中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
33期
124-126
,共3页
张龙%陈健%姚子升%卓秋华
張龍%陳健%姚子升%卓鞦華
장룡%진건%요자승%탁추화
参麦针%腔内注射%膝骨性关节炎
參麥針%腔內註射%膝骨性關節炎
삼맥침%강내주사%슬골성관절염
Shenmai needle%Intra-articular injection%Knee osteoarthritis
目的:观察参麦针关节腔内注射治疗膝骨性关节炎的临床疗效.方法:86 例膝骨性关节炎患者,分为参麦针关节腔内注射组(治疗组45例),玻璃酸钠关节腔内注射组(对照组41例).治疗组予每周2次参麦针+利多卡因膝关节腔内注射,对照组予玻璃酸钠每周 1 次膝关节腔内注射.在治疗前后两组进行中医症状评分、ISOA 评分,并根据评分结果进行疗效比较.结果:治疗组中医症状改善总有效率达90.7%,对照组为68.0%,两组差异有统计学意义(x2=8.331,P<0.05).治疗后治疗组ISOA积分(7.76±1.64),对照组ISOA积分(8.52±1.87),两组差异有统计学意义(t=-2.215,P<0.05);治疗组治疗前后ISOA积分有统计学差异(t=11.918,P<0.0001).结论:参麦针关节腔内注射治疗膝骨性关节炎具有确切疗效,且较单纯玻璃酸钠关节腔内注射治疗起效更快,复发率更低.
目的:觀察參麥針關節腔內註射治療膝骨性關節炎的臨床療效.方法:86 例膝骨性關節炎患者,分為參麥針關節腔內註射組(治療組45例),玻璃痠鈉關節腔內註射組(對照組41例).治療組予每週2次參麥針+利多卡因膝關節腔內註射,對照組予玻璃痠鈉每週 1 次膝關節腔內註射.在治療前後兩組進行中醫癥狀評分、ISOA 評分,併根據評分結果進行療效比較.結果:治療組中醫癥狀改善總有效率達90.7%,對照組為68.0%,兩組差異有統計學意義(x2=8.331,P<0.05).治療後治療組ISOA積分(7.76±1.64),對照組ISOA積分(8.52±1.87),兩組差異有統計學意義(t=-2.215,P<0.05);治療組治療前後ISOA積分有統計學差異(t=11.918,P<0.0001).結論:參麥針關節腔內註射治療膝骨性關節炎具有確切療效,且較單純玻璃痠鈉關節腔內註射治療起效更快,複髮率更低.
목적:관찰삼맥침관절강내주사치료슬골성관절염적림상료효.방법:86 례슬골성관절염환자,분위삼맥침관절강내주사조(치료조45례),파리산납관절강내주사조(대조조41례).치료조여매주2차삼맥침+리다잡인슬관절강내주사,대조조여파리산납매주 1 차슬관절강내주사.재치료전후량조진행중의증상평분、ISOA 평분,병근거평분결과진행료효비교.결과:치료조중의증상개선총유효솔체90.7%,대조조위68.0%,량조차이유통계학의의(x2=8.331,P<0.05).치료후치료조ISOA적분(7.76±1.64),대조조ISOA적분(8.52±1.87),량조차이유통계학의의(t=-2.215,P<0.05);치료조치료전후ISOA적분유통계학차이(t=11.918,P<0.0001).결론:삼맥침관절강내주사치료슬골성관절염구유학절료효,차교단순파리산납관절강내주사치료기효경쾌,복발솔경저.
Objective: To observe the clinical curative effect of intra-articular injection of shenmai needle in treating knee osteoarthritis. Methods:86 case of patients with knee osteoarthritis were divided into two groups: the intra-articular injection of shenmai needle group(45 cases)(treatment group)and the intra-articular injection of sodium hyaluronate group(41 cases)(control group).The treatment group are given shenmai needle and lidocaine by intra-articular injection twice a week,the control group are given sodium hyaluronate by intra-articular injection once a week.Before and after the treatment ,the two groups are given TCM symptom scores and ISOA scores. Result: The total effective rate of the treatment group was 90.7%, and 68.0% of the control group , the difference between the two groups was statistically significant (x2=8.331, P< 0.05). After treatment,the ISOA of the treatment group was (7.76±1.64) , the ISOC of the control group was (8.52±1.87),the difference between the two groups was statistically significant (t =-2.215,P<0.05). Conclusion:The intra-articular injection of shenmai needle in treating knee osteoarthritis had exact curative effect, and the recurrence rate was lower when compared with simple intra-articular injections of sodium hyaluronate .
