| 严兴科,张 燕,于 璐,秦晓光,齐 瑞,杨 波,高 洋,郑魁山.温通针法与电针治疗膝骨性关节炎的临床对照研究[J].中国康复医学杂志,2010,25(5):447~450 |
| 温通针法与电针治疗膝骨性关节炎的临床对照研究 点此下载全文 |
| 严兴科 张 燕 于 璐 秦晓光 齐 瑞 杨 波 高 洋 郑魁山 |
| 长春中医药大学针灸推拿学院，吉林长春，130117 |
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| 摘要
目的：观察常规针刺（Acu）、电针（EA）与温通针法（WPA）对膝骨性关节炎（OA）的疗效，并比较三者疗效的差异，以作为临床治疗的选择依据。
方法：70例膝OA患者分为EA组（16例），WPA组（21例），Acu组（11例）。三组均取阳陵泉、阴陵泉、梁丘、血海、鹤顶及足三里。EA组使用的刺激电流频率为3Hz及20Hz混合式。以上各组每周治疗5次，每次20min，共计治疗8周。治疗前、治疗后及治疗后1个月分别测量每位患者之疼痛指数（PA）、关节活动度、行走30m所需之最短时间、Lequesne功能指数及膝伸肌、屈肌之最大等速及等长肌力。
结果：三组治疗后症状均有改善，但症状改善的幅度并无显著性差异。就疼痛评分而言，EA组及WPA组较快速，WPA组进步的幅度最大，但三组间进步的幅度无显著性差异。各组治疗前后等速及等长肌力均无显著性差异。
结论：Acu、EA及WPA三种针刺方法对于膝OA的疗效差异无显著性，但EA及WPA对疼痛的改善较为迅速。 |
| 关键词：温通针法；电针；针刺；膝 骨性关节炎 |
| Comparison of the efficacy of electroacupuncture and warming-promotion of acupuncture in patients with osteoarthritis of knee Download Fulltext |
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| Changchun University of Chinese Medicine Acu-mox and Tuina College,Changchun Jilin,130117 |
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| Abstract: |
| Abstract
Objective:To evaluate and compare the efficacy of electroacupuncture（EA）, warming-promotion acupuncture（WPA） and acupuncture（Acu） in the treatment of knee osteoarthritis(OA).
Method: Seventy patients with knee OA were assigned into EA（16），WPA（21），and Acu（11）groups. The acupoints in EA group were：Yanglinquan（GB34），Yinglinquan（SP9）, Liangqiu（ST34），Xuehai（SP10），Heding（EX-LE2），and Zusanli（ST36）. The frequency of stimulating electricity was 3Hz and 20Hz in mixed mode. Each treatment was 20 min， 5 times a week, for 8 weeks. The pain index(PA)， range of motion（ROM），30m walking time，Lequesne index，activities of daily living （ADL），as well as isometric and isokinetic strength of the knee musculature were measured before，immediately after and 1 month after the treatment.
Result: There was no significant statistical difference in the degree of improvement among 3 kinds of treatments. In EA group and WPA group VAS scores improved significantly after the 4th treatment，and the degree of improvement was greatest in WPA group. There was no significant statistical difference in torque values and torque ratios between pre-treatment and post-treatment in each group.
Conclusion: The efficacy of EA or WPA on OA was not superior to the Acu group; however，EA and WPA group provided faster effects on relieving pain than Acu group. |
| Keywords:warming-promotion acupuncture electroacupuncture acupuncture knee osteoarthritis |
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