加用电热针治疗,2组均治疗4周。对比2组临床疗效,观察2组治疗前后西安大略与麦克马斯特大学骨关节炎指数(WOMAC)评分及美国膝关节协会评分(KSS)的变化。结果:治疗组总有效率95.65%,高于对照组的82.61%,差异有统计学意义(P<0.05)。治疗后,2组WOMAC评分均较治疗前降低,差异均有统计学意义(P<0.01);治疗组WOMAC评分比对照组下降更明显,差异有统计学意义(P<0.01)。治疗后,2组KSS均较治疗前升高,差异均有统计学意义(P<0.01);治疗组KSS升高比对照组更明显,差异有统计学意义(P<0.01)。结论:电热针结合关节松动术治疗早中期KOA安全有效,可以改善患者的膝关节功能。

Objective:To observe the clinical effect of electrothermal acupuncture combined with joint mobilization for knee osteoarthritis(KOA) at early and middle stages.Methods:Divided 92 cases of patients with KOA at early and middle stages into the control group and the treatment group randomly,46 cases in each group.The control group receivedjoint mobilization,while the treatment group additionally received electrothermal acupuncture.The treatment of both groups lasted for 4 weeks.Compared the clinical effect in both groups,and observed the changes in scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC) and American knee society knee score(KSS) in both groups before and after treatment.Results:The total effective rate was 95.65% in the treatment group,being higher than 82.61% in the control group,difference being significant(P <0.05).After treatment,the scores of WOMAC in both groups were respectively lower than those before treatment,differences being significant(P <0.01);the scores of WOMAC in the treatment group was lower than that in the control group,difference being significant(P <0.01).After treatment,the levels of KSS in both groups were higher than those before treatment,differences being significant(P <0.01);the levels of KSS in the treatment group was increased more significantly than that in the control group,difference being significant(P <0.01).Conclusion:Electrothermal acupuncture combined with joint mobilization can treat KOA at early and middle stages safely and effectively,which can improve the knee joint function of patients.