犊鼻穴复合激光针灸治疗膝骨性关节炎的有效性和特异性

发布时间：2018-06-17 04:16

本文选题：激光针灸 + 骨关节炎　；参考：《中国组织工程研究与临床康复》2008年26期

【摘要】：背景:目前用于激光针灸的光源以红光或近红外光为主,对生物组织具有穿透能力,但无热效应。目的:观察10.6μm~650nm复合激光穴位照射治疗膝骨性关节炎的效果。设计、时间及地点:随机、单盲、分组对照观察,于2005-11/2006-06在上海中医药大学附属曙光医院完成。对象:由骨伤科医生负责筛选门诊膝骨关节炎患者40例,随机分为穴位照射和非穴对照点照射两组,各20例。方法:将10.6μmCO2激光与650nm半导体激光同时照射患者犊鼻穴及非穴对照点腓骨小头。主要观察指标:①采用膝骨关节炎症状体征分级量化表进行疗效评价。②比较穴位激光照射与对照点激光照射的疗效差异,并对两组患者脱落率及治疗期间服药情况进行分析。结果:36名患者完成2周6次治疗,31名患者完成4周12次治疗。由于6次治疗后对照点照射组脱落患者超过20%,故仅对完成2周6次治疗的患者治疗前后的膝骨关节炎症状体征分级量化评分进行统计分析。①犊鼻穴照射组治疗后2周膝骨关节炎症状体征分级量化评分较治疗前下降24.88%(P0.001);对照点照射组治疗后较治疗前下降14.32%(P0.05);两组组间治疗前后评分差异均无显著性意义(P=0.909,P=0.541)。②两组第二疗程脱落率、治疗期间服药情况、治疗反应总体评价差异均无统计学意义(P=0.195)。结论:犊鼻穴复合激光照射对膝骨关节炎有显著疗效,但因样本偏小和对照组脱落率较高,犊鼻穴效应的特异性有待进一步验证。
[Abstract]:Background: at present, the light source used in laser acupuncture is mainly red or near infrared light, which has penetrating ability to biological tissue, but has no heat effect. Objective: to observe the effect of 10.6 渭 m~650nm laser irradiation on knee osteoarthritis. Design, time and place: random, single blind, group controlled observation, completed in Shuguang Hospital affiliated to Shanghai University of traditional Chinese Medicine from November 2005 to June 2006. Participants: forty patients with knee osteoarthritis were selected by orthopedics doctor and randomly divided into two groups: acupoint irradiation group and non-point control point irradiation group (20 cases each). Methods: 10.6 渭 m CO _ 2 laser and 650nm semiconductor laser were used to irradiate the fibula head simultaneously. Main outcome measures: 1: 1 the therapeutic effect was evaluated by quantifying the symptoms and signs of knee osteoarthritis. 2 the difference of therapeutic effect between laser irradiation at acupoint and laser irradiation at control point was compared. The shedding rate of patients in the two groups and the situation of taking medicine during the treatment were analyzed. Results 36 patients completed 2 weeks 6 times treatment 31 patients completed 4 weeks 12 times treatment. Because more than 20 patients fell off in the control point irradiation group after 6 times of treatment, only the scores of knee osteoarthritis symptoms and signs before and after the treatment of 2 weeks and 6 times were statistically analyzed. The scores of symptoms and signs of knee osteoarthritis were reduced by 24.88% and 14.32% P 0.05 after treatment in the control group, respectively, and there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups in the rate of the second course of treatment in the two groups, and there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups in the rate of the second course of treatment in the two groups, and there was no significant difference between the two groups before and after treatment. There was no significant difference in the overall evaluation of treatment response between the two groups during the treatment period (P < 0. 195). Conclusion: combined laser irradiation of calf nose point has a significant effect on knee osteoarthritis, but the specificity of the acupoint effect of calf nose needs to be further verified because of the small sample size and the higher shedding rate of the control group.
【作者单位】：上海市嘉定区中心医院上海中医药大学上海中医药大学上海市针灸经络研究中心上海市201203 上海市针灸经络研究中心中国科学院上海硅酸盐研究所上海中医药大学上海中医药大学
【分类号】：R246.9

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