| 郑鑫鑫,雷思艺,卢茜,葛瑞东,唐易非,田向东.体外冲击波结合经穴治疗膝关节骨性关节炎的疗效观察[J].中国康复,2022,37(12):737-740 |
| 体外冲击波结合经穴治疗膝关节骨性关节炎的疗效观察 |
| Efficacy of extracorporeal shock wave therapy on meridian points for patients with knee osteoarthritis |
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| DOI： |
| 中文关键词: 膝关节骨性关节炎 体外冲击波疗法 经穴 疼痛 |
| 英文关键词: Knee osteoarthritis Extracorporeal shock wave therapy Meridian points Pain |
| 基金项目:北京中医药大学重点攻关项目（2020-JYB-ZDGG-142-5） |
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| 中文摘要: |
| 目的：本研究拟通过临床随机对照研究探讨体外冲击波结合经穴治疗膝关节骨性关节炎的临床疗效。方法：将39例早中期膝关节骨性关节炎患者随机分为观察组19例和对照组20例。2组均采用发散式体外冲击波治疗，对照组单纯给予冲击波痛点治疗，观察组在冲击波痛点治疗的基础上依据循经取穴原则增加对血海穴和梁丘穴的刺激。所有受试者分别在治疗前、治疗4周后行疼痛视觉模拟评分法（VAS）、西安大略和麦克马斯特大学骨关节炎指数评分（WOMAC）、6分钟步行实验（6MWT）等评定，并在治疗后记录《中医病证诊断疗效标准》中骨痹的疗效评价以及不良反应。结果：治疗4周后，2组患者VAS评分和WOMAC评分均较治疗前明显降低（P<0.01），6MWT行走距离较治疗前明显增加（P<0.05）；且观察组VAS评分较对照组降低（P<0.05）；WOMAC评分及6MWT 2组间比较差异无统计学意义。治疗后，治疗后观察组《中医病症诊断疗效标准》中骨痹的疗效评价标准评估临床优良率为89%，对照组为80%。2组患者均未出现明显不良反应。结论：体外冲击波结合经穴治疗可减轻膝关节骨性关节炎患者的疼痛、改善膝关节功能、提高步行能力。 |
| 英文摘要: |
| Objective: To investigate the efficacy of extracorporeal shock wave therapy (ESWT) on Meridian points for patients with knee osteoarthritis. Methods: A total of 39 patients with early-to-mid stage knee osteoarthritis were selected and randomly divided into control group (n=20) and experimental group (n=19). The patients in experimental group received ESWT on Meridians points and pain points, and the control group only received ESWT on the pain points. The Meridians spot included Xuehai and Liangqiu. For all subjects, VAS score, Western Ontario and McMaster Universities Arthritis Index(WOMAC) score and 6 minutes walk tests (6MWT) were assessed before and after 4 weeks of treatment. The Criteria of Diagnosis and Therapeutic Effect on Diseases and Syndromes in osteoarticular Bi-syndrome in Traditional Chinese Medicine were also used to test the effective rate after treatment. Results: When compared within groups, VAS and WOMAC scores of the two groups decreased significantly after treatment (P<0.01). For the 6MWT, the walking distance in both groups increased (P<0.05); For comparison between groups, VAS in the experimental group was significantly less than that in the control group after treatment (P<0.05). There was no significant difference in WOMAC score and 6MWT between the two groups. The effective rate was 89% in the experimental group, and 80% in the control group. There were no adverse effects in the two groups. Conclusion: ESWT on Meridians point could alleviate pain in patients with knee osteoarthritis, so as to improve the knee function and walking ability. |
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