目的观察CO2激光灸对不同中医证型膝骨关节炎疗效。方法将88例膝骨关节炎患者根据中医辨证分为肾虚髓亏(A组28例)、阳虚寒凝(B组34例)、瘀滞筋骨(C组26例)3组,以10.6 m CO2激光照射犊鼻穴治疗。采用WOMAC VA3.1问卷,进行疗效评价。结果...目的观察CO2激光灸对不同中医证型膝骨关节炎疗效。方法将88例膝骨关节炎患者根据中医辨证分为肾虚髓亏(A组28例)、阳虚寒凝(B组34例)、瘀滞筋骨(C组26例)3组,以10.6 m CO2激光照射犊鼻穴治疗。采用WOMAC VA3.1问卷,进行疗效评价。结果除A组治疗2星期、4星期时疼痛得分及2星期时僵硬得分外,治疗后3组WOMAC量表各项得分均较治疗前显著改善(P<0.05)。治疗后B组除2星期时疼痛得分外,WOMAC量表各项得分均显著优于A组(P<0.05),其治疗2星期时功能障碍得分亦显著优于C组(P=0.036);C组在治疗4星期时WOMAC量表各项得分及随访时僵硬、功能障碍得分均显著优于A组(P<0.01)。结论 CO2激光灸可有效治疗膝骨关节炎,但对不同中医证型膝骨关节炎疗效有差异,其总体趋势是阳虚寒凝型最好,其次是瘀滞筋骨型,再次为肾虚髓亏型。展开更多
Objective： To evaluate the effects of 650 nm-10.6 μm combined laser in patients with knee Osteoarthritis （OA） and to determine whether the combined laser provides greater pain relief and improved function compared...Objective： To evaluate the effects of 650 nm-10.6 μm combined laser in patients with knee Osteoarthritis （OA） and to determine whether the combined laser provides greater pain relief and improved function compared with red light. Methods： Forty-eight patients with knee OA were randomly allocated to two groups （24 per group）, receiving 20 min irradiation with 650 nm -10.6 μm combined laser or red light emitting diode respectively on point Dubi （ST 35） 3 times a week for the first course （2 weeks） and twice a week for the second one （4 weeks）. The main outcome measures were WOMAC （Western Ontario and McMaster Universities Osteoarthritis Index） scores. In addition, patients＇ global assessment, adverse effects and validation of patient blinding were analyzed. Results： All the patients completed the in：st course, but 12 were lost during the second one. Due to the high dropout rate by the second course, only the data acquired from the first course could be analyzed. No differences of general data of patients and WOMAC scores were found in between-group comparison before treatment （P〉0.05）. The WOMAC scores of patients in both combined laser group and red light group reduced significantly compared to baseline by the end of the first course （P〈0.01）. There were no significant differences on the reduction rate of WOMAC scores between two groups （P〉0.05）. Neither the patients＇ global assessment nor the dropout rate showed statistical differences between two groups （P〉0.05）. There was no difference between two groups in patients correctly guessing the treatment assignment （P〉0.05）. There was no significant difference in the reduction rate of WOMAC scores and the patients＇ global assessment between patients who guessed their assignment （P〉0.05）. Conclusion： Both combined laser and red light irradiation are beneficial to patients with knee OA. But as the statistical indifferences between two groups, the authors can＇t conclude from this study whether the combined laser is more effective.展开更多
Purpose To observe therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint.Method All the 120 cases were randomly divided into electroacupuncture and contr...Purpose To observe therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint.Method All the 120 cases were randomly divided into electroacupuncture and control groups, 60 cases in each group, and they were given electroacupuncture and Ritalin slowreleased tablet respectively, and pain, mobility and swelling degree of knee joint were observed before and after treatments.Results In treatment group, the average score increased by 18, while in control group, it increased by 12.33 (P<0.05) after treatment.Conclusion Therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint was better than that of administration of Ritalin slow-released tablet. Key Words Electroacupuncture - Point Ex-LE 4 (Neixiyan) - Point ST 35 (Dubi) - Osteoarthritis - Knee Joint Author: DAI Qi-ping (1966-), female, attending physicianTranslator: Wu Xue-fei展开更多
文摘目的观察CO2激光灸对不同中医证型膝骨关节炎疗效。方法将88例膝骨关节炎患者根据中医辨证分为肾虚髓亏(A组28例)、阳虚寒凝(B组34例)、瘀滞筋骨(C组26例)3组,以10.6 m CO2激光照射犊鼻穴治疗。采用WOMAC VA3.1问卷,进行疗效评价。结果除A组治疗2星期、4星期时疼痛得分及2星期时僵硬得分外,治疗后3组WOMAC量表各项得分均较治疗前显著改善(P<0.05)。治疗后B组除2星期时疼痛得分外,WOMAC量表各项得分均显著优于A组(P<0.05),其治疗2星期时功能障碍得分亦显著优于C组(P=0.036);C组在治疗4星期时WOMAC量表各项得分及随访时僵硬、功能障碍得分均显著优于A组(P<0.01)。结论 CO2激光灸可有效治疗膝骨关节炎,但对不同中医证型膝骨关节炎疗效有差异,其总体趋势是阳虚寒凝型最好,其次是瘀滞筋骨型,再次为肾虚髓亏型。
基金the Science Foundation of Shanghai Municipal Commission of Science and Technology(05DZ19745,06DZ19732,064319053,07DZ19722,07DZ19733)the National Basic Research Program of China(973 Program,2005CB523306)+1 种基金National Natural Science Foundation of China(30572306)Shanghai Leading Academic Discipline Project(B112 and T0302)
文摘Objective： To evaluate the effects of 650 nm-10.6 μm combined laser in patients with knee Osteoarthritis （OA） and to determine whether the combined laser provides greater pain relief and improved function compared with red light. Methods： Forty-eight patients with knee OA were randomly allocated to two groups （24 per group）, receiving 20 min irradiation with 650 nm -10.6 μm combined laser or red light emitting diode respectively on point Dubi （ST 35） 3 times a week for the first course （2 weeks） and twice a week for the second one （4 weeks）. The main outcome measures were WOMAC （Western Ontario and McMaster Universities Osteoarthritis Index） scores. In addition, patients＇ global assessment, adverse effects and validation of patient blinding were analyzed. Results： All the patients completed the in：st course, but 12 were lost during the second one. Due to the high dropout rate by the second course, only the data acquired from the first course could be analyzed. No differences of general data of patients and WOMAC scores were found in between-group comparison before treatment （P〉0.05）. The WOMAC scores of patients in both combined laser group and red light group reduced significantly compared to baseline by the end of the first course （P〈0.01）. There were no significant differences on the reduction rate of WOMAC scores between two groups （P〉0.05）. Neither the patients＇ global assessment nor the dropout rate showed statistical differences between two groups （P〉0.05）. There was no difference between two groups in patients correctly guessing the treatment assignment （P〉0.05）. There was no significant difference in the reduction rate of WOMAC scores and the patients＇ global assessment between patients who guessed their assignment （P〉0.05）. Conclusion： Both combined laser and red light irradiation are beneficial to patients with knee OA. But as the statistical indifferences between two groups, the authors can＇t conclude from this study whether the combined laser is more effective.
文摘Purpose To observe therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint.Method All the 120 cases were randomly divided into electroacupuncture and control groups, 60 cases in each group, and they were given electroacupuncture and Ritalin slowreleased tablet respectively, and pain, mobility and swelling degree of knee joint were observed before and after treatments.Results In treatment group, the average score increased by 18, while in control group, it increased by 12.33 (P<0.05) after treatment.Conclusion Therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint was better than that of administration of Ritalin slow-released tablet. Key Words Electroacupuncture - Point Ex-LE 4 (Neixiyan) - Point ST 35 (Dubi) - Osteoarthritis - Knee Joint Author: DAI Qi-ping (1966-), female, attending physicianTranslator: Wu Xue-fei
