Berman Brian
Center for Integrative Medicine, University of Maryland School of Medicine, Kernan Hospital Mansion, Baltimore 21207, USA.
JAMA. 2007 Apr 18;297(15):1697-707. doi: 10.1001/jama.297.15.1697.
Mrs A, an active 60-year-old woman, has a history of degenerative osteoarthritis of her knee with pain that has progressed over the past 8 years. She has undergone arthroscopic surgery for a meniscal tear and has taken nonsteroidal anti-inflammatory drugs (NSAIDs), glucosamine, and chondroitin sulfate occasionally, but generally does not like taking medications. She is open to other therapeutic approaches and wants to know if acupuncture can help the pain, improve function, and stop her condition from progressing. The evidence for the effectiveness of acupuncture for knee pain and other common treatments, including exercise, NSAIDs, glucosamine and chondroitin, and intra-articular knee injections are compared, and costs and methods of acupuncture and selecting an acupuncturist are discussed.
A女士是一位60岁的活跃女性，有膝关节退行性骨关节炎病史，疼痛在过去8年中逐渐加重。她曾因半月板撕裂接受过关节镜手术，偶尔服用非甾体抗炎药（NSAIDs）、氨基葡萄糖和硫酸软骨素，但总体上不喜欢服药。她愿意接受其他治疗方法，想知道针灸是否有助于缓解疼痛、改善功能并阻止病情发展。本文比较了针灸治疗膝关节疼痛的有效性证据与其他常见治疗方法，包括运动、NSAIDs、氨基葡萄糖和硫酸软骨素以及膝关节腔内注射，并讨论了针灸的费用、方法以及如何选择针灸师。
