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陆氏银质针温针灸治疗膝骨关节炎的随机对照研究 被引量:37

A Randomized Controlled Clinical Trial on Acupuncture with Warmed Lu's Silver Needle in Treating Knee Osteoarthritis
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摘要 目的:观察陆氏银质针温针灸治疗膝骨关节炎(KOA)的疗效。方法:将200例KOA患者,随机分为陆氏银质针温针灸治疗组和普通毫针温针灸对照组各100例。治疗组用三号陆氏银质针(针身长12cm,针柄长6cm,直径1 mm)2枚分别经内、外膝眼,沿髌骨下斜透刺关节腔,在针柄上插一段长约2cm艾条,点燃温灸,2周1次,4周为1疗程。对照组用直径0.45 mm,长100 mm的毫针2枚,进针方法及灸法同治疗组,2次/周,4周为1疗程。采用WOMAC骨性关节炎指数在治疗前后进行记录,获得膝关节疼痛、僵硬和日常活动功能受限3方面评分。结果:2组患者膝关节疼痛评分、僵硬评分及日常活动功能受限评分治疗后均较治疗前下降,差异均有统计学意义(治疗组P<0.01;对照组疼痛评分及僵硬评分P<0.05,日常活动功能受限P<0.01);治疗后组间比较,治疗组较对照组下降更明显(疼痛评分P<0.01,日常活动功能受限P<0.05,差异具有统计学意义;僵硬评分P>0.05,差异无统计学意义)。结论:陆氏银质针温针灸治疗KOA疗效显著。 Object: To evaluate the effects of acupuncture with warmed Lu's silver needle on patients with knee osteoarthritis(KOA).Methods: Two hundred patients with KOA were randomly divided into treating group and control group,100 cases in each group.The patients in treating group were treated with acupuncture with warmed Lu's silver needle on Neixiyan(ST35) and Waixiyan(EX-L5) acupoints,once every 2 weeks.Those in control group were treated with acupuncture with warmed stainless steel needle on the same acupoints,twice a week.The scales of knee joint pain,stiffness and daily activity inhibition were observed before and after treatment with Western Ontario and McMaster Universities' Osteoarthritis Scale(WOMAC).Results: The scales of knee joint pain,stiffness and daily activity inhibition after treatment were lower than before treatment.The scales of treating group were lower than those of control group after treatment(P〈 0.01).Conclusion: The acupuncture with warmed Lu's Silver needle is effective on KOA.
出处 《中国中医骨伤科杂志》 CAS 2011年第3期14-16,共3页 Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金 上海市卫生局课题(NO:2008YSZB008 2010Y124) 上海市静安区卫生局课题(NO:200706B028)
关键词 陆氏银质针 普通毫针 膝骨关节炎 温针灸疗法 随机对照临床试验 Lu's silver needle Stainless steel needle Knee osteoarthritis Randomized controlled clinical trial
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