卓春萍

摘 要：目的 探究温针灸与针刺治疗老年性膝骨关节病的临床疗效。方法 选取我院2015年1月～2017年1月收治的老年性膝骨关节病患者110例，按随机数字表法分为实验组和对照组，每组55例。实验组采取温针灸疗法，对照组采取针刺治疗。对比两组患者治疗有效率、治疗前后膝关节评分和疼痛量表评分。结果 实验组治疗有效率为94.55%，高于对照组的74.55%，差异具有统计学意义（P<0.05）。治疗后1周、2周，实验组膝关节HSS评分均高于对照组，差异具有统计学意义（P<0.05）。治疗后1周，实验组膝关节ROM评分为（82.24±9.46）分，高于对照组的（75.24±9.32）分，差异具有统计学意义（P<0.05）；治疗2周，两组膝关节ROM评分对比，差异无统计学意义（P>0.05）。治疗前后，两组间疼痛量表VAS评分及评分差值对比，差异均无统计学意义（P>0.05）。结论 与针刺治疗相比，温针灸能在较短时间内缓解患者膝骨关节疼痛，且治疗方式较适宜老年患者。

关键词：温针灸；针刺；膝骨关节病；膝关节功能

中图分类号：R246.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.048

文章编号：1006-1959（2018）11-0148-02

Comparison of Clinical Effects of Warming Acupuncture and Acupuncture in the Treatment of Senile Knee Osteoarthropathy

ZHUO Chun-ping

（Rehabilitation Center，Beijing Geriatric Hospital，Beijing 100095，China）

Abstract：Objective To explore the clinical effect of warming acupuncture and acupuncture on senile knee osteoarthropathy. Methods 110 patients with senile knee osteoarthropathy admitted in our hospital from January 2015 to January 2017 were randomly divided into experimental group and control group with 55 cases in each group.The experimental group was treated with warm acupuncture，the control group was treated with acupuncture.The effective rate of treatment， knee joint score and pain scale before and after treatment were compared between the two groups.Results The effective rate of treatment in the experimental group was 94.55%， which was higher than that in the control group 74.55%，the difference was statistically significant（P<0.05）.The score of HSS of knee joint in the experimental group was higher than that in the control group at 1 week and 2 weeks after treatment，and the difference was statistically significant（P<0.05）.One week after treatment，the ROM score of the knee joint in the experimental group was（82.24±9.46）points，which was higher than that in the control group（75.24±9.32）points，the difference was statistically significant（P<0.05）.After 2 weeks of treatment，there was no significant difference in ROM score between the two groups（P>0.05）.Before and after treatment，there was no significant difference in VAS score and score difference between the two groups（P>0.05）.Conclusion Compared with acupuncture， warm acupuncture can relieve the pain of knee bone and joint in a short time，and the treatment is more suitable for elderly patients.

Key words：Warm acupuncture；Acupuncture；Knee osteoarthropathy；Knee joint function

膝骨關节病（knee osteoarthropathy）是关节软骨发生退行性病变引起的疾病，多发病于中老年人，临床表现为膝关节红肿、疼痛，上下楼时痛感加重，坐立行走膝部有不适感[1]。部分患者会出现肿胀，叩击有声，积液等症状，治疗不及时会导致关节畸形致残。随着我国人口老龄化进程加剧，老年膝骨关节病发病率不断上升，其中患者女性多于男性，主要原因有肥胖、血循环障碍、膝关节慢性或直接损伤。目前西医对这种退行性病变尚无特效药，因此该病临床常用针灸等中医方法治疗。中医疗法众多，其疗效千差万别，此次研究将温针灸同针刺疗法进行对比，观察患者的临床疗效，详情如下。

1资料与方法

1.1一般资料 选取北京老年医院康复中心2015年1月～2017年1月收治的老年性膝骨关节病患者110例为实验对象，此次试验经本院伦理委员会批准。所……