针灸科
骨关节炎
医学
物理疗法
辅助疗法
替代医学
随机对照试验
针灸疗法
物理医学与康复
外科
病理
作者
Jorge Vas,Camila Méndez,Emilio Perea-Millá,Evelia Vega,María Dolores Panadero,José M. León,Miguel Ángel Borge,Olga Gaspar,Francisco Sánchez-Rodríguez,Inmaculada Aguilar,Rosario Jurado
出处
期刊:BMJ
[BMJ]
日期:2004-10-19
卷期号:329 (7476): 1216-1216
被引量:215
标识
DOI:10.1136/bmj.38238.601447.3a
摘要
To analyse the efficacy of acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee, with respect to pain relief, reduction of stiffness, and increased physical function during treatment; modifications in the consumption of diclofenac during treatment; and changes in the patient's quality of life.Randomised, controlled, single blind trial, with blinded evaluation and statistical analysis of results.Pain management unit in a public primary care centre in southern Spain, over a period of two years.97 outpatients presenting with osteoarthritis of the knee.Patients were randomly separated into two groups, one receiving acupuncture plus diclofenac (n = 48) and the other placebo acupuncture plus diclofenac (n = 49).The clinical variables examined included intensity of pain as measured by a visual analogue scale; pain, stiffness, and physical function subscales of the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index; dosage of diclofenac taken during treatment; and the profile of quality of life in the chronically ill (PQLC) instrument, evaluated before and after the treatment programme.88 patients completed the trial. In the intention to treat analysis, the WOMAC index presented a greater reduction in the intervention group than in the control group (mean difference 23.9, 95% confidence interval 15.0 to 32.8) The reduction was greater in the subscale of functional activity. The same result was observed in the pain visual analogue scale, with a reduction of 26.6 (18.5 to 34.8). The PQLC results indicate that acupuncture treatment produces significant changes in physical capability (P = 0.021) and psychological functioning (P = 0.046). Three patients reported bruising after the acupuncture sessions.Acupuncture plus diclofenac is more effective than placebo acupuncture plus diclofenac for the symptomatic treatment of osteoarthritis of the knee.
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