摘要
目的对电针配合刺络拔罐治疗鹅足滑囊炎疗效进行观察。方法选取2019年1月—2020年6月来复旦大学附属华东医院就诊的鹅足滑囊炎受试者108例,采用数字表法随机分为3组,治疗组36例,对照Ⅰ组、对照Ⅱ组各36例。治疗组予以电针配合刺络拔罐治疗,对照Ⅰ组予以普通针刺,对照Ⅱ组予以口服塞来昔布,治疗2周后,采用VAS疼痛评分、Lysholm膝关节功能评分(LKSS评分)评估3组的临床疗效,并比较3组的临床有效率。结果共纳入97例患者,治疗组临床总有效率(93.75%)高于2组对照组(72.73%,68.75%)(P=0.033),差异有统计学意义。在VAS评分、LKSS评分方面,组内比较,治疗组、对照Ⅰ组和对照Ⅱ组治疗后评分(3.94±1.14/63.00±7.41;4.33±1.06/54.19±3.60;3.71±1.28/59.34±5.73)均较治疗前(7.81±1.21/38.36±4.11;7.76±0.83/38.97±3.72;7.67±0.94/38.34±4.00)有改善(P<0.05),3组组间进行比较,VAS评分及LKSS评分差异均有统计学意义(P=0.046/P=0.000)。结论电针配合刺络拔罐用于治疗鹅足滑囊炎疗效明显,可改善受试者膝关节疼痛及功能。
Objective To observe the therapeutic effects of electroacupuncture combined with pricking and cupping on anserine bursitis.Methods 108 subjects with anserine bursitis who visited Huadong Hospital Affiliated to Fudan University from January 2019 to June 2020 were selected and randomly divided into 3 groups by the number table method.There were 36 cases in the treatment group,36 ones in the control groupⅠand 36 ones in the control groupⅡ.The treatment group was treated with electroacupuncture combined with pricking and cupping,the control groupⅠwas treated with ordinary acupuncture,and the control groupⅡwas treated with oral celecoxib.After 2 weeks of treatment,VAS pain score and Lysholm knee function score(LKSS score)were used to evaluate the clinical efficacy of the three groups,and the clinical effective rate of the three groups was compared.Results Atotal of 97 patients were included.The total clinical effective rate of the treatment group(93.75%)was higher than those of other two control groups(72.73%,68.75%),and the difference was statistically significant(P=0.033).In terms of VAS score and LKSS score,the scores after treatment in the treatment group,control groupⅠand control groupⅡ(3.94±1.14/63.00±7.41;4.33±1.06/54.19±3.60;3.71±1.28/59.34±5.73)were improved compared with those before treatment(7.81±1.21/38.36±4.11;7.76±0.83/38.97±3.72;7.67±0.94/38.34±4.00)(P<0.05).The VAS score and LKSS score of the three groups after treatment were statistically significant(P=0.046/P=0.000).Conclusion Electroacupuncture combined with pricking and cupping has obvious therapeutic effect on anserine bursitis,and can improve knee joint pain and function of patients.
作者
刘苗苗
李士传
程雪桦
俞泓波
韩力
苟海昕
吴弢
Liu Miaomiao;Li Shichuan;Cheng Xuehua;Yu Hongbo;Han Li;Gou Haixin;Wu Tao(Department of Traumatology,Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China;Department of Traditional Chinese Medicine,Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China;Institute of Gerontology,Institute of Integrated Chinese and Western Medicine,Fudan University,Shanghai,200032,P.R.China)
出处
《老年医学与保健》
CAS
2022年第6期1364-1368,共5页
Geriatrics & Health Care
基金
上海市科学技术委员会2019年度医学引导类(中、西医)科技支撑项目(19401930900)。
关键词
电针
刺络
拔罐
鹅足滑囊炎
electroacupuncture
pricking
cupping
anserine bursitis