经筋微创疗法联合药物治疗膝骨性关节炎60例临床观察  

Treatment of Knee Osteoarthritis by Tendons of Minimally Invasive Therapy Combined Drug Therapy:a Clinical Observation of Sixty Cases

作　　者：侯春福[1] 韦嵩[1] 陈志煌[1] 李晓昊[1] 王舒婷[1] 郭晶[1] 

机构地区：[1]广州军区广州总医院中医科,广州510010

出　　处：《中国中西医结合杂志》2015年第6期678-681,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：广东省科技计划资助项目(No.2011B050400040);广州市科技计划资助项目(No.11S76090020)

摘　　要：目的通过比较经筋微创疗法联合药物与单纯药物治疗膝骨性关节炎(knee osteoarthritis,KOA),评价经筋微创疗法治疗KOA的疗效。方法将KOA患者60例,采用随机数字表法分为治疗组(30例)及对照组(30例)。对照组口服盐酸氨基葡萄胶囊、塞来昔布胶囊,治疗组在药物基础上加用经筋微创治疗,疗程均为4周,并选取针刀镜治疗1、4周时间点上观察两组患者直观模拟量表(visual analogue scale,VAS)评分及WOMAC评分变化。结果与治疗前比较,两组患者在治疗1、4周VAS评分、疼痛、僵硬程度、活动功能及WOMAC评分比较,差异均有统计学意义(P<0.05),且治疗组优于对照组(P<0.05)。结论加用经筋微创疗法能快速缓解KOA患者的疼痛,僵硬及活动功能,提高整体疗效,经筋微创疗法具有操作简便、创伤小的特点。Objective To assess the efficacy of tendons of minimally invasive therapy（TMIT）combined drug therapy by comparing it with treatment by drug therapy Blone on patients with knee osteoarthritis（KOA）.Methods Totally 60 KOA patients were assigned to the treatment group and the control group according to random digit table,30 in each group.Patients in the control group took Hydrochloric Acid Glucosamine Capsule and Celecoxib Capsule.Patients in the treatment group additionally received TMIT.The treatment course for all was 4 weeks.Scores for visual analogue scale（VAS）and the Western Ontario and McMaster Universities（WOMAC） Osteoarthritis Index were observed and recorded at week 1and 4 after treatment by acupotomology mirror.Results Compared with before treatment,improvement was shown in VAS score,pain and stiffness degrees,activities and functions,and WOMAC scores at week1 and 4 after treatment in all patients with statistical difference（P 〈0.05）.Besides,better effect was shown in the treatment group（P〈0.05）.Conclusions TMIT combined drug therapy could relieve KOA patients’ pain,stiffness and joint activities,elevate the overall efficacy.TMIT was easily operated with less injury.

关 键 词：经筋微创疗法 膝骨性关节炎 临床疗效 

分 类 号：R274.9[医药卫生—中西医结合]