火针配合毫针对膝骨关节炎患者生活质量的影响

摘要

目的：观察火针配合毫针对膝骨关节炎患者临床疗效及生存质量的影响。方法将101例膝骨关节炎患者随机分为火针组、毫针组、联合组,分别采用火针点刺、毫针及火针点刺配合毫针治疗,采用WOMAC骨关节炎指数、36项健康调查简易量表(36-item Short Form Health Survey,SF-36),分别于治疗前、治疗后对101例膝骨关节炎患者进行评价。结果火针、毫针、火针配合毫针治疗膝骨关节炎均具有明显疗效,其中火针配合毫针疗效明显优于火针和毫针(P＜0.05,P＜0.01)。3组患者经过4星期治疗后，SF-36生活质量各维度评估指标评分结果均高于治疗前(P＜0.01)；联合组患者SF-36测评问卷中生理职能、一般健康状况评分结果优于火针组(P＜0.05,P＜0.01),生理机能、生理职能、躯体疼痛、一般健康状况、社会功能、精神健康评分结果优于毫针组(P＜0.01)。结论火针配合毫针可有效治疗膝骨关节炎,提高患者生活质量,且优于火针组和毫针组。%ObjectiveTo investigate the clinical efficacy of fire needling plus filiform needles in treating knee osteoarthritis and its effect on the patients’ quality of life.MethodOne hundred and one patients with knee osteoarthritis were randomly allocated to fire needling, filiform needle and combination groups. They were treated with fire needling, filiform needles and fire needling plus filiform needles, respectively. An assessment was made using the WOMAC Osteoarthritis Index and the 36-item Short Form Health Survey (SF-36) in the 101 patients with knee osteoarthritis before and after treatment.ResultFire needling, filiform needles and fire needling plus filiform needles all had a marked therapeutic effect on knee osteoarthritis. The effect of fire needling plus filiform needles was better than those of fire needling and filiform needles (P<0.05,P<0.01). After four weeks of treatment, SF-36 quality of life item sub-scores increased in all the three groups of patients compared with before treatment (P<0.01); SF-36 role physical and general health scores were higher in the combination group than in the fire needling group (P<0.05, P<0.01); SF-36 physical functioning, role physical, general health, social functioning and mental health scores were higher in the combination group than in the filiform needle group (P<0.01).ConclusionFire needling plus filiform needles can effectively treat knee osteoarthritis and improve the patients’ quality of life. Its effects are superior to those of fire needling and filiform needles.