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[1]李益軍,梁興森,方細(xì)霞,等.電針與溫針灸治療早中期膝骨關(guān)節(jié)炎的比較研究[J].中醫(yī)正骨,2023,35(09):12-16.
　LI Yijun,LIANG Xingsen,FANG Xixia,et al.A comparative study of electroacupuncture therapy versus needle-warming moxibustion therapy for treatment of early- and mid-stage knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(09):12-16.
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電針與溫針灸治療早中期膝骨關(guān)節(jié)炎的比較研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年09期
頁(yè)碼:
12-16
欄目:
臨床研究
出版日期:
2023-09-20

文章信息/Info

Title:
A comparative study of electroacupuncture therapy versus needle-warming moxibustion therapy for treatment of early- and mid-stage knee osteoarthritis
作者:
李益軍1; 梁興森2; 方細(xì)霞1; 肖文良1; 李義凱3; 謝美玲1; 李嘉4; 李玲4; 高彥平3
1.東莞市石碣醫(yī)院,廣東 東莞 523290; 2.廣州體育學(xué)院,廣東 廣州 510500; 3.南方醫(yī)科大學(xué)第三附屬醫(yī)院,廣東 廣州 510630; 4.廣東省人民醫(yī)院,廣東 廣州 510080
Author(s):
LI Yijun1; LIANG Xingsen2; FANG Xixia1; XIAO Wenliang1; LI Yikai3; XIE Meiling1; LI Jia4; LI Ling4; GAO Yanping3
1.Shijie Hospital of Dongguan City,Dongguan 523290,Guangdong,China2.Guangzhou Sport University,Guangzhou 510500,Guangdong,China3.The Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,Guangdong,China4.Guangdong Provincial People's Hospital,Guangzhou 510080,Guangdong,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  針灸療法;  電針;  溫針療法
Keywords:
osteoarthritis; knee;  acupuncture moxibustion therapy;  electroacupuncture;  needle warming therapy
摘要:
目的:比較電針與溫針灸治療早中期膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)的臨床療效。方法:將符合要求的62例早中期KOA患者隨機(jī)分為電針組和溫針灸組,每組31例。電針組采用電針聯(lián)合常規(guī)康復(fù)訓(xùn)練治療,溫針灸組采用溫針灸聯(lián)合常規(guī)康復(fù)訓(xùn)練治療。2組患者均每周治療3次,共治療4周。記錄并比較治療前和治療結(jié)束時(shí)2組患者膝關(guān)節(jié)疼痛視覺(jué)模擬量表(visual analogue scale,VAS)評(píng)分、漢密爾頓抑郁量表(Hamilton depression rating scale,HAMD)評(píng)分、Lysholm膝關(guān)節(jié)評(píng)分及膝關(guān)節(jié)損傷和骨關(guān)節(jié)炎結(jié)果評(píng)分(knee injury and osteoarthritis outcome score,KOOS)。結(jié)果:電針組退出2例,溫針灸組退出1例。治療結(jié)束時(shí),2組患者膝關(guān)節(jié)疼痛VAS評(píng)分、HAMD評(píng)分均低于治療前[膝關(guān)節(jié)疼痛VAS評(píng)分:(6.33±1.32)分,(1.33±1.02)分,t=46.637,P=0.000;(6.21±1.29)分,(2.03±1.09)分,t=47.990,P=0.000; HAMD評(píng)分:(33.91±5.23)分,(13.67 ±3.34)分,t=19.765,P=0.000;(34.35±4.32)分,(16.56 ±4.23)分,t=17.124,P=0.000],溫針灸組患者膝關(guān)節(jié)疼痛VAS評(píng)分、HAMD評(píng)分均低于電針組(t=-2.548,P=0.014; t=11.708,P=0.000); 2組患者Lysholm膝關(guān)節(jié)評(píng)分、KOOS均高于治療前[Lysholm膝關(guān)節(jié)評(píng)分:(52.47±2.78)分,(80.17 ±1.69)分,t=23.653,P=0.000;(50.84±2.57)分,(78.93 ±1.86)分,t=22.768,P=0.000; KOOS:(81.94 ±13.76)分,(122.78±21.69)分,t=25.674,P=0.000;(82.75 ±14.68)分,(114.56±23.85)分,t=22.241,P=0.000],溫針灸組患者Lysholm膝關(guān)節(jié)評(píng)分、KOOS均高于電針組(t=7.726,P=0.000; t=13.426,P=0.000)。結(jié)論:對(duì)于早中期KOA,溫針灸較電針能更好地緩解患者抑郁情緒、減輕膝關(guān)節(jié)疼痛和改善膝關(guān)節(jié)功能。
Abstract:
Objective:To compare the clinical outcomes of electroacupuncture(EA)therapy versus needle-warming moxibustion(NWM)therapy in treatment of early- and mid-stage knee osteoarthritis(KOA).Methods:Sixty-two patients with early- and mid-stage KOA were enrolled in the study and were randomly divided into EA therapy group and NWM therapy group,31 cases in each group.The patients in EA therapy group were treated with EA therapy and conventional rehabilitation training,and the ones in NWM therapy group with NWM therapy and conventional rehabilitation training.All patients were treated three times a week for consecutive 4 weeks.The knee pain visual analogue scale(VAS)score,Hamilton depression rating scale(HAMD)score,Lysholm knee score(LKS)and knee injury and osteoarthritis outcome score(KOOS)were recorded and compared between the 2 groups before the treatment and at the end of treatment respectively.Results:Two patients in EA therapy group and 1 case in NWM therapy group dropped out of the study.The knee pain VAS score and HAMD score decreased at the end of treatment compared to pretreatment in the 2 groups(knee pain VAS score:6.33±1.32 vs 1.33±1.02 points,t=46.637,P=0.000; 6.21±1.29 vs 2.03±1.09 points,t=47.990,P=0.000; HAMD score:33.91±5.23 vs 13.67±3.34 points,t=19.765,P=0.000; 34.35±4.32 vs 16.56±4.23 points,t=17.124,P=0.000),and they both were lower in NWM therapy group compared to EA therapy group(t=-2.548,P=0.014; t=11.708,P=0.000); while the LKS and KOOS increased at the end of treatment compared to pretreatment in the 2 groups(LKS:52.47±2.78 vs 80.17±1.69 points,t=23.653,P=0.000; 50.84±2.57 vs 78.93±1.86 points,t=22.768,P=0.000; KOOS:81.94±13.76 vs 122.78±21.69 points,t=25.674,P=0.000; 82.75±14.68 vs 114.56±23.85 points,t=22.241,P=0.000),and they both were higher in NWM therapy group compared to EA therapy group(t=7.726,P=0.000; t=13.426,P=0.000).Conclusion:The NWM therapy can better relieve depression,alleviate knee pain and improve knee function compared to EA therapy in treatment of early- and mid-stage KOA.

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備注/Memo

備注/Memo:
基金項(xiàng)目:東莞市社會(huì)科技發(fā)展(重點(diǎn))項(xiàng)目(202050715011167)
通訊作者:李義凱 E-mail:[email protected]
更新日期/Last Update: 1900-01-01