电针联合皮肤牵引治疗膝骨关节炎临床疗效观察.docVIP

电针联合皮肤牵引治疗膝骨关节炎临床疗效观察 摘要 目的：观察电针联合皮肤牵引治疗膝骨关节炎的临床疗效。 方法：60例符合骨关节炎诊断的患者，随机分为两组，治疗组采用电针联合皮肤牵引，对照组只采用电针治疗，在治疗4周后，通过比较两组治疗有效率及膝关节HSS评分，进行疗效评估。 结果：治疗组30例，27例(90.00％)治疗有效；对照组30例，23例(76.66％)治疗有效，与对照组相比有显著性差异（P＜0.05）。HSS评分治疗后两组症状积分差值比较，差异有统计学意义（P＜0.05）。 结论：电针联合皮肤牵引治疗膝骨关节炎可有效缓解疼痛，关节活动障碍等症状，有较好的临床疗效。 关键词：电针；皮肤牵引；膝骨关节炎；疗效观察 Clinical observation of electroacupuncture in combination with skin traction for treatment of knee osteoarthritis ABSTRACT Objective: To assess clinical efficacy of electroacupuncture in combination with skin traction for treatment of knee osteoarthritis. Methods: Sixty patients who met the inclusion and exclusion criteria were randomly assigned to receive electroacupuncture in combination with skin traction or only electroacupuncture, with 30 cases in each group. After 28 days of continuous treatment, the primary outcome was the clinical effective rates and hospital for special surgery scores. Results: The effective rates were 90.00% and 76.66% in electroacupuncture in combination with skin traction-treated group and electroacupuncture group respectively, statistical differences on efficacy were demonstrated between two groups (P0.05). Electroacupuncture in combination with skin traction-treated group resulted in significantly improvement in the patient’s hospital for special surgery scores. Conclusion: Electroacupuncture in combination with skin traction has reliable and definite therapeutic effect on knee osteoarthritis. KEYWORDS electroacupuncture; skin traction; knee osteoarthritis; clinical observation 随着我国老龄化社会的到来，膝关节骨关节炎的发病率呈逐年增高的趋势。膝关节骨关节炎是一种退行性变疾病，其发生涉及到全身与局部关节的多种复杂因素[1]。因此目前对其发病机理研究仍缺乏足够的了解，临床缺乏有效的预防与治疗手段，到骨关节炎晚期患者往往面临膝关节置换的结局，骨关节炎的治疗为社会带来沉重的经济负担。众多临床研究已经证实电针治疗膝骨关节炎可以有效缓解骨关节炎疼痛，改善关节活动受限症状，但很难改善膝关节内外翻畸形的进展；而通过联合膝关节皮肤牵引，渐进的纠正下肢的力学轴线从而恢复膝关节的力学平衡。本研究采用电针配合下肢皮肤牵引治疗膝关节骨性关节炎，观察电针配合下肢皮肤牵引对膝骨关节炎患者的疗效，为中医药治疗膝骨关节炎提供临床依据。 1 资料与方法 1.1 一般资料 本研究观察病例来源骨伤科门诊患者，共入选60例，其中男22例，女38例；最大年龄为82岁，最小46岁；运用随机数字表，病例随机分为治疗组和对照组各30例。通过秩和检验统计表明两组患者在性别、年龄以及病程等方面差异