火针治疗髌骨软化症40例临床观察

目的观察火针和温针治疗髌骨软化症(CP)的疗效,比较两种方法疗效的差异性。方法将80例髌骨软化症患者随机分为治疗组和对照组,每组40例。治疗组采用火针治疗,对照组采用温针灸治疗,每周两次,分别治疗4周。采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)量表分别在治疗2周和4周后对患者有关膝关节的疼痛、僵硬、功能是否丧失三方面进行疗效评定。结果两组治疗四周后与治疗前比较,差异均有统计学意义(P<0.01);治疗四周后治疗组与对照组比较,两组WOMAC的疼痛、功能是否丧失评分及总分比较,差异亦有统计学意义(P<0.05);两组患者WOMAC各项指标评分与治疗时间密切相关,各时间点之间差异有统计学意义(P<0.01)。结论火针与温针灸治疗CP都有效,火针的疗效优于温针灸。

Clinical Observation of 40 Cases of Chondromalacia Patellae Treated with Fire Needling Therapy

Objective To observe the clinical efficacy of chondromalacia patellae （CP）treated with fire needling therapy and warm needling therapy and compare the efficacy between these two therapies. Meth- ods Eighty cases of CP were randomized into a treatment group and a control group,40 cases in each one. In the treatment group, the fire needling therapy was used. In the control group, the warm needling therapy was adopted, twice a week, treated for 4 weeks. WOMAC scale was adopted to evaluate the efficacy in terms of knee joint pain, stiffness and function impairment in the patients in 2 weeks and 4 weeks after treatment sepa- rately. Results Compared with the results before treatment,the differences were significant in 4 weeks after treatment in the two groups （P 〈 0.01 ）. In comparison between the treatment group and the control group, the differences in the scores of knee joint pain, stiffness and function impairment in WOMAC scale were signifi- cant in 4 weeks after treatment （P 〈 0.05 ）. The score of each item in WOMAC was closely related to the treatment time in the patients of the two groups and the differences among different time points were signifi- cant（P 〈 0.01 ）. Conclusion Both fire needling therapy and warm needling therapy are effective in treat- ment of CP and the efficacy of fire needling therapy is superior to the warm needling therapy.