摘要
目的观察小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗膝骨关节炎的临床效果。方法选取2018年1月—2020年1月就诊于河北省秦皇岛市中医医院膝骨关节炎患者120例,将其按照随机数字表法分为A、B、C组,每组40例。治疗期间脱落患者15例,其中B组脱落8例,C组脱落7例,最终完成治疗患者共105例。A组采用小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗。B组采用小针刀舒筋理刺结筋病灶点治疗。C组采用玻璃酸钠注射治疗。小针刀治疗1周1次,共治疗4次,关节内注射玻璃酸钠1周1次,共治疗5次。比较三组治疗前后膝关节疼痛视觉模拟评分(VAS),WOMAC骨关节炎指数评分,以及三组的临床疗效。结果治疗后WOMAC骨关节炎指数、VAS评分均低于治疗前,且A组WOMAC骨关节炎指数、VAS评分低于B组和C组,B组低于C组,差异均有统计学意义(均P<0.05)。A组总有效率明显高于B组和C组,B组总有效率明显高于C组,差异均有统计学意义(均P<0.05)。结论小针刀舒筋理刺结筋病灶点结合关节腔注射玻璃酸钠注射液治疗膝关节骨性关节炎疗效显著。
Objective To observe the clinical effect of small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection in the treatment of knee osteoarthritis.Methods A total of 120 patients with knee osteoarthritis admitted to Qinhuangdao Traditional Chinese Medicine Hospital,Hebei Province from January 2018 to January 2020 were selected and divided into A,B and C groups according to the random number table method,with 40 patients in each group.During the treatment,15 patients fell off,including eight patients in group B and seven patients in group C,and 105 patients were finally treated.Group A was treated with small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection.Group B was treated with small needle knife relieve sinew and regulate spur pathological jiejing points.Group C was treated with sodium hyaluronate injection.Small needle knife treatment was performed once a week for four times in total,and intra-articular injection of sodium hyaluronate was performed once a week for five times in total.Visual analogue scale(VAS)score,WOMAC osteoarthritis index score,and clinical efficacy of the three groups were compared before and after treatment.Results WOMAC osteoarthritis index and VAS score after treatment were both lower than those before treatment,and WOMAC osteoarthritis index and VAS score in group A were lower than those in group B and C,and group B was lower than that in group C,with statistically significant differences(all P<0.05).The total effective rate of group A was significantly higher than that of group B and group C,and the total effective rate of group B was significantly higher than that of group C,with statistically significant differences(all P<0.05).Conclusion Small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection into articular cavity in the treatment of knee osteoarthritis is effective.
作者
郭运岭
李蕊
王雷
傅聪
GUO Yunling;LI Rui;WANG Lei;FU Cong(The Second Department of Bone Traumatology,Qinhuangdao Traditional Chinese Medicine Hospital,Hebei Province,Qinhuangdao 066000,China;Department of Traditional Chinese Medicine,First Hospital of Qinhuangdao,Hebei Province,Qinhuangdao 066000,China;Department of Acupuncture,Qinhuangdao Traditional Chinese Medicine Hospital,Hebei Province,Qinhuangdao 066000,China)
出处
《中国医药导报》
CAS
2020年第36期172-176,共5页
China Medical Herald
基金
河北省中医药管理局科研计划项目(2020373)。
关键词
膝关节炎
结筋病灶点
小针刀舒筋理刺
玻璃酸钠
Knee osteoarthritis
Pathological jiejing points
Small needle knife relieve sinew and regulate spur
Sodium hyaluronate
