电针足少阳经穴配合功能训练治疗膝关节骨性关节炎临床疗效分析

Clinical Effect of Electroacupuncture at Foot Shaoyang Meridian Combined with Functional Training for Knee Osteoarthritis

目的:探究电针足少阳经穴配合功能训练治疗膝关节骨性关节炎的临床疗效。方法:膝关节骨性关节炎患者120例,随机将其分为观察组和对照组,每组各60例。对照组患者口服硫酸氨基葡萄糖胶囊并配合功能训练,观察组在对照组的基础上采用电针足少阳经穴进行治疗。3个疗程治疗前后,比较分析2组患者的治疗效果、视觉模拟评分法(VAS)疼痛评分、关节活动度量表(ROM)评分、Lysholm评分以及西安大略和麦克马斯特大学骨关节炎调查量表(WOMAC)评分并对患者治疗后不良反应进行调查分析。结果:治疗3个疗程后,观察组的总有效率明显高于对照组(P<0.05);治疗后,2组患者的Lysholm与ROM评分与治疗前相比均显著升高(均P<0.05),且观察组明显高于对照组(P<0.05);2组患者的WOMAC评分及VAS评分与治疗前相比均显著降低(均P<0.05),且观察组明显低于对照组(P<0.05)。治疗过程中,患者发生恶心呕吐2例,腹泻4例,皮肤过敏3例,总不良反应率7.5%。结论:电针足少阳经穴配合功能训练治疗膝关节骨性关节炎疗效显著,促使膝关节功能快速恢复,减少患者病痛且不良反应较少,可作为辅助治疗推广应用于临床。

Objective:To investigate the clinical efficacy of electroacupuncture at the foot Shaoyang meridian acupoint combined with functional training in the treatment of knee osteoarthritis.Methods:A total of 120 patients with knee osteoarthritis were divided into experimental group and control group according to the random number method,with 60 cases in each group.Patients in the control group were treated with oral glucosamine sulfate capsules and routine functional training.The experimental group was treated with electroacupuncture at foot Shaoyang meridian point on the basis of the control group.The therapeutic effects,visual analog scale(VAS)pain score,range of motion(ROM)score,Lysholm score,and Western Ontario and McMaster University Osteoarthritis Survey Scale(WOMAC)were analyzed before and after treatment.The adverse reactions of patients were investigated after treatment.Results:The total effective rate in the experimental group was significantly increased as compared with that in the control group(P<0.05).After treatment,the VAS and WOMAC scores in the experimental group were significantly lower than those in the control group and before treatment,while Lysholm scores and ROM scores were significantly higher in the experimental group than those in the control group and before treatment(all P<0.05).Nausea and vomiting occurred in 2 cases,diarrhea in 4 cases,skin allergies in 3 cases,and the total adverse reaction rate was 7.5%.Conclusion:Electroacupuncture at foot Shaoyang meridian acupoint combined with functional training is effective in the treatment of knee osteoarthritis,which can promote the rapid recovery of knee joint function,relieve the patient’s pain and decrease adverse reactions,and can be applied as an adjunctive therapy clinically.