毫针焠刺治疗老年性膝骨关节炎疗效观察

摘要

Objective To observe the efficacy of fire filiform-needle therapy in treating knee osteoarthritis (KOA) in the elderly.Method Eighty-one elderly KOA patients were randomized into a treatment group of 42 cases and a control group of 39 cases following registration order. The treatment group was intervened by fire filiform-needle therapy, while the control group was treated with ordinary acupuncture. The two groups were treated once every other day, 15 sessions as a treatment course. The Lysholm knee score and short-form Arthritis Impact Measurement Scales 2 (AIMS2-SF) were adopted to observe the activities of daily living and quality of life before and after the treatment, and the clinical efficacies of the two groups were compared.Result The total effective rate was 92.9％ in the treatment group, versus 82.1％ in the control group, and the total effective rate in the treatment group was significantly superior to the control group (P<0.05). Except for the squatting item of the Lysholm knee score in the control group, the Lysholm knee score and AIMS2-SF score were significantly changed after the treatment in both groups (P<0.05,P<0.01); except for the support item of the Lysholm knee score, the treatment group was superior to the control group in comparing the Lysholm knee score and AIMS2-SF score after the treatment (P<0.01).Conclusion Fire filiform- needle therapy can significantly enhance the activities of daily living and quality of life in elderly KOA patients.%目的 观察毫针焠刺治疗老年性膝骨关节炎的临床疗效.方法 将81例老年性膝骨关节炎患者按就诊时间随机分为治疗组42例和对照组39例,治疗组采用毫针焠刺治疗,对照组采用常规针刺治疗.两组均为隔日治疗1次,15次为1个疗程.通过Lysholm膝关节评分和AIMS2-SF量表观察两组治疗前后患者生活能力和生活质量的变化,并比较两组的临床疗效.结果 治疗组的总有效率为92.9％,对照组为82.1％,治疗组的总有效率明显优于对照组(P<0.05);除对照组Lysholm膝关节评分下蹲功能项目外,两组治疗后Lysholm膝关节评分和AIMS2-SF量表评分与同组治疗前比较,差异均有统计学意义(P<0.05,P<0.01);除Lysholm膝关节评分的支撑功能项目外,治疗组治疗后Lysholm膝关节评分和AIMS2-SF量表评分优于对照组(P<0.01).结论 毫针焠刺治疗能明显提高老年性膝骨关节炎患者生活能力和生活质量.