微波配合扶他林治疗膝骨关节炎疼痛的临床疗效观察  

Observation of curative effect on microwave combined with Voltaren in the treatment of the pain of knee joint osteoarthritis

作　　者：万文俊[1] 马朝阳[1] 熊修安[1] 高光仪[1] 

机构地区：[1]武汉市中心医院康复科,湖北武汉430014

出　　处：《中国医药导报》2011年第31期87-88,共2页China Medical Herald

摘　　要：目的:观察微波配合扶他林治疗膝骨关节炎疼痛的临床疗效。方法:90例膝骨关节炎患者随机分为三组,微波组30例,采用微波局部照射治疗;扶他林组30例,采用扶他林乳胶剂局部涂抹治疗;微波+扶他林组30例,采用微波局部照射+扶他林乳胶剂局部涂抹联合治疗。三组治疗前后均分别采用简式McGill疼痛问卷表(SF-MPQ)测痛,用于观察患者疼痛改善率并评价疗效及安全性。结果:三组患者治疗后SF-MPQ积分均明显降低(P<0.01),而微波+扶他林组SF-MPQ积分明显低于微波组和扶他林组(P<0.05),并且微波+扶他林组总有效率高于微波组和扶他林组(P<0.05)。三组治疗后均未发现明显不良反应。结论:微波配合扶他林治疗膝骨关节炎疼痛具有良好的临床疗效,且简便、安全。Objective： To observe the clinical effect of microwave and Voharen in the treatment of pain of knee joint osteoarthritis. Methods： 90 patients with knee joint osteoarthritis were randomly divided into microwave therapy group （n=30）, Voharen therapy group （n=30） and microwave ＆ Voltaren therapy group （n=30）. The scores of short-form McGill pain questionnaire （SF-MPQ） were examined before and after the treatment and the efficacy and safety were evaluated. Results： There were remarkable reduces in scores of SF-MPQ above three groups （P〈0.01）. While scores of SF-MPQ of microwave ＆ Voltaren therapy group were lower than those of microwave therapy group and Voltaren therapy group （P〈0.05）, and the total effective rate of SF-MPQ of microwave ＆ Voharen therapy group was higher than the other two groups （P〈0.05）. Conclusion： There is a good clinical effect and a simple, safe way of the treatment of pain of knee joint osteoarthritis with microwave combined with voharen therapy.

关 键 词：微波 扶他林 膝骨关节炎 疼痛评级指数 视觉模拟评分 现时疼痛强度评分 

分 类 号：R684[医药卫生—骨科学]