摘要
目的:探讨温针灸联合关节镜微创手术治疗膝骨关节炎(knee osteoarthritis,KOA)的临床效果。方法:选取2022年1—10月马鞍山市人民医院收治的60例膝骨关节炎患者为研究对象,根据治疗方式分为两组,其中治疗组30例,应用温针灸联合关节镜微创手术治疗,对照组30例,应用单纯关节镜微创手术治疗。对比两组Lequesne疗效、Lysholm膝关节评分、美国西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster University osteoarthritis index,WOMAC)功能评分。结果:治疗后,治疗组患者总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组Lysholm膝关节功能评分比较,差异无统计学意义(P>0.05);治疗后3个月、6个月,治疗组Lysholm膝关节功能评分显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组WOMAC评分比较,差异无统计学意义(P>0.05);治疗后3个月、6个月,治疗组WOMAC评分显著低于对照组,差异有统计学意义(P<0.05)。结论:温针灸联合关节镜微创手术治疗KOA较单纯关节镜微创手术效果更好。
Objective:To observe the clinical effect of Warming needle acupuncture and moxibustion combined with arthroscopic minimally invasive surgery in the treatment of knee osteoarthritis.Method:A total of 60 patients of knee osteoarthritis who were treated in Ma’anshan People's Hospital from January to October 2022 were selected as the study objects,and they were divided into two groups according to the treatment,30 patients were defined as the treatment group who were treated by warming needle acupuncture and moxibustion combined with arthroscopic minimally invasive surgery,while 30 patients were defined as the control group who underwent arthroscopic minimally invasive surgery alone.The Lequesne effect score,Lysholm knee function score and Western Ontario and McMaster University osteoarthritis index(WOMAC)score were compared between the two groups.Result:After treatment,the total effective rate of the treatment group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Lysholm knee function score between the two groups(P>0.05).At 3 months and 6 months after treatment,Lysholm knee function scores in the treatment group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in WOMAC score between the two groups(P>0.05).At 3 months and 6 months after treatment,the WOMAC scores of the treatment group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of warming needle acupuncture and moxibustion combined with arthroscopic minimally invasive surgery on KOA is better than that of arthroscopic minimally invasive surgery alone.
作者
谢洋
杨卧龙
李光政
麦剑军
XIE Yang;YANG Wolong;LI Guangzheng;MAI Jianjun(Ma’anshan People's Hospital,Ma’anshan 243000,China;不详)
出处
《中外医学研究》
2024年第4期30-33,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2021年度马鞍山市中医发展专项经费项目(2021-M-Z-03)。
关键词
温针灸
关节镜微创手术
膝骨关节炎
Warming needle acupuncture and moxibustion
Arthroscopic minimally invasive surgery
Knee osteoarthritis
