水针刀治疗早期膝骨关节炎的疗效观察  

Clinical Effects of Injection Needle Scalpel Therapy on Knee Osteoarthritis at Early Stage

作　　者：张志权[1] 张葆青[2] 刘金文[2] 郭达[2] ZHANG Zhiquan;ZHANG Baoqing;LIU Jinwen;GUO Da(Xinyi Hospital of Traditional Chinese Medicine,Xinyi 525300,Chin)

机构地区：[1]信宜市中医院,广东信宜525300 [2]广东省中医院,广东广州510120

出　　处：《现代医院》2018年第7期1052-1054,共3页Modern Hospitals

基　　金：广东省科技计划项目(编号:2014807)

摘　　要：目的探索水针刀疗法对早期膝骨性关节炎的短期疗效及其作用特点。方法 80例膝骨性关节炎患者随机分为治疗组和对照组各40例。治疗组(T组)采用水针刀疗法治疗,对照组(C组)给予口服塞来昔布胶囊治疗,疗程1周。记录两组治疗治疗前第0天(D0),第1天(D1)、第7天(D7)、第14天(D14)、第28天(D28)的步行VAS(W-VAS)评分,WOMAC总积分、疼痛积分、僵硬积分、功能活动积分。结果两组治疗前组间比较无差异;步行VAS治疗组与对照组有统计学差异(P=0.019),水针刀组疼痛缓解和作用时间优于对照组,塞来昔布胶囊组停药后出现疼痛反弹。治疗前后对比,治疗组和对照组在WOMAC总积分、疼痛、僵硬、功能活动均得到改善,但对照组中D28的僵硬评分与治疗前比较无显著差异(P>0.05)。组间比较,D14时治疗组在疼痛、僵硬评分与对照组差异有显著性(P<0.05)。D28时治疗组在WOMAC总积分、疼痛、僵硬、功能活动均较对照组有显著改善(P<0.05)。结论水针刀治疗早期膝骨关节炎短期观察具有镇痛效果好,改善膝关节症状同时作用时间持续的特点。Objective To investigate the short term clinical effects and characteristics of injection needle scalpel therapy on knee osteoarthritis（ KOA） at early stage. Methods Eighty patients with KOA were randomly assigned into two groups,with 40 patients in each group. the injection needle scalpel therapy（ INST） group and control group（ C group）which administered with Celecoxib capsules for 1 week. The data by walking visual analog scale（ W-VAS） and Western Ontario and Mc Master Universities Osteoarthritis Index（ WOMAC） as well as the scores on pain,stiffness,and function were recorded and compared between the two groups on D0,D1,D7,D14 and D28 before treatment. Result There are no significantly statistical difference（ P〈0. 05） between two groups before treatment. but there was a statistically significant difference between the two groups（ P = 0. 019）,and the analgesic effect and effective time of INST group were better than that of C group which had encountered a rebound-pain after celecoxib withdral. On D0,both groups showed statistical difference in total WOMAC as well as the scores of pain,stiffness,and function,except that the stiffness scores in C group on D28 showed no statistical difference（ P〈0. 05）. Compared with C group,the records of T group on D14 showed a better improvement in view of the scores of pain and function（ P〈0. 05）. The total score on WOMAC and scores of T group in pain,stiffness and function of T group on D28 were significantly improved compared with C group（ P〈0. 05）. Conclusion INST is effective in short-term anethsathia for knee osteoarthritis at the early stage,for it can improve the symptoms contineously.

关 键 词：水针刀 早期膝骨性关节炎 短期疗效特点 

分 类 号：R246[医药卫生—针灸推拿学]