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題名 | 針刺治療退化性膝關節炎的臨床試驗文獻探討=Review Articles of Clinical Trials about Acupuncture Therapy for Osteoarthritis of the Knee |
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作者 | 陳香霓; 楊中賢; 李育臣; | 書刊名 | 中華針灸醫學會雜誌 |
卷期 | 12:1 2009.03[民98.03] |
頁次 | 頁13-19 |
分類號 | 413.91、413.91 |
關鍵詞 | 針灸; 退化性膝關節炎; 痹症; 臨床試驗; Acupuncture; Osteoarthritis of the knee; Bi-syndrome; Clinical trial; |
語文 | 中文(Chinese) |
中文摘要 | 背景:退化性膝關節炎是中老年人膝蓋疼痛及行動不便的主要原因,西醫的臨床療效通常不佳或療效短暫,因此許多的患者尋求針刺治療來改善症狀。雖然針刺已被證實具有止痛效果,但針刺在治療退化性膝關節炎的臨床療效評估上仍須進一步探討。目的:了解臨床試驗中針刺治療退化性膝關節炎的效果及研究設計的問題。方法:搜尋2004至2009年的近代期刊中,以針刺治療退化性膝關節炎為相關篇名的所有隨機臨床試驗文獻。結果:共得九篇隨機臨床試驗文獻。各篇研究設計內容不一。其中針刺實驗組在治療後相較於對照組皆有明顯療效,對疼痛控制或功能改善的效果尤其明顯。但僅有一篇的針刺組在追蹤期仍有明顯療效。其中二篇顯示針刺組和僞針組聞無明顯療效差異。結論:隨機臨床試驗研究的目的除了證實針刺有明顯療效以外,更應從中歸納出設計針刺治療退化性膝關節炎的最佳研究模式。 |
英文摘要 | Background: Osteoarthritis of the knee is the most common cause for knee pain and disability in old adults. The clinical treatment effects of knee osteoarthritis in West medicine are usually unsatisfied or last for a short period. Thus many patients receive acupuncture treatment to improve symptoms. Although the analgesic effect of acupuncture had been proved, the clinical effects assess of acupuncture therapy for knee osteoarthritis still need further discussion. Aim: To understand the effect and related problems of clinical trials about acupuncture therapy for knee osteoarthritis. Methods: Research recent articles of randomized controlled trials about acupuncture therapy for osteoarthritis of the knee from 2004-2009. Result: There were nine articles within our limits. The designs of each research are different. The effects of the acupuncture group were significantly greater than the control group, especially the effect of pain control and the improvement of function. But only one article still has significant effects in the following stage. Two of the articles shown there were no significant different in effects between the true acupuncture and sham acupuncture groups. Conclusion: The purpose of clinical randomized controlled trials not only provide significant effects of the acupuncture therapy but also try to confer the best research model of acupuncture therapy for osteoarthritis of the knee. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。