温针灸肌肉刺激疗法治疗膝骨性关节炎疗效观察

目的:观察温针灸肌肉刺激疗法治疗膝骨性关节炎(OA)的临床疗效。方法:120例OA门诊病人,随机分成对照组和治疗组各60例。对照组使用西乐葆口服治疗,治疗组采用温针灸肌肉刺激法治疗,共治疗4周。治疗后即时和治疗后3个月进行疗效判断、疼痛视觉模拟评分(VAS)、国际骨关节炎Lequesne指数、不良反应等评价。结果:治疗后即时,治疗组总有效率为96.6%(58/60),高于对照组的78.3%(47/60,P<0.05);治疗后3个月治疗组总有效率为96.6%(58/60),高于对照组的81.7%(49/60,P<0.05)。两组治疗后即时及治疗后3个月VAS均较治疗前下降(P<0.05),两组治疗后即时及治疗组治疗后3个月Lequesne指数较治疗前均下降(P<0.05),且治疗组均优于对照组(P<0.05)。治疗组不良反应发生例数少于对照组。结论:温针灸肌肉刺激疗法用于治疗OA可以取得较好的即时效果并维持效应,能明显缓解患者疼痛,提高膝关节活动功能与生活质量。

Observation on curative effect of thermal acupuncture needle muscular stimulation therapy for knee osteoarthritis patients

Objective To observe the therapeutic effect of thermal acupuncture needle muscular stimulation for treatment of knee osteoarthritis patients.Methods A total of 120 outpatients with knee osteoarthritis were randomly and equally divided into control and treatment groups.Patients of the treatment group were treated by inserting the acupuncture needles into the attached sites of the quadriceps femoris,musculus vastus medialis,vastus lateralis,etc.around the knee joint.The needles were manipulated repeately till "Deqi",followed by attaching a piece of ignited moxa-roll(about 2 cm length) to the needle handle.The treatment was conducted once a week,4 weeks altogether.Patients of the control group were treated by oral administration of Celebrex(a specific inhibitor of COX-2,200 mg/time,once daily,4 weeks together).The therapeutic effect was evaluated by using visual analogue scale(VAS),Lequesne Index(Chinese Version) of osteoarthritis after 4 weeks’ treatment and 3 months after the treatment.Results After 4 weeks’ treatment and 3 months after the treatment,the effective rates were 78.3%(47/60) and 81.7%(49/60) in the control group,and 96.6%(58/60) and 96.6%(58/60) in the treatment group,respectively,being significantly higher in the treatment group(P<0.05).Both VAS scores and Lequesne Indexes in the treatment group,and VAS scores in the control group were decreased significantly after 4 weeks’ treatment and 3 months’ follow-up(P<0.05).The effects of the treatment group were considerably superior to those of the control group(P<0.05).Conclusion Thermal needle muscular stimulation therapy is effective for relieving knee osteoarthritis patients’ symptoms of pain,knee-joint stiffness,swel-ling,walking capability,etc.