针刺联合壮医挑刺放血治疗瘀血阻滞型膝关节骨性关节炎临床观察

Clinical observation on acupuncture combined with Zhuang medicine pricking blood therapy for knee osteoarthritis with pattern of static blood obstruction and stagnation

目的观察针刺联合壮医挑刺放血治疗瘀血阻滞型膝关节骨性关节炎(KOA)的效果。方法将90例KOA患者随机分为试验组和对照组,每组45例。对照组采用针刺治疗,试验组采用针刺联合壮医针挑放血治疗,两组疗程均为8周;分别于治疗前、治疗4周、8周后,采用疼痛视觉模拟量表(VAS)、西安大略大学和麦克马斯特大学(WOMAC)骨性关节炎指数评价两组患者的膝关节疼痛症状、炎症情况,分别于治疗前、治疗后12周、24周,采用健康调查简表(SF-36)评价两组患者生活质量,治疗结束时评定治疗效果。结果治疗4周后,试验组患者VAS评分高于对照组,WOMAC骨性关节炎指数评分低于对照组,而在治疗8周后,试验组患者VAS评分、WOMAC骨性关节炎指数评分均低于对照组(均P<0.05)。治疗后12周、24周,试验组SF-36评分均高于对照组(P<0.05)。治疗8周后,对照组总有效率为86.7%,试验组总有效率为95.6%,试验组疗效优于对照组(P<0.05)。结论针刺联合壮医针挑放血疗法治疗瘀血阻滞型KOA的效果较好,能有效地改善患者膝关节疼痛症状,减轻关节炎症,并提高患者生活质量。

Objective To observe the effect of acupuncture combined with Zhuang medicine pricking blood therapy on patients suffering from knee osteoarthritis(KOA)with pattern of static blood obstruction and stagnation.Methods Ninety KOA patients were randomly divided into experimental group and control group,with 45 cases in each group.The control group was treated with acupuncture,and the experimental group was treated with acupuncture combined with Zhuang medicine pricking blood therapy,eight weeks represented a course of treatment in both groups.The Visual Analogue Scale(VAS)and the Western Ontario and McMaster Universities(WOMAC)osteoarthritis index were employed to assess knee pain symptom and inflammation condition in the two groups before treatment,four and eight weeks after treatment,the Short Form Health Survey 36(SF-36)scale was used to assess patients′quality of life in the two groups before treatment,12 and 24 weeks after treatment,and the therapeutic effect was evaluated at the end of treatment.Results Four weeks after treatment,the experimental group yielded higher VAS scores and lower WOMAC osteoarthritis index score than the control group,moreover,eight weeks after treatment,the experimental group yielded lower VAS score and WOMAC osteoarthritis index score than the control group(all P<0.05).Twelve and 24 weeks after treatment,SF-36 score in the experimental group was higher than that in the control group(P<0.05).Eight weeks after treatment,the total effective rate was 86.7% in the control group and 95.6% in the experimental group,the experimental group achieved superior efficacy than the control group(P<0.05).Conclusion Acupuncture combined with Zhuang medicine pricking blood therapy exerts a favorable efficacy for KOA with pattern of static blood obstruction and stagnation,for it can effectively improve knee pain symptom,reduce joint inflammation and improve quality of life of the patients.