快针针刺疗法治疗膝骨关节炎

目的：观察快针刺法治疗膝骨关节炎的临床疗效.方法：膝骨关节炎患者50例,随机分为2组,每组25例.观察组采用快针刺法治疗,对照组采用电针加特定电磁波谱灯照射治疗;每日治疗1次,5 d为1个疗程,共治疗2个疗程.分别在治疗前、治疗1个疗程后、治疗2个疗程后采用疼痛视觉模拟法评价2组患者患膝的疼痛程度,并进行比较.结果：治疗前后不同时间点间疼痛视觉模拟评分比较,差异有统计学意义（F=100.946,P=0.000）,存在时间效应;2组患者间疼痛视觉模拟评分比较,观察组VAS评分低于对照组,差异有统计学意义（F=-3.850,P=0.000）,存在分组效应;治疗前2组患者间疼痛视觉模拟评分比较,差异无统计学意义[（6.207±0.711）分,（6.306±1.041）分;t=-0.392,P=0.697];治疗1个疗程后和治疗2个疗程后,观察组患者疼痛视觉模拟评分均低于对照组,差异有统计学意义[（3.126±0.809）分,（5.612±0.850）分;t=-10.590,P=0.000）;（2.804±0.919）分,（3.492±0.963）分;t=-2.584,P=0.013];时间因素与分组因素存在交互效应（F=20.426,P=0.000）.结论：快针刺法治疗膝骨关节炎可有效缓解患膝疼痛,疗效优于电针加特定电磁波谱灯照射治疗.

Effect of fast acupuncture therapy on knee osteoarthritis

Objective：To observe the clinical effects of fast acupuncture therapy on knee osteoarthritis（KOA）. Methods：Fifty patients with knee osteoarthritis were randomly divided into observation group and control group, 25 cases in each group. Patients in observation group were treated with fast acupuncture therapy,while the others in control group were treated with electro-acupuncture therapy combined with specific electromagnetic spectrum light radiation therapy ,once a day for 10 days ,5 days for each course of treatment. Knee pain degree were evaluated by using visual analogue scale（VAS） before treatment, after one course of treatment and after two course of treatment respec- tively. Results：There was statistical difference in VAS scores between different time points （F = 100. 946 ,P = 0. 000 ） , in other words, there was time effect. The VAS score of observation group was lower than that of control group （ F = - 3. 850, P = 0. 000）, in other words, there was grouping effect. There was no statistical difference in VAS scores between the 2 groups before the treatment（6. 207 ＋/-0.711 vs 6. 306 ＋/-1. 041 points,t = -0. 392,P =0. 697）. The VAS score of observation group was lower than that of control group after one and two course of treatment（ 3. 126 ＋/-0. 809 vs 5. 612 ＋/-0. 850 points ,t = - 10. 590 ,P = 0. 000 ;2. 804 ＋/- 0. 919 vs 3. 492 ＋/-0. 963 points, t = -2. 584, P = 0. 013 ）. There was interaction between time factor and grouping factor（ F = 20. 426, P = 0. 000）. Conclusion：The fast ac- upuncture therapy can effectively relieve the knee pain in the treatment of knee osteoarthritis,and its therapeutic effect is better than that of electro-acupuncture therapy combined with specific electromagnetic spectrum light radiation therapy.