时空针灸灵龟八法治疗膝骨关节炎疗效观察

目的观察时空针灸灵龟八法治疗膝骨关节炎(KOA)的临床疗效。方法将80例KOA患者随机分为治疗组和对照组,每组40例。对照组采用口服塞来昔布胶囊,治疗组采用时空针灸灵龟八法。采用视觉模拟量表(VAS)、西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC)、Lysholm量表评分和健康调查简表(SF-36)评价两组治疗前后情况。结果两组治疗前后组内及治疗后组间VAS评分比较,差异有统计学意义(P<0.05)。两组治疗前后WOMAC评分组内比较,差异有统计学意义(P<0.05);治疗后组间比较,在疼痛方面对照组略优于治疗组(P>0.05),但在僵硬、日常活动及总分方面,治疗组优于对照组(P<0.05);治疗1个月后随访WOMAC评分两组比较,差异有统计学意义(P<0.05)。两组前后组内及治疗后组间Lysholm量表和SF-36评分比较,差异有统计学意义(P<0.05)。治疗组总有效率为95.0%,对照组为80.0%,两组比较差异有统计学意义(P<0.05)。结论时空针灸灵龟八法治疗膝骨关节炎疗效显著,优于口服塞来昔布。

Observations on the Clinical Efficacy of Space-time Acupuncture with Eight Methods of Intelligent Turtle for Knee Osteoarthritis

Objective To investigate the clinical efficacy of space-time acupuncture with eight methods of intelligent turtle for knee osteoarthritis(KOA).Method Eighty KOA patients were randomized to treatment and control groups,with 40 cases in each group.The control group received oral administration of celecoxib and the treatment group,space-time acupuncture with eight methods of intelligent turtle.An assessment was made using the Visual Analogue Scale(VAS),the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),the Lysholm scale and the MOS 36-Item Short Form Health Survey(SF-36)in the two groups before and after treatment.Results There were a statistically significant pre-/post-treatment difference in the VAS score in the two groups and a statistically significant post-treatment difference in the VAS score between the two group(P<0.05).There was a statistically significant pre-/post-treatment difference in the WOMAC score in the two groups.A post-treatment between-group comparison showed that the pain score of WOMAC was slightly lower in the control group than in the treatment group(P>0.05),but the total score,the stiffness score and the everyday activities score of WOMAC were lower(P<0.05)in the treatment group than in the control group.At the one-month follow-up after treatment,there was a statistically significant difference in the WOMAC score between the two group(P<0.05).There were statistically significant pre-/post-treatment differences in the Lysholm scale and the SF-36 scores in the two groups and a statistically significant post-treatment differences in the Lysholm scale and the SF-36 scores between the two group(P<0.05).The total efficacy rate was 95.0%in the treatment group and 80.0%in the control group with a significant difference between the two groups(P<0.05).Conclusions Space-time acupuncture with eight methods of intelligent turtle has a marked therapeutic effect on knee osteoarthritis and is more effective that oral administration of celecoxib.