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Treating knee osteoarthritis with dialectical acupoint selection and electro-acupuncture: a randomized controlled study
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DOI   10.11656/j.issn.1672-1519.2013.10.07
Key Words   electro-acupuncture therapy;needle therapy;knee osteoarthritis;randomized controlled study
Author NameAffiliation
FU Mu-yong Department for Bone Disease Treated with Western Medcune and TCM, Tianjin Hospital, Tianjin 300211, China 
Abstract
    [Objective] To discuss the effective method in acupuncture therapy on knee osteoarthritis. [Methods] The 210 patients were randomly divided into electro-acupuncture group, acupuncture group, acupuncture group plus Western medicine(WM) group with 70 cases in each group. The WM group was treated with oral administration of Glucosamine Hydrochloride capsules;the needle group was treated with dialectical acupoint selection;electroacupuncture group with dialectical acupoint selection based on a low frequency pulse current. Western Ontario and McMaster University Osteoarthritis Index(WOMAC) and Chinese version of SF-16 were used to assess the therapeutic effect before treatment,4 and 9 weeks after treatment. [Results] Four weeks after treatment the total effective rate was 91.4% in the electro acupuncture group,85.3% in the needle group,81.4% in the WM group without significant difference(P>0.05) among the three groups. At 9 weeks after treatment,the total effective rate(87.1%) in the electro acupuncture group was better than that in the needle group(77.9%) and in the WM group(58.6%),P<0.05. There were no significant differences in comparison of WOMAC and SF-16 scores 4 weeks after treatment among three groups. Nine weeks after treatment these patients were followed up and found that the electro needle group in improving these scores was superior than the needle group and WM group(P<0.05). [Conclusion] The therapeutic effect in the early atage of electro acupuncture combined with differentiated acupoint acupuncture in treating knee osteoarthritis is similar to acupuncture group and the WM group, while the long-term efficacy of the electro-acupuncture group is much better than the acupuncture group and WM group.

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