摘要
目的通过临床随机对照研究,观察陆氏银质针温针灸配合外敷消肿膏、特定电磁波谱治疗仪综合治疗膝骨关节炎的疗效。方法将60例膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用银质针温针灸配合外敷陆氏如意消肿膏及特定电磁波谱治疗仪治疗,对照组采用膝关节腔内注射透明质酸钠配合口服塞来昔布治疗,比较两组临床疗效差异。结果治疗组总有效率为93.3%,对照组为73.3%,两组比较差异具有统计学意义(P<0.05)。两组患者治疗后膝关节疼痛评分均较治疗前下降(P<0.01,P<0.05),日常活动功能受限评分均较治疗前下降(P<0.01),膝关节僵硬评分均较治疗前下降(P<0.01,P<0.05);治疗组治疗后膝关节疼痛评分及日常活动功能受限评分较对照组改善更明显(P<0.05,P<0.01)。结论陆氏银质针为主综合疗法能显著改善膝骨关节炎的症状。
Objective To investigate the efficacy of Lu＇s warm needling moxibustion with silver needles plus external application of antiphlogistine and specific electromagnetic spectrum in compositely treating knee osteoarthritis. Method Sixty patients with knee osteoarthritis were randomly allocated to treatment and control groups, 30 cases each. The treatment group received warm needling moxibustion with silver needles plus external application of Ruyi antiphlogistine and specific electromagnetic spectrum and the control group, intraarticular injection of sodium hyaluronate plus oral administration of celecoxib. The clinical therapeutic effects were compared between the two groups. Result The total efficacy rate was 93.3% in the treatment group and 73.3% in the control group; there was a statistically significant difference between the two groups（P〈0.05）.The knee pain score（P〈0.01,P〈0.05）, the daily physical function score（P〈0.01,P〈0.05） and the knee stiffness score（P〈0.01,P〈0.05） decreased in the two groups after treatment compared with before. After treatment, the knee pain score, the knee stiffness score and the daily physical function score decreased more in the treatment group than in the control group（P〈0.05,P〈0.01）. Conclusion Lu＇s silver needle acupuncture as main therapy can significantly improve the symptoms of knee osteoarthritis.
出处
《上海针灸杂志》
2016年第6期725-728,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家中医药管理局"十二五"重点专科资助项目
上海市科委项目(11495804000)
上海市海派中医流派及特色技术扶持项目(陆氏伤科)
上海市中医临床重点学科建设资助项目(ZYXK2012017)
关键词
骨关节炎
膝关节
银质针
温针疗法
随机对照试验
Osteoarthritis
knee
Silver needle
Warm needling therapy
Randomized controlled trial
