揿针互动式埋针联合康复疗法治疗膝骨关节炎的临床效果观察

Observation on Clinical Effect of Press-needle Interactive Embedding Needle Combined with Rehabilitation Therapy in the Treatment of Knee Osteoarthritis

目的:探讨揿针互动式埋针联合康复疗法在膝骨关节炎患者治疗中的应用效果。方法:将2020年8月—2021年12月三明市第二医院收治的100例膝骨关节炎患者按照随机数表法分为对照组(n=50)和观察组(n=50)。其中对照组给予常规康复训练,观察组给予揿针互动式埋针联合常规康复训练。比较两组临床效果、干预前后西安大略和麦克马斯特大学骨关节炎指数(WOMAC)和生活质量各项评分。结果:观察组临床效果优于对照组,总有效率高于对照组,差异均有统计学意义(P<0.05)。干预前,两组WOMAC各项评分比较,差异均无统计学意义(P>0.05);干预2个疗程后,两组WOMAC各项评分较干预前均降低,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预前,两组生活质量各项评分比较,差异均无统计学意义(P>0.05);干预2个疗程后,两组生活质量各项评分较干预前均提高,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:揿针互动式埋针联合康复疗法应用于膝骨关节炎患者,可进一步提高临床治疗效果,显著改善关节功能,且明显提高生活质量。

Objective:To explore the application effect of press-needle interactive embedding needle combined with rehabilitation therapy in the treatment of patients with knee osteoarthritis.Method:A total of 100 patients with knee osteoarthritis who admitted to Sanming Second Hospital from August 2020 to December 2021 were divided into the control group(n=50)and the observation group(n=50)according to the random number table method.The patients in the control group were given routine rehabilitation therapy,and the patients in the observation group were given press-needle interactive embedding needle combined with routine rehabilitation therapy.The clinical effects,Western Ontario and McMaster Universities osteoarthritis index(WOMAC)and quality of life scores before and after intervention were compared between two groups.Result:The clinical effect of the observation group was better than that of the control group,and the total effective rate was higher than that of the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in WOMAC scores between two groups(P>0.05);after 2 courses of intervention,the WOMAC scores of two groups were decreased compared with those before intervention,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of quality of life between two groups(P>0.05);after 2 courses of intervention,the scores of quality of life in two groups were improved compared with those before intervention,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of press-needle interactive embedding needle combined with rehabilitation therapy in patients with knee osteoarthritis can further improve the clinical treatment effect,joint function and quality of life are significantly improved.