针刺、热敏灸联合康复训练治疗膝关节骨性关节炎临床疗效研究

Clinical Efficacy on Knee Osteoarthritis Treated with Acupuncture,Thermal Moxibustion and Rehabilitation

目的研究针刺、热敏灸联合康复训练治疗膝关节骨性关节炎的临床疗效,为临床推广提供科学的理论依据。方法选取2013年3月-2014年5月我院收治的膝关节骨性关节炎患者96例作为研究对象,采用随机数字法分为治疗组和对照组各48例,对照组患者仅给予针刺治疗,治疗组患者给予针刺、热敏灸联合康复训练治疗,比较两组患者在VAS关节疼痛评分、Lysholm膝关节功能评分及临床综合疗效方面的差异。结果治疗后,两组患者的VAS关节疼痛评分较治疗前均明显降低(P<0.05),且治疗组患者的VAS评分明显低于对照组(P<0.05);两组患者的Lysholm膝关节功能评分较治疗前均明显增加(P<0.05),且治疗组患者的Lysholm评分明显高于对照组(P<0.05);治疗组患者的临床综合疗效明显优于对照组(P<0.05)。结论针刺、热敏灸联合康复训练治疗膝关节骨性关节炎疗效显著,值得在临床推广。

Objective To study the clinical efficacy on knee osteoarthritis(KOA)treated with acu-puncture,thermal acupuncture and rehabilitation so as to provide the scientific theoretic evidence for clinical practice. Methods Ninety - six KOA patients treated from March 2013 to May 2014 in our hospitals were selected as the objects and were randomized into a treatment group and a control group,48 cases in each one. In the control group,acupuncture was applied. In the treatment group,the combined therapy of acupuncture, thermal moxibustion and rehabilitation was given. VAS score,Lysholm score and clinical comprehensive effi-cacy were compared in the patients between the two groups. Results After treatment,VAS score was reduced apparently as compared with that before treatment in the two groups(P < 0. 05). Lysholm score was increased apparently as compared with that before treatment(P < 0. 05),and the result in the treatment group was high-er obviously than that in the control group(P < 0. 05). The clinical comprehensive efficacy in the treatment group was obviously better than that in the control group(P < 0. 05). Conclusion The combined therapy of acupuncture,thermal moxibustion and rehabilitation achieves the significant efficacy on KOA and deserves promoting in clinical practice.