刃针结合肌肉能量技术治疗膝骨关节炎30例临床观察

Clinical Observation of 30 Cases of Knee Osteoarthritis Treated by Knife Acupuncture Combined with Muscle Energy Technique

目的:观察刃针结合肌肉能量技术治疗膝骨关节炎的临床疗效。方法:选取60例膝骨关节炎患者为研究对象,随机分为对照组(30例)与观察组(30例)。对照组采用刃针治疗方案;观察组予以刃针结合肌肉能量技术治疗,两组均每周治疗3次,共治疗2周。在治疗前、2周疗程结束后及2个月后随访时分别进行VAS评分、WOMAC评分,进行两组比较。疗程结束后评价患者临床疗效并两组对比。结果:两组VAS评分和WOMAC积分均较治疗前均显著下降(P<0.01),疗程结束时两组VAS评分无差异,2个月随访时观察组的VAS评分显著低于对照组(P<0.05)。与对照组相比,观察组在疗程结束时、2个月随访时的WOMAC评分均显著优于对照组(P<0.05);观察组总显效率高于对照组(P<0.05),总有效率差异无统计学意义(P>0.05)。结论:刃针结合肌肉能量训练技术可有效缓解膝骨关节炎引起的疼痛和功能障碍,短期治疗效果显著,在远期膝骨关节炎的防护方面具有明显优势。

Objective To observe the clinical effect of knife-edge acupuncture combined with muscle energy technique in the treatment of knee osteoarthritis.Methods 60 patients with knee osteoarthritis were randomly divided into control group(30 cases)and observation group(30 cases).The control group was treated with knife-edge acupuncture,and the observation group was treated with knife-edge acupuncture combined with muscle energy technology.Both groups were treated 3 times a week for 2 weeks.VAS score and WOMAC score were performed before treatment,after 2 weeks of treatment and after 2 months of follow-up to compare the two groups.After the course of treatment,the clinical efficacy of the patients was evaluated and the two groups were compared.Results VAS score and WOMAC score in both groups were significantly decreased compared with before treatment(P<0.01),and there was no difference in VAS score between the two groups at the end of treatment.At 2-month follow-up,VAS score in the observation group was significantly lower than that in the control group(P<0.05).Compared with the control group,the WOMAC score of the observation group was significantly better than that of the control group at the end of treatment and at the 2-month follow-up(P<0.05).The total effective rate in the observation group was higher than that in the control group(P<0.05),but there was no significant difference in the total effective rate(P>0.05).Conclusion Knife-edge acupuncture combined with muscle energy training can effectively relieve the pain and dysfunction caused by knee osteoarthritis.The short-term treatment effect is significant,and it has obvious advantages in the long-term protection of knee osteoarthritis.