小针刀结合中药治疗膝关节骨性关节炎120例临床观察  

Clinical observation on treating 120 cases of knee osteoarthritis by knife acupuncture therapy plus TCM medicine

作　　者：龚龙 郝明 张立新 黄沪[2] 

机构地区：[1]北京顺义区中医医院,北京101300 [2]北京中医药大学第三附属医院,北京100029

出　　处：《中医临床研究》2014年第28期29-31,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察小针刀疗法结合独活寄生汤治疗膝关节骨性关节炎的临床疗效,探索中医治疗该病新的有效途径。方法:选择膝关节骨性关节炎患者120例,随机分为两组,各60例,治疗组予以小针刀疗法结合独活寄生汤内服治疗;对照组予以采用玻璃酸钠膝关节腔内注射。采用Lysholm评分进行疗效判断、临床疗效评估,随访3个月。结果:完整收集资料治疗组48例,对照组45例,治疗组优21例、良19例、中7例、差1例,优良率为83.3%;对照组优16例、良17例、中9例、差3例,优良率为73.3%。两组比较,差异有显著性意义(P<0.01),治疗后治疗组与对照组疗效比较有显著差异。治疗组疗效优于对照组。结论:小针刀疗法结合独活寄生汤内服对膝关节骨性关节炎有显著疗效,符合以人为本的微创医学原则。Objective： To observe clinical effects of knife acupuncture therapy plus the Duhuo Jisheng decoction on kneeosteoarthritis, and search new methods for this disease. Methods： 120 patients were randomly divided into two groups, 60 cases for each,the treatment group was given knife acupuncture therapy plus the Duhuo Jisheng decoction; while the control group was given kneearticular injection of sodium hyaluronate. Clinical effects were analyzed. Results： In the treatment group （48 cases）, 21 cases weremarkedly improved, 19 cases were improved, 7 cases were good, and 1 cases was invalid; while in the control （45 cases）, 16 cases weremarkedly improved, 17 cases were improved, 9 cases were good, and 3 cases was invalid. The efficacy in the treatment group （83.3%） wassignificantly better than （73.3%） in the control （P〈0.01）. Conclusion： Knife acupuncture therapy plus the Duhuo Jisheng decoction on kneeosteoarthritis was effective obviously, and followed principle with the minimally invasive medicine.

关 键 词：膝关节骨性关节炎 小针刀疗法 独活寄生汤 

分 类 号：R593.22[医药卫生—内科学]