针刺激痛点治疗膝骨性关节炎临床疗效观察

Observation of Clinical Efficacy on Knee Osteoarthritis Treated with Acupuncture at Trigger Points

目的观察针刺激痛点与传统经穴治疗膝骨性关节炎(knee osteoarthritis,KOA)的临床疗效。方法将100例KOA患者随机分为治疗组(激痛点针刺组,50例)和对照组(传统经穴针刺组,50例)。治疗组按照激痛点选穴规律进行针刺;对照组按照传统经穴选穴规律进行针刺。1次/d,30 min/次,7 d为1个疗程,2个疗程间休息2 d,两组均治疗4个疗程后,对比疗效。结果治疗结束后,对照组的总有效率为76.0%,愈显率为34.0%,治疗组的总有效率为92.0%,愈显率为56.0%,两组总有效率差异无统计学意义(P>0.05),但愈显率差异有统计学意义(P<0.05)。两组治疗后VAS、WOMAC评分明显低于治疗前,差异均有统计学意义(P<0.05);治疗后组间比较,差异有统计学意义(P<0.05)。治疗组的疗效更优于对照组。结论针刺激痛点治疗膝骨性关节炎具有较佳疗效,是治疗本病的一种简便易行、经济实用的有效方法,值得临床推广应用。

Objective To discuss the clinical efficacy on knee osteoarthritis( KOA) treated with acupuncture at the trigger points and traditional meridian points. Methods One hundred KOA patients were randomized into a treatment group( 50 cases,acupuncture at the trigger points) and a control group( 30 cases,acupuncture at the traditional meridian points). In the treatment,acupuncture was applied to the trigger points. In the control group,acupuncture was applied to the meridian points,once a day,for 30 min each time. The treatment for 7 days made 1 session. There were 2 days of interval between the two sessions. The efficacy was compared after 4 sessions of treatment in the two groups. Results After treatment,the total effective rate was 76. 0% and the curative and remarkably effective rate was 34. 0% in the control group and there were 92. 0% and 56. 0% in the treatment group separately. The total effective rate was not significantly different between the two groups( P > 0. 05),but the curative and remarkably effective rate was different significantly( P < 0. 05). After treatment,VAS and WOMAC scores were lower apparently than those before treatment in the two groups,indicating the significant difference( P < 0. 05). The differences were significant in comparison of two groups after treatment( P < 0. 05). The efficacy in the treatment group was much better than that in the control group. Conclusion Acupuncture at the trigger points achieves the better efficacy on KOA. It is a simple,economic and effective approach and deserves to be promoted in clinic.