[1]曹振武 黄永明△ 田振江 麦秀钧 冯恩辉.针刀联合局部封闭治疗膝骨关节炎临床疗效观察[J].中国中医骨伤科杂志,2018,26(08):18-20，25.
　CAO Zhenwu HUANG Yongming TIAN Zhenjiang MAI Xiujun FENG Enhui.Partial-closure Combined with Needle-knife Therapy in the Treatment of Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(08):18-20，25.
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针刀联合局部封闭治疗膝骨关节炎临床疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年08期
页码:
18-20，25
栏目:
临床研究
出版日期:
2018-08-02

文章信息/Info

Title:
Partial-closure Combined with Needle-knife Therapy in the Treatment of Knee Osteoarthritis
文章编号:
1005-0205(2018)08-0018-03
作者:
曹振武1 黄永明2△ 田振江1 麦秀钧2 冯恩辉2
1广州中医药大学第二临床医学院(广州,510000) 2广东省中医院
Author(s):
CAO Zhenwu1 HUANG Yongming2△ TIAN Zhenjiang1 MAI Xiujun2 FENG Enhui2
1Second Clinical Medicine School, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, China; 2Guangdong Hospital of Traditional Chinese Medical, Guangzhou 510000, China.
关键词:
针刀;  局部封闭;  膝关节炎;  临床疗效
Keywords:
Keywords: needle-knife therapy;  partial-closure therapy;  the pain of knee;  clinical efficacy
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察针刀联合局部封闭对比单纯局部封闭治疗膝骨关节炎的临床疗效。方法:2015年8月至2017年9月,将60例符合标准的患者随机分为针刀联合封闭治疗组和单纯封闭治疗对照组,每组30例,比较两组临床疗效、VAS评分及HSS评分。结果:治疗组总有效率为93.3%,对照组总有效率为76.7%,治疗组优于对照组,差异有统计学意义(P<0.05)。两组治疗后VAS评分和HSS评分较治疗前明显改善,差异有统计学意义(P<0.05),但治疗后3个月较治疗后1个月疗效有所下降,且治疗组疗效优于对照组,差异有统计学意义(P<0.05)。结论:针刀联合封闭可在短期内明显缓解患者关节疼痛及改善关节功能,但疗效会随时间延长而有所减退,总体疗效优于单纯局部封闭治疗,值得临床推广。
Abstract:
Abstract Objective:To observe the clinical efficacy of needle-knife combined with local closure and simple local closure for the treatment of knee osteoarthritis.Methods: From August 2015 to September 2017, 60 patients who met the criteria were randomly divided into a needle-knife combined blocking group and a simple blocking control group, 30 in each group.Clinical efficacy, VAS scores, and HSS were compared between the two groups.Results: The total effective rate was 93.3% in the treatment group and 76.7% in the control group.The treatment group was superior to the control group(P<0.05).VAS scores and HSS scores improved significantly after treatment in both groups(P<0.05), but the curative effect was lower in the third month after treatment than in the first month after treatment, and the curative effect was better in the treatment group than in the control group(P<0.05).Conclusion: The results show that combined use of acupuncture and knives can significantly relieve joint pain and improve joint function in a short period of time.However, the curative effect will gradually decrease with the extension of time.The overall curative effect is better than that of a simple local closed treatment and is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81273781) △通信作者 E-mail:huang163huang@163.com
更新日期/Last Update: 2018-08-02