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目的:比较温针灸结合康复疗法、单纯温针灸与康复疗法治疗膝骨关节炎(OA)的临床疗效.方法:将90例膝OA患者随机分为3组,每组30例,其中针康组,穴取血海、内膝眼、犊鼻、足三里等,行温针灸结合关节体操、等长练习、伸展运动、耐力运动等康复治疗；温针灸组予单纯采用温针灸治疗,康复组单纯行康复疗法.采用关节疼痛量表及膝关节炎病情严重指数量表作为疗效评定指标,评价各组疗效.结果:针康组临床痊愈率为36.7％( 11/30),优于温针灸组的13.3％( 4/30)和康复组的13.3％( 4/30)(均P＜0.01)；治疗1个疗程、2个疗程后,3组关节疼痛量表积分、膝骨关节病情严重指数均较治疗前明显下降(P＜0.01,P＜0.05)；治疗2个疗程后,针康组各项指标均较其他两组下降更明显(均P＜0.01).结论:温针灸结合康复疗法治疗膝OA疗效好、症状改善明显,优于单纯温针灸和康复训练治疗.“,”Objective To compare the clinical efficacies among the combined therapy of warm needling and rehabilitation,simple warm needling and rehabilitation therapy for knee osteoarthritis (OA).Methods Ninty cases of OA were divided randomly into three groups,30 cases in each one.In an acupuncture and rehabilitation group,warm needling was applied at the acupoints such as Xuèhǎi (血海 SP 10),Nèixīyǎn (内膝眼 EX-LE 4),Dúbí (犊鼻ST 35) and Zúsānlǐ (足三 里 ST 36) etc..Additionally,rehabilitation therapy was combined such as joint gymnastics,isometric exercise,stretching exercise and endurance training.In the warm needling group,warm needling was given simply.In the rehabilitation group,rehabilitation therapy was only adopted.The joint pain scale and severity index scale of knee OA were taken as the efficacy assessment indices among the groups.Results The clinical cured rate was 36.7％ (11/30) in acupuncture and rehabilitation group,which was superior to 13.3％ (4/30) in warm needling group and 13.3％ (4/30) in rehabilitation group (both P＜0.01) separately.The results of the joint pain scale and severity index scale of knee joint OA in three groups after 1 session and 2 sessions of treatment were reduced obviously as compared with those before treatment (P＜0.01,P＜0.05).After 2 sessions of treatment,every index in acupuncture and rehabilitation group was reduced much more obviously as compared with that in the other two groups (all P＜0.01).Conclusion Warm needling in combination with rehabilitation therapy has good efficacy on knee OA and relieves remarkably the symptoms of it,which is superior to those in either simple warm needling or rehabilitation training therapy.