ACUPUNCTURE TREATMENT OF SEVERE KNEE OSTEOARTHROSIS - A LONG-TERM STUDY
ACUPUNCTURE TREATMENT OF SEVERE KNEE OSTEOARTHROSIS - A LONG-TERM STUDY
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DOI：
10.1111/j.1399-6576.1992.tb03511.x
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发表时间：
1992-08-01
影响因子：
2.1
通讯作者：
RASMUSSEN, HF
中科院分区：
文献类型：
--
作者：
CHRISTENSEN, BV;IUHL, IU;RASMUSSEN, HF
目的：针刺治疗关节置换术后等待手术的患者。 方法：将29例42膝骨关节炎患者随机分为两组。 A组为治疗组，B组为未治疗对照组。 9周后B组也进行治疗。 记录镇痛药用量、疼痛和客观测量结果。 所有客观测量均由对A组和B组“设盲”的研究者完成。 在研究的第二部分，17例患者（26例膝关节）继续每月一次治疗。 继续记录镇痛药用量、疼痛和客观测量。 总研究时间为49周。 结果：A组与B组相比，疼痛、镇痛药用量和大多数客观指标均显著减少。 在A + B组合组中，主观改善率为80%，膝关节活动范围显著增加-主要是最差膝关节的增加。 结果在那些长时间没有生病的人中明显更好。 在研究的第二部分中，表明有可能保持这些改进。 结论：针刺可以缓解等待手术期间的不适，甚至可以作为手术的替代方法。 7名患者反应良好，目前他们不想手术。 (USD 9000次操作节省）。
Purpose: Acupuncture treatment of patients waiting for arthroplasty surgery. Methods: 29 patients with a total of 42 osteoarthritic knees were randomized to two groups. Group A was treated while Group B served as a no-treatment control group. After 9 weeks Group B was treated too. Analgesic consumption, pain and objective measurements were registered. All objective measures were done by investigators who were "blinded" as to Group A & B. In the second part of the study 17 patients (26 knees) continued with treatments once a month. Registration of analgesic consumption, pain and objective measurements continued. Total study period 49 weeks. Results: Comparing Group A to B there was a significant reduction in pain, analgesic consumption and in most objective measures. In Group A + B combined there was an 80% subjective improvement, and a significantly increased knee range movement - an increase mainly in the worst knees. Results were significantly better in those who had not been ill for a long time. In the second part of the study, it was shown that it was possible to maintain the improvements. Conclusions: Acupuncture can ease the discomfort while waiting for an operation and perhaps even serve as an alternative to surgery. Seven patients have responded so well that at present they do not want an operation. (USD 9000 saved per operation).