| 电针治疗膝骨关节炎临床对照试验 |
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投稿时间：2007-08-20
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| 期刊信息：《中国骨伤》2008年，第21卷，第3期，第170-172页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:中央保健专项资金科研课题(编号：协D37) |
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中文摘要:
目的：探讨电针对骨关节炎的治疗作用。
方法：将40例膝骨关节炎患者按就诊顺序随机分为2组，每组20例。电针组男8例，女12例，平均年龄(62.50±9.23)岁，平均病程(9.85±8.17)年，采用电针治疗；对照组男7例，女13例，平均年龄(61.15±6.75)岁，平均病程(8.60±6.89)年，口服双氯芬酸钠治疗。采用Lysholm膝关节评分标准评定治疗前后膝关节功能。
结果：电针组除支撑外，其余各项评分与疗前比较差异均有统计学意义(P<0.01或P<0.05);对照组疼痛度及交锁、膝软与疗前比较差异有统计学意义(P<0.01或P<0.05),其余各项差异无统计学意义(P>0.05).两组疗后评分在交锁、膝软、肿胀、爬楼梯和下蹲方面差异有统计学意义(P<0.05),而跛行、支撑和疼痛度评分差异无统计学意义(P>0.05).
结论：针刺能有效改善膝骨关节炎患者的临床症状、体征及膝关节活动度，疗效优于口服双氯芬酸钠，是治疗骨关节炎的有效手段。 |
| 【关键词】骨关节炎，膝 针刺疗法 临床对照试验 |
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| Observation on therapeutic effects of electroacupuncture for the treatment of knee osteoarthritis |
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ABSTRACT
Objective: To study the therapeutic effects of electroacupuncture for the treatment of osteoarthritis of knee joint.
Methods: Forty patients with knee osteoarthritis were randomly divided into two groups:the electroacupuncture group(20 patients)and the control group(20 patients). The patients in electroacupuncture group(8 male and 12 female,with an average age of 62.50±9.23 years and mean course of disease 9.85±8.17 years)were treated with electroacupuncture for one month. At the same time,the patients in control group(7 male and 13 female,with an average age of 61.15±6.75 years and mean course of disease 8.60±6.89 years)were given Diclofenac sodium orally for one month. The motor function of knee joints were evaluated before and after treatment according to Lysholm knee scoring scale.
Results: Most scores in the electroacupuncture group improved significantly compared with those of before treatment(P<0.01 or P<0.05)except for the item demands for support. While in the control group,compared with those of before treatment,there were significant difference on the item of pain,inter locking and instability(P<0.01 or P<0.05),but there were no significant differences on other five items(P>0.05). Between the two groups after treatment,differences on item of inter locking,instability,swelling,stair activity and squat were significant(P<0.05),but no differences on limp,demands for support and pain(P>0.05).
Conclusion: Acupuncture can effectively improve the clinical symptoms and knee joint's motor function of patients with knee osteoarthritis,and more superior than Diclofenac sodium oral. It is a proved effective method for osteoarthritis. |
| KEY WORDS Osteoarthritis,knee Acupuncture therapy Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴志宏,包飞.电针治疗膝骨关节炎临床对照试验[J].中国骨伤,2008,21(3):170~172 |
| 英文格式: | WU Zhi-hong,BAO Fei.Observation on therapeutic effects of electroacupuncture for the treatment of knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(3):170~172 |
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