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腹-膝结合针灸治疗老年性膝骨性关节炎的效果观察

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目的 观察腹-膝结合针灸治疗老年性膝骨性关节炎的疗效。方法 63 例老年性膝骨性关节炎患者,随机分为腹-膝结合治疗组(32 例)和常规针刺组(31 例)。腹-膝结合组采用腹-膝结合针灸治疗,常规针刺组采用常规穴位针灸治疗。比较两组患者治疗前后修订版面部表情疼痛量表(FPS-R)评分、西安大略和曼彻斯特大学骨性关节炎指数(WOMAC)评分。结果 腹-膝结合组与常规针刺组FPS-R评分在治疗前相比无差异(P>0。05);治疗后腹-膝结合组与常规针刺组FPS-R评分均低于治疗前,且腹-膝结合组FPS-R评分(2。33±1。02)分低于常规针刺组的(2。98±0。81)分(P<0。05)。腹-膝结合组与常规针刺组WOMAC评分在治疗前相比无差异(P>0。05);治疗后腹-膝结合组与常规针刺组WOMAC评分均低于治疗前,且腹-膝结合组WOMAC评分(29。01±12。09)分低于常规针刺组的(36。71±13。61)分(P<0。05)。结论 腹-膝结合针灸治疗老年性膝骨性关节炎在缓解患者疼痛、改善膝关节功能方面均优于常规针刺。
Effect observation of combined abdominal-knee acupuncture on knee osteoarthritis in the elderly
Objective To observe the efficacy of combined abdominal-knee acupuncture on knee osteoarthritis in the elderly.Methods 63 elderly patients with knee osteoarthritis were randomly divided into a combined abdominal-knee treatment group(32 cases)and a conventional acupuncture group(31 cases).Combined abdominal-knee treatment group was treated with combined abdominal-knee acupuncture,while conventional acupuncture group was treated with conventional acupuncture.The faces pain scale-revised(FPS-R)score and Western Ontario and McMaster University Osteoarthritis Index(WOMAC)score were compared between the two groups of patients before and after treatment.Results There was no difference in FPS-R score between the combined abdominal-knee treatment group and the conventional acupuncture group before treatment(P>0.05).After treatment,the FPS-R score in both the combined abdominal-knee treatment group and the conventional acupuncture group was lower than that before treatment,and the combined abdominal-knee treatment group had lower FPS-R score of(2.33±1.02)points than(2.98±0.81)points in the conventional acupuncture group(P<0.05).There was no difference in WOMAC scores between the combined abdominal-knee treatment group and the conventional acupuncture group before treatment(P>0.05).After treatment,the WOMAC score in both the combined abdominal-knee treatment group and the conventional acupuncture group was lower than that before treatment,and the combined abdominal-knee treatment group had lower WOMAC score of(29.01±12.09)points than(36.71±13.61)points in the conventional acupuncture group(P<0.05).Conclusion Combined abdominal-knee acupuncture is superior to the conventional acupuncture in relieving pain and improving knee joint function in the treatment of knee osteoarthritis in the elderly.

Combined abdominal-knee acupunctureKnee osteoarthritisKnee joint functionPain

刘娜、蔡承穆、杜琳

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100015 北京普祥医院中医科

100032 北京金华骨专科医院中医科

100700 北京中医药大学东直门医院针灸科

腹-膝结合针灸 膝骨性关节炎 膝关节功能 疼痛

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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