电针排刺法治疗膝骨性关节炎41例疗效观察

Effect of electroacupuncture on knee osteoarthritis:A clinical observation of 41 cases

目的采用电针与普通针刺对照的方法,观察其对膝骨性关节炎的治疗疗效。方法选取2015年—2017年期间北京普祥医院中医科和北京中医药大学东直门医院针灸科门诊就诊的膝骨关节炎患者78例,以掷硬币的方法分为对照组37例和治疗组41例。两组患者取穴相同,均取髀关,浮兔,梁丘,血海,阳陵泉,阴陵泉,阿是穴等腧穴。对照组,治疗得气后,留针25 min。治疗组,选用同规格毫针针刺,进针得气后,加用6805-Ⅱ型电针仪,选取髀关—浮兔,梁丘—血海两组电针适用部位。通电并留针25 min。每周治疗3次,隔日1次,连续治疗4周后,观察两组患者治疗前后视觉模拟疼痛(VAS)评分及临床治疗疗效。结果经4周治疗后,两组患者VAS评分与治疗前比较疼痛评分均明显下降,差异有统计学意义(P<0.01);且治疗组与对照组组间VAS评分比较,差异有统计学意义(P<0.01),表明治疗组对疼痛的缓解优于对照组。治疗后治疗组患者临床总有效率95.12%,对照组患者临床总有效率89.19%,治疗组临床总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论电针排刺对膝骨性关节炎的改善优于常规针刺。

Objective To observe the effect of electroacupuncture on knee osteoarthritis in comparison with acupuncture.Methods A total of 78 patients with knee osteoarthritis admitted to TCM Department of Beijing Puxiang Hospital and Acupuncture Department of Dongzhimen Hospital were randomized into the acupuncture group(37)and the electroacupuncture group(41).There was no difference in point selection and filiform needle size between the two groups.The following points were selected:ST 31(Biguan),ST 32(Futu),ST 34(Liangqiu),SP 10(Xuehai),GB 34(Yanglingquan),SP 9(Yinlingquan),and Ashi points etc.In the acupuncture group the needles were retained for 25 minutes after obtaining qi.In the electroacupuncture group,after obtaining qi,the electroacupuncture was performed by the electric stimulator(6805-II type)on ST 31(Biguan)-ST 32(Futu),ST 34(Liangqiu)-SP 10(Xuehai)in both sides and the needles were retained for 25 minutes.The treatment course was 4 weeks,three times each week,every other day.The visual analogue scale(VAS)score and the clinical effect in both groups were observed.Results After 4-week treatment,the VAS score and the pain score significantly decreased in both groups,with significant difference(P<0.01);there was significant difference between the electroacupuncture group and the acupuncture group in VAS score(P<0.01),which indicated that the relief of pain by electroacupuncture was superior than by acupuncture.The total effective rate was 95.12%in the electroacupuncture group,which was significantly higher than that(89.19%)in the acupuncture group,with significance(P<0.05).Conclusion The effect of electroacupuncture on knee osteoarthritis was better than acupuncture.