摘要
目的:观察温针灸联合电针治疗膝骨性关节炎(knee osteoarthritis,KOA)的临床效果。方法:选取2020年1月-2021年12月在陆军第七十三集团军医院康复科门诊诊治的KOA寒盛肾虚证患者98例,根据随机数字表法分为治疗组与对照组,各49例。对照组给予相应的常规治疗,而治疗组在对照组的基础上,给予温针灸联合电针治疗。比较治疗前后两组的视觉模拟评分法(visual analogue scale,VAS)评分、西安大略和麦克马斯特大学骨关节指数(Western Ontario and Mcmaster University arthritis index,WOMAC)评分、Lysholm膝关节评分(Lysholm knee score scale,LKSS)、中医症候积分和疗效。结果:治疗后,两组的VAS、WOMAC评分均较治疗前降低,LKSS评分较治疗前升高,且治疗组VAS、WOMAC评分低于对照组,LKSS评分高于对照组,差异有统计学意义(P<0.05)。治疗组的总有效率为91.84%,高于对照组的67.35%,差异有统计学意义(P<0.05)。治疗后,两组的中医症候积分均较治疗前减低,且治疗组低于对照组(P<0.05)。结论:温针灸联合电针可显著改善KOA寒盛肾虚证患者的治疗效果,有效缓解膝关节疼痛、僵硬状态,提升功能,提高患者生活质量。
Objective:To observe the clinical efficacy of warm acupuncture combined with electroacupuncture in the treatment of knee osteoarthritis(KOA).Method:A total of 98 patients with KOA patients with renal deficiency and cold excessive syndrome diagnosed and treated in the Outpatient Department of the Rehabilitation Department of the Army 73rd Group Army Hospital from January 2020 to December 2021 were selected and divided into the treatment group and the control group according to the random number table method,with 49 cases in each group.The control group was given corresponding routine treatment,while the treatment group was given warm acupuncture combined with electroacupuncture on the basis of the control group.The visual analogue scale(VAS)score,Western Ontario and Mcmaster University arthritis index(WOMAC)score,Lysholm knee score scale(LKSS),traditional Chinese medicine syndrome score before and after treatment,and efficacy were compared between the two groups.Result:After treatment,the VAS and WOMAC scores in the two groups were lower than those before treatment,and the LKSS scores were higher than those before treatment,and the VAS and WOMAC scores in the treatment group were lower than those in the control group,and the LKSS scores were higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate in the treatment group was 91.84%,higher than 67.35%in the control group,the difference was statistically significant(P<0.05).After treatment,the TCM symptom scores in the two groups were lower than those before treatment,and the scores in the treatment group were lower than those in the control group(P<0.05).Conclusion:Warm acupuncture combined with electroacupuncture can significantly improve the therapeutic effect of KOA patients with renal deficiency and cold excessive syndrome,effectively relieve the pain and stiffness of knee joint,improve the function and improve the quality of life of patients.
作者
苏标瑞
黄萍萍
SU Biaorui;HUANG Pingping(Army 73rd Group Army Hospital,Xiamen 361003,China;不详)
出处
《中外医学研究》
2022年第35期42-46,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
膝骨性关节炎
温针灸
电针
寒盛肾虚证
Knee osteoarthritis
Warm acupuncture
Electroacupuncture
Renal deficiency and cold excessive syndrome
