参麦针关节腔内注射治疗膝骨性关节炎的临床研究  

Clinical research of intra-articular injection of shenmai needle in treating knee osteoarthritis

作　　者：张龙 陈健 姚子升 卓秋华 

机构地区：[1]平远县中医医院,广东平远514699

出　　处：《中医临床研究》2015年第33期124-126,共3页Clinical Journal Of Chinese Medicine

摘　　要：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。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.

关 键 词：参麦针 腔内注射 膝骨性关节炎 

分 类 号：R274.9[医药卫生—中西医结合]