参麦针关节腔内注射治疗膝骨性关节炎的中长期疗效观察  

Medium and long-term curative effect observation of intra articular injection of shenmai injection in treatment of knee osteoarthritis

作　　者：张龙 刘晶 陈健 姚子升 卓秋华 

机构地区：[1]广东省平远县中医医院,广东平远514600

出　　处：《中国医药科学》2017年第6期165-167,共3页China Medicine And Pharmacy

基　　金：广东省梅州市科技计划项目(梅科2015-B-125)

摘　　要：目的分析并观察对膝骨性关节炎患者予以参麦针关节腔内注射治疗临床中长期的效果。方法选择我院自2013年1月~2015年1月期间收治的膝骨性关节炎患者86例,利用随机数字表法分成对照组与治疗组,其中对照组予以玻璃酸钠关节腔内注射治疗,治疗组予以参麦针关节腔内注射治疗。对治疗组和对照组治疗前后的症状评分和ISOA评分进行比对,并在治疗结束后半年、1、2年随访,对复发率进行比较。结果治疗组中医症状改善总有效率明显比对照组高,差异有统计学意义(P<0.05)。治疗后随访半年、1、2年后治疗组复发率均低于对照组。结论参麦针关节腔内注射治疗膝骨性关节炎跟单纯玻璃酸钠关节腔内注射治疗相比,不仅短期内具有较好疗效,而且中长期的复发率更低。Objective To analyze and observe the medium and long-term curative effect of intra articular injection of shenmai injection in treatment of knee osteoarthritis. Methods 86 cases of patients with knee osteoarthritis cured in our hospital from Juanary 2013 to Juanary 2015 were selected and divided into control group and therapy group according to random digital table method. Patients in control group were treated with intra-articular injection of sodium hyaluronate, and patients in therapy group were treated with intraarticular injection of shenmai injection. Symptom score and ISOA score before aod after treatment of the two groups were compared. And after six months, 1 years and 2 years follow-up, recurrence rate was compared. Results The total effective rate of the therapy group was significantly higher than that of the control group, and the difference between the two groups was statistically significant （P 〈 0.05）.After six months, 1 years and 2 years follow-up, the recurrence rate of the therapy group was lower than that of the control group. Conclusion Compared with intra-articular injection of sodium hyaluronate alone, intra articular injection of shenmai injection in treatment of knee osteoarthritis not only has a good effect in the short term, but its long-term recurrence rate is lower.

关 键 词：参麦针腔内注射 膝骨性关节炎 中长期疗效 

分 类 号：R274[医药卫生—中医骨伤科学]