CAJ | 학술논문

目的：探讨温针灸配合玻璃酸钠关节腔注射治疗膝骨关节炎临床疗效。方法将2011年12月～2013年6月我院就诊的膝骨关节炎患者55例，随机分为观察组27例及对照组28例。观察两组的临床疗效、治疗前后关节功能评分及VAS 和 LKSS 评分。结果观察组患者优良率为92.59%，对照组患者优良率为82.14%，两组优良率比较，差异有统计学意义（P＜0.05）。两组患者关节功能评分治疗前后比较，有统计学差异（P＜0.05）；治疗后关节功能评分研究组显著低于对照组（P＜0.05）。两组患者治疗前后VAS 和LKSS评分比较，差异显著（P均＜0.05）。结论温针灸配合玻璃酸钠关节腔注射治疗膝骨关节炎疗效确切，值得在临床推广应用。
목적：탐토온침구배합파리산납관절강주사치료슬골관절염림상료효。방법장2011년12월～2013년6월아원취진적슬골관절염환자55례，수궤분위관찰조27례급대조조28례。관찰량조적림상료효、치료전후관절공능평분급VAS 화 LKSS 평분。결과관찰조환자우량솔위92.59%，대조조환자우량솔위82.14%，량조우량솔비교，차이유통계학의의（P＜0.05）。량조환자관절공능평분치료전후비교，유통계학차이（P＜0.05）；치료후관절공능평분연구조현저저우대조조（P＜0.05）。량조환자치료전후VAS 화LKSS평분비교，차이현저（P균＜0.05）。결론온침구배합파리산납관절강주사치료슬골관절염료효학절，치득재림상추엄응용。
Objective To explore the clinical curative effect of warm acupuncture and moxibustion combined with intraarticular injection of sodium hyaluronate in the treatment of knee osteoarthritis. Methods 55 cases of knee osteoarthritis in our hospital from December 2011 to June 2013 were randomly divided into the observation group of 27 cases and the control group of 28 cases. The clinical curative effect, score of joint function and VAS and LKSS scores of the two groups before and after treatment were all observed. Results The excellent and good rate of patients in the observation group was 92.59%, while that in the control group was 82.14%, the difference was significant in the excellent and good rate between the two groups(P < 0.05). There was statistically significant difference in the score of joint function of the two groups between before and after treatment(P<0.05); The score of joint function in the research group after treatment was significantly lower than that in the control group, there was statistically significant difference(P<0.05). There was statistically significant difference in the VAS and LKSS scores of the two groups between before and after treatment(P < 0.05). Conclusion Warm acupuncture and moxibustion combined with intraarticular injection of sodium hyaluronate in the treatment of knee osteoarthritis has accurate effect, and is worth in clinical application.