[1]胡安华 程少丹△.热针治疗肾虚寒凝型膝骨性关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(06):16-20.
　HU Anhua CHENG Shaodan.Clinical Observation of Hot Needle for Treating Knee Osteoarthritis of Kidney Deficiency Cold Type[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(06):16-20.
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热针治疗肾虚寒凝型膝骨性关节炎的临床疗效观察
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年06期
页码:
16-20
栏目:
临床研究
出版日期:
2016-06-10

文章信息/Info

Title:
Clinical Observation of Hot Needle for Treating Knee Osteoarthritis of Kidney Deficiency Cold Type
文章编号:
1005-0205(2016)06-0016-05
作者:
胡安华1 程少丹2△
1.上海市静安区静安寺街道社区卫生服务中心(上海,200040)
2.上海市光华中西医结合医院
△.通信作者 E-mail:chengshaodannew@126.com
Author(s):
HU Anhua1 CHENG Shaodan2△
1.Health Service Center of Jing'an-Temple Community, Jing'an District, Shanghai 200040, China;
2.Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 200052, China.
关键词:
骨性关节炎;  膝关节炎;  针灸治疗;  热针
Keywords:
osteoarthritis;  knee osteoarthritis;  acupuncture;  hot needle
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察热针治疗肾虚寒凝型膝骨性关节炎的临床疗效。方法:将80例入组患者随机分为热针组和电针组,观察治疗前、治疗3周后及治疗3个月后随访WOMAC量表评分及VAS评分。结果:WOMAC量表评分显示2组治疗均有效,治疗3周后热针组综合评分及疼痛、躯体功能评分均明显优于电针组(P<0.01),疼痛、僵硬、躯体功能评分较治疗前有显著差异(P<0.01),治疗3个月后随访热针组综合评分及疼痛、躯体功能评分明显优于电针组(P<0.01),僵硬评分优于电针组(P<0.05),疼痛、僵硬、躯体功能评分较治疗前有显著差异(P<0.01); VAS评分显示治疗3周后2组治疗方法与治疗前相比均能显著缓解患者膝关节疼痛(P<0.01),2组间差异无统计学意义(P>0.05),治疗3个月后随访2组较治疗前差异有统计学意义(P<0.01),热针组评分优于电针组,差异有统计学意义(P<0.05)。结论:热针对肾虚寒凝型膝骨性关节炎具有显著治疗作用,尤其在止痛和改善躯体功能障碍方面更为明显。
Abstract:
Objective: To observe the clinical efficacy of hot needle for treating the knee osteoarthritis patients of kidney deficiency and cold type. Methods: Eighty patients were randomly divided into hot needle and electronic needle groups, 40 cases in each group. WOMAC and VAS scales were observed at baseline, 3 weeks after treatment, and 3-months follow-up. Results: WOMAC scale confirmed improvements of both methods. Three weeks after treatment, the overall functioning score, pain score, and somatic function score in the patients of hot needle group were superior to the electronic needle group(P<0.01)and baseline level(P<0.01). Three months after treatment, the overall functioning score, pain score, and stiffness score in the patients of hot needle group were superior to the electronic needle group(P<0.05)and baseline level(P<0.01). VAS scale showed that both methods could significantly reduced the pain(P<0.01). However, there were no significant difference between two treatment methods(P>0.05). At 3-month follow-up, the VAS scale of hot needle group was superior to the electronic needle group(P<0.05)Conclusion: Hot needle is effective for treating knee osteoarthritis of kidney deficiency and cold type, especially in reducing pain and improving physical functioning.

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备注/Memo

备注/Memo:
基金项目:上海市基层中医药服务能力提升工程社区中医药特 色项目(Shjczyynlts-sqzyyts-33)
上海市进一步加快中医药事业发展三年行动计划 (2014年至2016年)建设项目(ZY3-FWMS-2-100 3,ZY3-LCPT-1-1003)
上海市长宁区卫生和计划生育委员会科研课题 (20144Y016)
上海市长宁区青年中医医师培养计划项目 (2015CNQNZY001)
更新日期/Last Update: 2016-06-15