针刺研究2024，Vol.49Issue(4)：398-402,5.DOI:10.13702/j.1000-0607.20230087
刃针结合电针治疗对膝关节骨关节炎患者膝关节功能的影响
Effect of acupotomy combined with electroacupuncture on knee function of patients with knee osteoarthritis
摘要
Abstract
Objective To compare the clinical effect of combined therapy of acupotomy and electroacupuncture(EA)with the simple application of EA on knee osteoarthritis(KOA),and their influence on knee function.Methods Sixty-eight KOA patients were randomly divided into 2 groups,an acupotomy group and an EA group.In the acupotomy group,the combined therapy of acupotomy and EA was adopted.In the EA group,EA was simply used,delivered once every two days,3 treatments a week;and the duration of treatment was 4 weeks.In the acupotomy group,besides the treatment as the EA group,acupotomy was combined once weekly,and the duration of treatment was 4 weeks.Separately,before and after treatment,and in 4 and 12 weeks after treatment completion(1-month and 3-month follow-up),the results of the timed up and go test(TUG),the 9-step stair climb test(9-SCT)and the knee function(Western Ontario and McMaster University osteoarthritis index visualization scale[WOMAC])were measured in the two groups.Results By the intention-to-treat analysis,the results of TUG,9-SCT and WOMAC scores were reduced after treatment and in 1-month and 3-month follow-up when compared with those before treatment in the patients of the two groups(P<0.05).Compared with the EA group at the same time point,TUG results were decreased after treatment and in 1-month follow-up,and WOMAC score was reduced after treatment in the acupotomy group.WOMAC score in 1-month follow-up was reduced when compared with that before treatment within the acupotomy group(P<0.05).Conclusion Either the simple application of EA or the combined therapy of acupotomy and EA can improve knee function,but the combined therapy obviously increases the walking speed and relieves the symptoms such as joint pain and morning stiffness.The treatment with acupotomy and EA is safe and effective on KOA and the long-term effect is satisfactory.关键词
膝关节骨关节炎/刃针/电针/临床疗效/关节功能Key words
Knee osteoarthritis/Acupotomy/Electroacupuncture/Clinical effect/Joint function引用本文复制引用
马洁,段希栋,王茜,邴兴红,陶善平,褚晓彦,刘伙生,孙吉雅,詹红生,徐建德,何天峰,丁金磊,周丽艳..刃针结合电针治疗对膝关节骨关节炎患者膝关节功能的影响[J].针刺研究,2024,49(4):398-402,5.基金项目
上海市嘉定区卫生和健康委员会项目(No.2021MLZYGZS-03) （No.2021MLZYGZS-03）
