[1]周游,廖俊城,曾子腾,等.针刺肌筋膜疼痛触发点联合肌肉牵张治疗早中期膝骨关节炎[J].中医正骨,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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针刺肌筋膜疼痛触发点联合肌肉牵张治疗早中期膝骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年10期
页码:
40-44
栏目:
临床研究
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曾子腾1雷云1
(1.广西骨伤医院,广西 南宁 530012; 2.广西中医药大学,广西 南宁 530001)
Author(s):
ZHOU You1LIAO Juncheng2ZENG Ziteng1LEI Yun1
1.Guangxi Orthopedics Hospital,Nanning 530012,Guangxi,China 2.Guangxi University of Traditional Chinese Medicine,Nanning 530001,Guangxi,China
关键词:
骨关节炎 针刺疗法 肌筋膜 电针 肌牵张运动 临床试验
Keywords:
osteoarthritisknee acupuncture therapy fascia muscularis electroacupuncture muscle stretching exercises clinical trial
摘要:
目的:观察针刺肌筋膜疼痛触发点联合肌肉牵张治疗早中期膝骨关节炎的临床疗效。方法:将符合要求的131例早中期膝骨关节炎患者随机分为针刺肌筋膜疼痛触发点组66例和电针组65例。针刺肌筋膜疼痛触发点组采用针刺肌筋膜疼痛触发点联合肌肉牵张治疗,每周治疗1次,3次为1个疗程,共治疗1个疗程; 电针组采用电针联合肌肉牵张治疗,每天治疗1次,每周5次,15次为1个疗程,共治疗1个疗程。分别于治疗前和治疗结束后比较2组患者的西安大略和麦克马斯特大学(Western Ontario and McMaster universities,WOMAC)骨关节炎指数量表评分、世界卫生组织生存质量测定量表简表(the World Health Organization quality of life-brief,WHOQOL-BRIEF)评分、膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分和Lysholm膝关节评分,并于治疗结束后比较2组患者的综合疗效。结果:治疗前2组患者的WHOQOL-BRIEF评分、WOMAC评分、膝关节疼痛VAS评分、Lysholm膝关节评分比较,组间差异均无统计学意义(t=0.325,P=0.745; t=0.875,P=0.880; t=0.095,P=0.925; t=0.160,P=0.873); 治疗结束后2组患者的WHOQOL-BRIEF评分、Lysholm膝关节评分均高于治疗前[(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评分、膝关节疼痛VAS评分均低于治疗前[(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],针刺肌筋膜疼痛触发点组患者的WHOQOL-BRIEF评分、Lysholm膝关节评分均高于电针组(t=13.461,P=0.000; t=5.251,P=0.000),针刺肌筋膜疼痛触发点组患者的WOMAC评分、膝关节疼痛VAS评分均低于电针组(t=0.243,P=0.000; t=-4.224,P=0.000)。治疗结束后,针刺肌筋膜疼痛触发点组痊愈6例、显效49例、有效7例、无效4例,电针组痊愈3例、显效33例、有效16例、无效13例; 针刺肌筋膜疼痛触发点组的综合疗效优于电针组(Z=-3.401,P=0.001)。结论:针刺肌筋膜疼痛触发点联合肌肉牵张治疗早中期膝骨关节炎,能缓解膝关节疼痛、改善膝骨关节功能、提高患者生活质量,且疗效优于电针联合肌肉牵张治疗。
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