目的：观察揿针互动式埋针配合康复指导治疗膝骨关节炎的疗效。方法将70例门诊膝骨关节炎患者随机分为针康组和对照组，每组35例。对照组单纯给予常规康复指导，针康组在对照组基础上，加用揿针互动式埋针治疗。两组患者均于治疗前和治疗2个疗程后采用西安大略麦马斯特大学骨性关节炎指数(WOMAC)评分和手法肌力测定(MMT)评定患膝的功能，并参照2002年《中药新药临床研究指导原则》(试行)，通过尼莫地平法计算其疗效。结果治疗2个疗程后，两组WOMAC总分、WOMAC疼痛、WOMAC僵硬及WOMAC功能评分与治疗前比较差异均有统计学意义(P＜0.01)，两组间比较差异也均有统计学意义(P＜0.05)；两组患者股四头肌及腘绳肌 MMT 与治疗前比较差异均有统计学意义(P＜0.01)，组间同项比较差异无统计学意义(P＞0.05)；两组总有效率比较差异有统计学意义(P＜0.05)。结论揿针互动式埋针配合康复指导治疗膝骨关节炎疗效值得肯定。%ObjectiveTo investigate the efficacy of interactive thumbtack needle embedding plus rehabilitation instruction in treating knee osteoarthritis.Method Seventy outpatients with knee osteoarthritis were randomly allocated to acupuncture-rehabilitation and control groups, 35 cases each. The control group received rehabilitation instruction alone and the treatment group, interactive thumbtack needle embedding in addition. The function of the affected knee was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and manual muscle test (MMT) in the two groups of patients before and after two courses of treatment. The therapeutic effect was evaluated using Nimodipine method accordingto 2002Guidelines on Clinical Study of New Chinese Herbal Medicine(trial).ResultAfter two courses of treatment, there were a statistically significant pre-/post-treatment differences in the WOMAC total score, pain score, stiffness score and function score in both groups (P<0.01). There were also statistically significant post-treatment differences between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in quadriceps femoris and hamstring muscles MMT in both groups of patients (P<0.01) but there were no statistically significant differences in the same items between the two groups (P>0.05). There was a statistically significant difference in therapeutic effect between the two groups (P<0.05).ConclusionInteractive thumbtack needle embedding plus rehabilitation instruction has a definite therapeutic effect on knee osteoarthritis.
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