摘要
【目的】探讨针刺结合手法治疗膝骨关节炎的临床效果。【方法】对80例膝骨关节炎患者给予针刺结合手法推拿治疗,2周为1个疗程,共治疗2个疗程,采用关节炎指数量表(WOMAC)结合中医证候疗效评估标准观察临床治疗效果。【结果】(1)经过2个疗程治疗后,80例患者中,临床治愈48例(占60.00%),显效22例(占27.50%),有效6例(占7.50%),无效4例(占5.00%),总有效率达95.00%。(2)治疗2周和4周后,患者的临床总体症状、疼痛、僵硬和日常活动功能等各项WOMAC积分均显著降低,与治疗前比较差异均有统计学意义(P<0.05),且治疗4周后各项WOMAC积分的改善均优于治疗2周后(P<0.05)。(3)安全性观察:所有病例在治疗期间均未见明显毒副作用,具有较好的安全性。【结论】针刺结合手法治疗膝骨关节炎,疗效确切,且无明显毒副作用,值得临床推广运用。
Objective To investigate the therapeutic effect of acupuncture combined with manipulation for knee osteoarthritis （KOA）. Methods Eighty KOA outpatients were treated with acupuncture plus manipulation. Two weeks constitued one treatment course and the treatment covered 2 courses. Western Ontario and McMaster Universities （WOMAC） indexes of osteoarthritis （OA） and therapeutic effect on Chinese medical syndrome were adopted for the evaluation of clinical efficacy. Results （ 1 ） After treatment for 2 courses, 48 cases （ 60.00% ） were clinically cured, 22 （ 27.50% ） were markedly effective, 6 （ 7.50% ） were effective, and 4 （5.00%） were ineffective. The total effective rate was 95.00%. （2） After treatment for 2 and 4 weeks, the scores of WOMAC indexes of general symptoms, pain, stiffness and daily activities were decreased, and the differences were significant compared with those before treatment （P〈0.05）. Furthermore, the improvement of WOMAC scores after treatment for 4 weeks was superior to that after treatment for 2 weeks（P〈0.05）. （3） No obvious toxic and side effect occurred during the treatment. Conclusion Acupuncture combined with manipulation is effective and safe for the treatment of KOA.
出处
《广州中医药大学学报》
CAS
北大核心
2014年第3期377-379,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药管理局科研课题(编号:2007077)
广州市卫生局科研课题(编号:2008A80)
关键词
膝骨关节炎
针刺
推拿手法
WOMAC评分
Knee osteoarthritis
Acupuncture
Manipulation
WOMAC indexes of osteoarthritis
