辨证取穴针刺治疗膝关节骨性关节炎：随机对照研究.pdf

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1、WorldJournalofAcupuncture-Moxibustion(WJAM)Vo1．22，No．3，30thSep．2012ClinicalResearchKneeosteoarthritistreatedwithacupuncturebasedonsyndromediferentiation：arandomizedcontrolledtrial辨证取穴针刺治疗膝关节骨陛关炎：随机对照研究FUMu．yong(付慕勇)，ZHANGZhi．1ong(张智龙)1．BoneInjuryTreatmentClinic,TianjinHosp

2、italTianjin300211，China；2．TheAfiliatedHospitalofTianjinAcademyofTCM(1．天津市天津医院骨伤治疗室，天津300211，中国；2．天津市中医药研究院附属医院)ARTICLEINF0ABSTRACTFirstauthor：FUMu-yong(1961一)，male，ObjectiveTocornparetheefficacydi仟erencesbetweenacupunctureandassociatechiefphysician．westernmedicineintreatin

3、gosteoarthritisofkneeioints．MethodsOneResearchfield：integrativemedicineinhundredandtwentycaseswererandomlYdividedintoanacuPunctureorthopedicsdisease．groupandawesternmedicationgroupwith60casesineachgroup．IntheE-mail：yefeng174@sina．cornacupuncturegroup，acupuncturewasappliedm

4、ainlyatN色i)dy百n(内膝眼Ex_ThispaperwasfirstlypublishedinLE4)，DObi(犊鼻sT35)，Yinlingqu~n(阴陵泉sp9)andY吉ngl『ngqu百n(阳陵泉ZhongguoZhenjiu(ChinAcup-Mox，Chin)GB34)plusotheracupointsselectedaccordingtosyndromedifferentiation．inChinese，2011，12InthemedicationgrouP，GIucosamiReHydrochIoridecap

5、suIeswereoraIIVgiven3timesdailywith2capsuleseachtime．WesternOntarioandMcMasterUniversitiesOsteoarthritislndex(WOMAC)，MedicalOutcomesStudy36．ItemShortFormHealthSurvey(SF-36，Chineseversion)wereusedtoassesstherapeutice仟ectsbeforetreatment．after4weekstreatmentand9weeksaftertre

6、atment，respectively．ResultsAfter4weeksoftreatment，thetotale仟ectiverateswere86．7％(52／60)and88．3％(53／60)intheacupuncturegroupandthewesternmedicationgroup，respectively,withoutsignificantdiference(P>0．os)．In9weeksaftertreatment，thetotalefectiverateswere83．3％(50／60)and61．7％(37／

7、60)intheacupuncturegroupandthewesternmedicationgroup，respectively,withsignificantdifferencebetweenthetwogroups(P<0．05)．AccordingtoWOMACandSF-36，thescoreswereallimprovedjnbothgroups(P

8、roups(P<0．O5，P<0．01)，butnotafter4weeksoftreatments(bothP>0．o5)．ConclusionShort．term0fther