[1]李益军,梁兴森,方细霞,等.电针与温针灸治疗早中期膝骨关节炎的比较研究[J].中医正骨,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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电针与温针灸治疗早中期膝骨关节炎的比较研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年09期
页码:
12-16
栏目:
临床研究
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:
李益军1; 梁兴森2; 方细霞1; 肖文良1; 李义凯3; 谢美玲1; 李嘉4; 李玲4; 高彦平3
1.东莞市石碣医院,广东 东莞 523290; 2.广州体育学院,广东 广州 510500; 3.南方医科大学第三附属医院,广东 广州 510630; 4.广东省人民医院,广东 广州 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
关键词:
骨关节炎; 膝;  针灸疗法;  电针;  温针疗法
Keywords:
osteoarthritis; knee;  acupuncture moxibustion therapy;  electroacupuncture;  needle warming therapy
摘要:
目的:比较电针与温针灸治疗早中期膝骨关节炎(knee osteoarthritis,KOA)的临床疗效。方法:将符合要求的62例早中期KOA患者随机分为电针组和温针灸组,每组31例。电针组采用电针联合常规康复训练治疗,温针灸组采用温针灸联合常规康复训练治疗。2组患者均每周治疗3次,共治疗4周。记录并比较治疗前和治疗结束时2组患者膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、汉密尔顿抑郁量表(Hamilton depression rating scale,HAMD)评分、Lysholm膝关节评分及膝关节损伤和骨关节炎结果评分(knee injury and osteoarthritis outcome score,KOOS)。结果:电针组退出2例,温针灸组退出1例。治疗结束时,2组患者膝关节疼痛VAS评分、HAMD评分均低于治疗前[膝关节疼痛VAS评分:(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评分:(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],温针灸组患者膝关节疼痛VAS评分、HAMD评分均低于电针组(t=-2.548,P=0.014; t=11.708,P=0.000); 2组患者Lysholm膝关节评分、KOOS均高于治疗前[Lysholm膝关节评分:(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],温针灸组患者Lysholm膝关节评分、KOOS均高于电针组(t=7.726,P=0.000; t=13.426,P=0.000)。结论:对于早中期KOA,温针灸较电针能更好地缓解患者抑郁情绪、减轻膝关节疼痛和改善膝关节功能。
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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备注/Memo

备注/Memo:
基金项目:东莞市社会科技发展(重点)项目(202050715011167)
通讯作者:李义凯 E-mail:ortho@smu.edu.cn
更新日期/Last Update: 1900-01-01