Clinical analysis of extracorporeal shock wave combined with electroacupuncture in the treatment of knee osteoarthritis
Objective To explore the clinical efficacy of extracorporeal shock wave(ESW)combined with electroacupuncture in the treatment of knee osteoarthritis(KOA),and to determine the optimal therapeutic efficacy of knee osteoarthritis under different Keiigren-Lawrence(KL)grades through correlation analysis.Methods A retrospective study was conducted on 168 KOA patients treated in our hospital from August 2019 to December 2021.According to the treatment schemes,they were divided into ESW group(n = 58),electroacupuncture treatment group(n = 50)and ESW + electroacupuncture group(n=60).The changes in the Harris Hip Scale(HHS)score,the Visual Analogue Scale(VAS)score,Lequesne index and range of motion of the knee before treatment and 1 week,3 weeks and 5 weeks after treatment were compared.The influences of the KL grade,treatment method and age on the treatment effect were determined by correlation analysis.Results Spearman correlation analysis showed that KL grade was positively correlated with the difference in the VAS score(P<0.05)and negatively correlated with the range of motion of the knee(P<0.05).The treatment method was negatively correlated with the differences in the VAS score and Lequesne index(P<0.05),and positively correlated with the range of motion of the knee(P<0.05).The changes in the VAS score and range of motion of the knee in patients treated with electroacupuncture were negatively correlated with the KL grade(P<0.05),and the range of motion of the knee in patients treated with ESW + electroacupuncture was positively correlated with the KL grade(P<0.05).Conclusion The overall efficacy of ESW + electroacupuncture in patients with KL grade Ⅰ-Ⅲ is better than that of the monotherapy of ESW or electroacupuncture.Patients with KL grade I are suitable for the treatment of electroacupuncture.
knee osteoarthritisextracorporeal shock waveelectroacupunctureKeilgren Lawrence grade
万方数据
维普
