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[1]周游,廖俊城,曾子騰,等.針刺肌筋膜疼痛觸發(fā)點(diǎn)聯(lián)合肌肉牽張治療早中期膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2018,30(10):40-44.
　ZHOU You,LIAO Juncheng,ZENG Ziteng,et al.Acupuncture at myofascial trigger points combined with muscle stretching for treatment of early-middle knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(10):40-44.
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針刺肌筋膜疼痛觸發(fā)點(diǎn)聯(lián)合肌肉牽張治療早中期膝骨關(guān)節(jié)炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年10期
頁碼:
40-44
欄目:
臨床研究
出版日期:
2018-10-20

文章信息/Info

Title:
Acupuncture at myofascial trigger points combined with muscle stretching for treatment of early-middle knee osteoarthritis
作者:
周游1; 廖俊城2; 曾子騰1; 雷云1
(1.廣西骨傷醫(yī)院,廣西 南寧 530012; 2.廣西中醫(yī)藥大學(xué),廣西 南寧 530001)
Author(s):
ZHOU You1; LIAO Juncheng2; ZENG Ziteng1; LEI Yun1
1.Guangxi Orthopedics Hospital,Nanning 530012,Guangxi,China 2.Guangxi University of Traditional Chinese Medicine,Nanning 530001,Guangxi,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  針刺療法;  肌筋膜;  電針;  肌牽張運(yùn)動;  臨床試驗(yàn)
Keywords:
osteoarthritis; knee;  acupuncture therapy;  fascia muscularis;  electroacupuncture;  muscle stretching exercises;  clinical trial
摘要:
目的:觀察針刺肌筋膜疼痛觸發(fā)點(diǎn)聯(lián)合肌肉牽張治療早中期膝骨關(guān)節(jié)炎的臨床療效。方法:將符合要求的131例早中期膝骨關(guān)節(jié)炎患者隨機(jī)分為針刺肌筋膜疼痛觸發(fā)點(diǎn)組66例和電針組65例。針刺肌筋膜疼痛觸發(fā)點(diǎn)組采用針刺肌筋膜疼痛觸發(fā)點(diǎn)聯(lián)合肌肉牽張治療,每周治療1次,3次為1個療程,共治療1個療程; 電針組采用電針聯(lián)合肌肉牽張治療,每天治療1次,每周5次,15次為1個療程,共治療1個療程。分別于治療前和治療結(jié)束后比較2組患者的西安大略和麥克馬斯特大學(xué)(Western Ontario and McMaster universities,WOMAC)骨關(guān)節(jié)炎指數(shù)量表評分、世界衛(wèi)生組織生存質(zhì)量測定量表簡表(the World Health Organization quality of life-brief,WHOQOL-BRIEF)評分、膝關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分和Lysholm膝關(guān)節(jié)評分,并于治療結(jié)束后比較2組患者的綜合療效。結(jié)果:治療前2組患者的WHOQOL-BRIEF評分、WOMAC評分、膝關(guān)節(jié)疼痛VAS評分、Lysholm膝關(guān)節(jié)評分比較,組間差異均無統(tǒng)計學(xué)意義(t=0.325,P=0.745; t=0.875,P=0.880; t=0.095,P=0.925; t=0.160,P=0.873); 治療結(jié)束后2組患者的WHOQOL-BRIEF評分、Lysholm膝關(guān)節(jié)評分均高于治療前[(90.74±4.55)分,(66.64±8.10)分,t=-54.211,P=0.000;(80.31±4.32)分,(66.18±7.78)分,t=-32.347,P=0.000;(68.52±7.88)分,(45.26±10.94)分,t=-49.989,P=0.000;(62.60±4.55)分,(44.95±10.74)分,t=-21.354,P=0.000],WOMAC評分、膝關(guān)節(jié)疼痛VAS評分均低于治療前[(12.14±3.68)分,(45.15±9.32)分,t=46.976,P=0.000;(22.54±4.43)分,(44.91±9.18)分,t=35.922,P=0.000;(2.09±1.08)分,(7.06±0.87)分,t=69.494,P=0.000;(2.95±1.26)分,(7.05±0.87)分,t=45.640,P=0.000],針刺肌筋膜疼痛觸發(fā)點(diǎn)組患者的WHOQOL-BRIEF評分、Lysholm膝關(guān)節(jié)評分均高于電針組(t=13.461,P=0.000; t=5.251,P=0.000),針刺肌筋膜疼痛觸發(fā)點(diǎn)組患者的WOMAC評分、膝關(guān)節(jié)疼痛VAS評分均低于電針組(t=0.243,P=0.000; t=-4.224,P=0.000)。治療結(jié)束后,針刺肌筋膜疼痛觸發(fā)點(diǎn)組痊愈6例、顯效49例、有效7例、無效4例,電針組痊愈3例、顯效33例、有效16例、無效13例; 針刺肌筋膜疼痛觸發(fā)點(diǎn)組的綜合療效優(yōu)于電針組(Z=-3.401,P=0.001)。結(jié)論:針刺肌筋膜疼痛觸發(fā)點(diǎn)聯(lián)合肌肉牽張治療早中期膝骨關(guān)節(jié)炎,能緩解膝關(guān)節(jié)疼痛、改善膝骨關(guān)節(jié)功能、提高患者生活質(zhì)量,且療效優(yōu)于電針聯(lián)合肌肉牽張治療。
Abstract:
Objective:To observe the clinical curative effects of acupuncture at myofascial trigger points combined with muscle stretching for treatment of early-middle knee osteoarthritis(KOA).Methods:One hundred and thirty-one patients with early-middle KOA enrolled in the study were randomly divided into group A(66 cases)and group B(65 cases).The patients in group A were treated with acupuncture at myofascial trigger points combined with muscle stretching,once a week for one course of treatment,3 times for one course.The patients in group B were treated with electroacupuncture therapy combined with muscle stretching,once a day,5 times a week for one course of treatment and 15 times for one course.The Western Ontario and McMaster universities(WOMAC)osteoarthritis index scores,the World Health Organization quality of life-brief(WHOQOL-BRIEF)scores,the knee pain visual analogue scale(VAS)scores and Lysholm knee scores were compared between the 2 groups before treatment and after the end of the treatment respectively,and the total clinical curative effects were compared between the 2 groups after the end of the treatment.Results:There was no statistical difference in WHOQOL-BRIEF scores,WOMAC scores,knee pain VAS scores and Lysholm knee scores between the 2 groups before the treatment(t=0.325,P=0.745; t=0.875,P=0.880; t=0.095,P=0.925; t=0.160,P=0.873).The WHOQOL-BRIEF scores and Lysholm knee scores were higher and the WOMAC scores and knee pain VAS scores were lower after the end of the treatment compared to pre-treatment in the 2 groups(90.74+/-4.55 vs 66.64+/-8.10 points,t=-54.211,P=0.000; 80.31+/-4.32 vs 66.18+/-7.78 points,t=-32.347,P=0.000; 68.52+/-7.88 vs 45.26+/-10.94 points,t=-49.989,P=0.000; 62.60+/-4.55 vs 44.95+/-10.74 points,t=-21.354,P=0.000; 12.14+/-3.68 vs 45.15+/-9.32 points,t=46.976,P=0.000; 22.54+/-4.43 vs 44.91+/-9.18 points,t=35.922,P=0.000; 2.09+/-1.08 vs 7.06+/-0.87 points,t=69.494,P=0.000; 2.95+/-1.26 vs 7.05+/-0.87 points,t=45.640,P=0.000).The WHOQOL-BRIEF scores and Lysholm knee scores were higher and the WOMAC scores and knee pain VAS scores were lower in group A compared to group B(t=13.461,P=0.000; t=5.251,P=0.000; t=0.243,P=0.000; t=-4.224,P=0.000).After the end of the treatment,6 patients were cured,49 good,7 fair and 4 poor in group A; while 3 patients were cured,33 good,16 fair and 13 poor in group B.The group A surpassed the group B in the total clinical curative effects(Z=-3.401,P=0.001).Conclusion:The combination therapy of acupuncture at myofascial trigger points and muscle stretching can relieve the knee pain,improve the knee joint function and improve patient's life quality in the treatment of early-middle KOA,moreover,its curative effect is better than that of electroacupuncture therapy combined with muscle stretching.

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更新日期/Last Update: 2019-02-25