不同时间间隔电针治疗对膝骨性关节炎疗效影响的探索研究

发布时间：2018-05-11 03:25

本文选题：电针治疗 + 不同时间间隔　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:本研究通过观察不同时间间隔电针治疗膝骨性关节炎的临床疗效,探索电针治疗膝骨性关节炎引起的慢性膝关节痛的最佳有效频次,为临床电针治疗慢性膝关节痛选取最佳时间间隔提供参考。方法:本研究选取2016.3-2016.9期间,于黑龙江中医药大学附属一、二院针灸科门诊就诊患者,收集符合纳入标准的90例膝骨关节炎患者进行临床观察研究。观察对象随机分为3组:等待治疗组、隔六日治疗1次组、隔日治疗组,每组各30例。治疗方法:选取内膝眼、外膝眼、梁丘、血海四穴,针刺后施平补平泻法,使上述穴位得气,取两组导线分别交叉连接(内膝眼—梁丘、外膝眼—血海)四穴,两正极在膝关节上,负极在下,接通电疗仪,调节至2/100Hz等幅疏密波,电流强度调试在患者感觉最大耐受舒适为度,留针时间为30min。治疗时间为4周。治疗结束后,对总有效率及VAS评分和WOMAC膝关节功能量表进行测评。结果:1.疼痛评分比较[VAS、WOMAC(pain)]:组内比较:等待治疗组治疗前后VAS、WOMAC(pain)评分比较,差异无统计学意义(p0.05),隔六日治疗组、隔日治疗组治疗组治疗前后VAS、WOMAC(pain)评分比较,差异均有显著统计学意义(p0.01)。组间比较:治疗后,隔六日治疗组、隔日治疗组与等待治疗组VAS、WOMAC(pain)评分组间比较,差异有显著统计学意义(P0.01),隔日治疗组与隔六日治疗组VAS评分组间比较,差异无统计学意义(p0.05),隔日治疗组与隔六日治疗组WOMAC(pain)评分组间比较,差异有统计学意义(p0.05)。说明电针治疗可以改善膝关节疼痛症状,隔日组疗效优于隔六日组。2.功能评分比较[WOMAC总分、WOMAC(function)]:组内比较:等待治疗组治疗前后比较,差异无统计学意义(p0.05),隔六日治疗组、隔日治疗组治疗组治疗前后比较,差异均有显著统计学意义(P0.01)。组间比较:治疗后,隔六日治疗组、隔日治疗组与等待治疗组组间比较,差异有显著统计学意义(P0.01),隔日治疗组与隔六日治疗组组间比较,差异有显著统计学意义(P0.01)。说明电针治疗可以改善膝关节功能受限的症状,隔日组疗效优于隔六日组。3.僵硬评分比较[WOMAC(stiffness)]:组内比较:等待治疗组治疗前后比较,差异无统计学意义(p0.05),隔六日治疗组、隔日治疗组治疗组治疗前后比较,差异均有显著统计学意义(p0.01)。组间比较:治疗后,隔六日治疗组与等待治疗组组间比较,差异无统计学意义(p0.05),隔日治疗组与等待治疗组组间比较,差异有统计学意义(p0.05),隔日治疗组与隔六日治疗组组间比较,差异有统计学意义(p0.05)。说明电针治疗可以改善膝关节僵硬症状,隔日组疗效优于隔六日组。4.临床疗效比较:治疗后,等待治疗组总有效率为0,隔六日治疗组总有效率为14.28%,隔日治疗组总与效率为86.21%,隔日治疗组与隔六日治疗组比较,差异有显著统计学意义(p0.01),说明隔日治疗组具有更好的疗效。结论:1.隔六日治疗组与隔日治疗组均具有临床疗效,电针治疗可以改善膝骨性关节炎患者的疼痛、功能受限及僵硬方面的不适症状。等待治疗组未给予电针干预,无改善膝关节症状的作用。2.隔日治疗组疗效优于隔六日治疗组,隔日电针治疗对减轻膝关节疼痛,改善关节功能受限及僵硬症状方面疗效更明显。
[Abstract]:Objective: To investigate the clinical efficacy of electroacupuncture at different time intervals for the treatment of knee osteoarthritis, and to explore the best effective frequency of electroacupuncture in the treatment of chronic knee pain caused by osteoarthritis of the knee, and to provide a reference for selecting the best time interval for the clinical electroacupuncture treatment of chronic knee pain. The clinical observation and study of 90 patients with osteoarthritis of the knee were collected in the Department of acupuncture and moxibustion Department of the second hospital of Heilongjiang University Of Chinese Medicine. The observation subjects were randomly divided into 3 groups: waiting for treatment group, 1 groups after six days of treatment and 30 cases in each group in each group. The treatment method was to select the internal knee, external knee eye, beam hillock, blood sea. Four points, after acupuncture, make up the leveling purge method, make the above point get gas, take two groups of wires to cross connect (the inner knee - beam colliculus, external knee eye - Blood Sea) four points, two positive pole on the knee joint, the negative pole in the lower, adjust to the 2/100Hz equal amplitude wave density wave, the current intensity debugging in patients feel the maximum tolerance comfort degree, the needle retention time is 30mi The time of N. treatment was 4 weeks. After the treatment, the total effective rate, the VAS score and the WOMAC knee function scale were evaluated. Results: 1. the pain score was compared with [VAS, WOMAC (pain)]: the comparison of VAS, WOMAC (pain) score before and after treatment in the treatment group was not significant (P0.05), six day treatment group, and the treatment group of the other day treatment group. The difference of VAS and WOMAC (pain) scores before and after treatment was statistically significant (P0.01). After treatment, the difference was statistically significant (P0.01) between the six day treatment group and the VAS and WOMAC (pain) score group in the daily treatment group and the waiting treatment group (P0.01), and the difference was not statistically significant between the treatment group and the six day treatment group. Learning significance (P0.05), the treatment group between the other day and the six day treatment group WOMAC (pain) score group compared, the difference was statistically significant (P0.05). It showed that electroacupuncture treatment can improve the symptoms of knee pain, the efficacy of the group is better than the six day group.2. function score comparison [WOMAC total score, WOMAC (function)]: group comparison: waiting for treatment group before and after treatment, The difference was not statistically significant (P0.05). After six days of treatment group, the difference was significant (P0.01) before and after treatment in the treatment group of the treatment group of the other day. After treatment, the treatment group was compared with the six day treatment group, the difference was statistically significant (P0.01), the treatment group between the other day and the six day treatment group was in the treatment group. The difference had significant statistical significance (P0.01). It indicated that electroacupuncture could improve the symptoms of the limited function of the knee joint. The effect of the day group was better than the.3. stiffness score of the six day group compared to [WOMAC (stiffness)]: in the group comparison, the difference was not statistically significant (P0.05), the six day treatment group, and the other day treatment group. The difference between the treatment group before and after treatment was statistically significant (P0.01). After the treatment, there was no statistical difference between the six day treatment group and the waiting group (P0.05). The difference was statistically significant (P0.05) between the treatment group and the waiting group group, and the comparison between the treatment group and the six day treatment group was compared. The difference was statistically significant (P0.05). It indicated that electroacupuncture could improve the stiffness of knee joint. The curative effect of.4. was better than that in the six day group. After treatment, the total effective rate of the treatment group was 0, the total effective rate of the six day treatment group was 14.28%, the total and efficiency of the treatment group in the other day were 86.21%, and the treatment group in the other day was compared with the six day treatment group. The difference has significant statistical significance (P0.01), indicating that the treatment group has better curative effect in the other day. Conclusion: 1. septum six day treatment group and the other day treatment group have clinical curative effect, electroacupuncture treatment can improve the pain, function limitation and stiffness of the patients with knee osteoarthritis. The effect of knee joint symptoms in.2. group was better than that in the six day treatment group. Electroacupuncture treatment was more effective in reducing knee pain and improving joint function limitation and stiff symptoms every other day.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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