摘要
目的:观察“膝五刀”治疗膝骨性关节炎(KOA)的临床疗效及安全性。方法:将72例KOA患者按随机数字表法分为观察组和对照组各36例。观察组予“膝五刀”治疗,对照组予常规针刺治疗,两组均以1周为1个疗程,共治疗3个疗程。分别于治疗前和治疗1周、3周后评定两组患者的西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分,并于治疗6周、6个月、12个月后电话随访两组患者的WOMAC评分。结果:观察组总有效率94.44%,对照组总有效率86.11%,两组疗效比较,差异有统计学意义(P<0.05)。治疗1周后,观察组WOMAC各项评分均降低,与本组治疗前及对照组治疗1周后比较,差异均有统计学意义(P<0.05)。治疗3周后,观察组和对照组WOMAC各项评分较本组治疗前均降低,差异有统计学意义(观察组P<0.01,对照组P<0.05);且观察组各项WOMAC评分均低于对照组,差异有统计学意义(P<0.01)。治疗6个周、6个月、12个月后,观察组各项WOMAC评分均低于对照组,差异有统计学意义(P<0.01)。治疗过程中,两组均有少数患者出现局部红肿,后均自行消退。结论:“膝五刀”疗法改善KOA患者WOAMC评分的即时效果和远期效果均较好,该法易于操作,疗效肯定,安全性高,适宜临床推广。
Objective:To observe the clinical efficacy and safety of“knee five knives”in treatment of knee osteoarthritis(KOA).Methods:A total of 72 patients with KOA were divided into observation group and control group by random number table method,with 36 cases in each group.The observation group was treated with“knee five knives”,while the control group was treated with conventional acupuncture.One week as a treatment course,patients in both the two groups were treated for 3 courses.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores of the two groups were assessed before treatment and 1 weeks and 3 weeks after treatment.The WOMAC scores of the two groups were assessed by followed-up telephone calls 6 weeks,6 months and 12 months after treatment.Results:The total effective rate of the observation group was 94.44%,and the total effective rate of the control group was 86.11%.The difference of the curative efficacy between the two groups was statistically significant(P<0.05).One week after the treatment,the scores of each item of WOMAC in the observation group were lower than those before treatment(P<0.05),and were also lower than those in the control group one week after the treatment(P<0.05).Three weeks after the treatment,the scores of each item of WOMAC in the observation group and the control group were lower than those before treatment,and the differences were statistically significant(P<0.01 in the observation group,P<0.05 in the control group).At the same time,the scores of each item of WOMAC in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).Six weeks,six months and twelve months after the treatment,the scores of each item of WOMAC in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).During the treatment,a few pat-ients had redness and swelling in local areas on their body,but later the symptom resolved spontaneously.Conclusions:The
作者
赵盼盼
刘智斌
李彬锋
王卫刚
ZHAO Panpan;LIU Zhibin;LI Binfeng;WANG Weigang(Acupuncture and Massage College of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Acupuncture and Pharmacy Collaborative Innovation Center of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,China)
出处
《山东中医杂志》
2020年第6期565-569,共5页
Shandong Journal of Traditional Chinese Medicine
基金
陕西省重点研发计划项目(编号:2017SF-283)。
关键词
膝骨性关节炎
膝五刀
西安大略和麦克马斯特大学骨关节炎指数评分
骨痹
安全性
knee osteoarthritis
knee five knives
Western Ontario and McMaster Universities Osteoarthritis Index scores
bone impediment
safety
