温针治疗膝骨关节炎40例疗效观察

目的:观察温针治疗膝骨关节炎的临床疗效。方法:将80例膝骨关节炎患者随机分为2组各40例,治疗组以温针治疗(主穴:膝眼、阳陵泉、足三里、梁丘);对照组以联合阻滞疗法治疗(关节腔内注射透明质酸钠,同时用1％利多卡因加曲安奈德、维生素B12进行关节周围的痛点阻滞)。结果:治疗组治愈29例,好转8例,无效3例,总有效率92.5％;对照组治愈25例,好转11例,无效4例,总有效率90.0％。2组总有效率比较,差异无显著性意义(P>0.05)。但1年后复发率治疗组低于对照组,差异有非常显著性意义(P<0.01)。结论:温针疗法及联合阻滞疗法对膝骨关节炎均有较好疗效,应用温针疗效法治疗远期疗效理想,是一种治疗膝骨关节炎的有效方法。

Treatment of Gonitis by Warming Needling:An Observation of 40 Cases

Objective: To observe the curative effect of warming needling for gonitis. Methods: 80 cases of gonitis were allocaed to 2 groups (each group 40 cases) randomly. The treatment group was treated by warming needling the acupoints Xiyan (EX - LE 5), Yanglingquan (GB 34), Zusanli (ST 36) and Liangqiu (ST 34); the control group by hyaluronic sodium injected in articular cavity and used 1% of lidocaine, kenacort and vtiamin 812 for peripheral pain spots stagnation of joint simultaneously. Results: 29 cases were cured, 8 cases improved and 3 cases ineffective, the total effective rate being 92. 5% ; and 25, 11, 4 and 90. 0% in control group respectively (P>0. 05). But one year, the recurrence rate of treatment group is lower than that of control group ( P < 0. 01). Conclusion: The therapy of warming needling associated with stagnative therapy possess a good curative effect for gonitis and is an ideal therapy for longterm curative effect.