通讯作者: 陈朝蔚, czw1882@126.com

DOI：10.12201/bmr.202412.00030

Analysis of the clinical efficacy value of electroacupuncture and massage therapy in the treatment of knee osteoarthritis

• 摘要：目的：观察电针联合手法治疗膝骨关节炎的临床疗效，并对电针手法进行疗效-价值分析。方法：将膝骨关节炎患者120例按随机数字表方法分为电针手法组和玻璃酸钠组，每组各60例。电针手法组每周治疗3次，连续治疗3周。玻璃酸钠组关节腔内注射玻璃酸钠注射液，每周1次，持续治疗3周。观察两组患者治疗前后膝关节功能改变及有效率，并运用疗效-价值分析方法比较两组疗法差异。结果：两组患者治疗前后比较，膝关节功能评分均有改善，差异有统计学意义(P＜0.05)。治疗后两组间功能评分差值比较，差异有统计学意义(P＜0.05)。电针手法组治疗有效率为96.66 %，玻璃酸钠组为82.75 %，玻璃酸钠组不良反应发生率为8.62 %，两组比较差异有统计学意义(P＜0.05)。临床疗效-价值比较，透明质酸注射组优于针灸手法组。结论：电针手法及关节腔注射玻璃酸钠均能有效改善患者关节疼痛及关节功能，关节腔注射玻璃酸钠有更高的不良反应发生率。电针手法治疗膝骨关节炎需要继续优化治疗方案，从而更符合卫生经济学原则。

  关键词： 电针；手法；膝骨关节炎；卫生经济学；疗效-价值; ; ; ; 

   

  Abstract: Objective: To observe the clinical efficacy of electroacupuncture combined with massage therapy in the treatment of knee osteoarthritis, and to analyze the efficacy-value. Methods: A total of 120 patients with knee osteoarthritis were randomly divided into electroacupuncture group and sodium hyaluronate group, with 60 cases in each group. The electroacupuncture group was treated 3 times a week for 3 weeks. The sodium hyaluronate group was injected with sodium hyaluronate injection in the joint cavity once a week for 3 consecutive weeks. The knee function scores and effective rate of the two groups before and after treatment were observed, and the differences between the two treatments were compared by using the health economics evaluation method. Results: Compared with the two groups before and after treatment, the knee function score was significantly improved (P<0.05). There was a statistically significant difference in post-treatment functional scores between the two groups (P<0.05). The effective rate of electroacupuncture was 96.66 % in the electroacupuncture group and 82.75 % in the sodium hyaluronate group, the incidence of adverse reactions in the sodium hyaluronate group was 8.62 %, and the difference between the two groups was statistically significant (P<0.05). In terms of efficacy and value, the hyaluronic acid injection group was better than the acupuncture group. Conclusion: Electroacupuncture and sodium hyaluronate intra-articular injection can effectively improve joint pain and joint function in patients, and intra-articular injection of sodium hyaluronate has a higher incidence of adverse reactions. Electroacupuncture combined with massage therapy needs to continue to optimize the treatment plan to be more in line with the principles of health economics.

  Key words: :Electroacupuncture; Massage therapy; Knee osteoarthritis; Health economics; Efficacy-value

  提交时间：2024-12-12

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-12-02	bmr.202412.00030V1	下载

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