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目的观察功能训练结合针灸治疗膝关节骨性关节炎(OA)的临床疗效。方法将膝关节OA患者106例按首次就诊顺序随机分为针灸治疗组(n=53)和综合治疗组(n=53)。针灸治疗组仅采用针灸治疗,综合治疗组采用功能训练结合针灸治疗。于治疗前和治疗1个月后对膝关节功能进行Lequesne评分,治疗结束后3个月进行随访。结果2组患者治疗1个月后,膝关节功能较本组治疗前均有所改善(P<0.05),而2组间的疗效差异无统计学意义(P>0.05)。治疗结束后3个月随访2组复发的阳性率比较,差异有统计学意义(P<0.05)。结论功能训练结合针灸治疗膝关节OA,疗效稳定,复发率低。
Objective To observe the clinical efficacy of functional training combined with acupuncture in the treatment of knee osteoarthritis (OA). Methods 106 patients with knee OA were randomly divided into acupuncture group (n = 53) and comprehensive treatment group (n = 53) according to the order of first visit. Acupuncture treatment group only acupuncture treatment, comprehensive treatment group using functional training combined with acupuncture treatment. Lequesne score was assessed before treatment and 1 month after treatment and 3 months after the end of treatment. Results After treatment for 1 month, the knee joint function improved in both groups (P <0.05), but no significant difference was found between the two groups (P> 0.05). After 3 months of treatment, the positive rate of recurrence in two groups were compared, the difference was statistically significant (P <0.05). Conclusion Functional training combined with acupuncture treatment of knee OA, stable efficacy, low recurrence rate.