摘要
[目的]评价针刀松解法缓解膝骨关节炎疼痛症状的疗效和安全性。[方法]180例膝骨关节炎患者随机分入针刀组和电针组,每组各90例,分别给予针刀松解法和电针干预,共3周。采用日常生活活动能力(ADL)评分法评价两组治疗前、治疗后及治疗后6月随访时行走疼痛和上下楼梯疼痛的疗效,同时评价治疗期间的安全性。[结果]两组治疗后和随访时行走疼痛和上下楼梯疼痛评分均较治疗前升高,差异有统计学意义(P<0.01);组间比较治疗后和随访时ADL评分与治疗前的差值,针刀组在两个时间点的行走疼痛和上下楼梯疼痛评分差值均大于电针组,差异有统计学意义(P<0.01);组间比较治疗后及随访时疗效等级分布,差异有统计学意义(P<0.01),针刀组的疗效优于电针组。[结论]针刀松解法对缓解膝骨关节炎疼痛症状安全有效。
[Objective] To evaluate the effect and safety of acupotomy for improving the pain symptom in patients with knee osteoarthritis.[Methods] One hundred and eighty patients were randomly assigned to acupotomy group（n=90） and electro-acupuncture（EA） group（n=90）,and received acupotomy and EA treatment for 3 weeks respectively.Walking pain and stair activity pain were evaluated at baseline and after treatment and a following-up of 6 months using the ADL scoring method,the safety of acupotomy was evaluated at the same time.[Results] Walking pain and stair activity pain score were raised after treatment and at following-up period of 6 months than baseline（P〈0.01）.The D-value between after treatment or a following-up of 6 months and baseline in acupotomy group were greater than EA group on walking pain and stair activity pain（P〈0.01）.The curative effect level distribution after treatment and at a following-up period of 6 months of acupotomy group were better than EA group（P〈0.01）.[Conclusion] Acupotomy therapy can effectively and safely improve the pain symptom of knee osteoarthritis.
出处
《天津中医药》
CAS
2012年第1期35-38,共4页
Tianjin Journal of Traditional Chinese Medicine
基金
国家重点基础研究发展计划"973"计划资助项目(2006CB504508)
关键词
针刀松解法
膝骨关节炎
疼痛
acupotomy
knee osteoarthritis
pain symptom
