针刺及中药离子导入联合关节内阻滞治疗膝骨性关节炎的临床观察  

Clinical observation on treatment of knee osteoarthritis by acupuncture and lontophoresis of Chinese medicine combined with intra-articular block

作　　者：张慧敏 杨作梅 许雷 刘朝[1,4] ZHANG Huimin;YANG Zuomei;XU Lei(Department of Acupuncture and Moxibustion, Quyang County Hospital of Traditional Chinese Medicine, Baoding, Hebei 073100)

机构地区：[1]河北省曲阳县中医医院针灸科,河北曲阳073100 [2]河北省曲阳县中医医院急诊科,河北曲阳073100 [3]石家庄医学高等专科学校针灸推拿教研室,河北石家庄050599 [4]河北省曲阳县中医医院中医内科,河北曲阳073100

出　　处：《河北中医》2019年第7期1057-1061,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2016年度中药类科研计划课题(编号:2016302)

摘　　要：目的 观察针刺及中药离子导入联合关节内阻滞治疗膝骨性关节炎(KOA)的临床疗效。方法 将76例KOA患者按随机数字法分为2组,治疗组38例予针刺及中药离子导入联合关节内阻滞治疗;对照组38例予双氯芬酸钠缓释片联合盐酸氨基葡萄糖颗粒治疗。2组均治疗1个月后统计疗效,比较2组治疗后疼痛缓解时间、肿胀消退时间及关节功能障碍恢复时间,比较2组治疗前后膝关节功能Lysholm评分及疼痛视觉模拟评分法(VAS)评分变化情况,并观察统计2组治疗期间的不良反应情况。结果 治疗组总有效率97.37%,不良反应发生率10.53%,对照组总有效率81.58%,不良反应发生率15.79%,治疗组总有效率高于对照组(P<0.05),2组不良反应发生率无明显差异(P>0.05)。治疗组治疗后疼痛缓解时间、肿胀消退时间及关节功能障碍恢复时间均短于对照组(P<0.05)。2组治疗后与本组治疗前比较,Lysholm评分均升高(P<0.05),VAS评分均降低(P<0.05),且治疗组治疗后Lysholm评分及VAS评分改善均优于对照组(P<0.05)。结论 针刺及中药离子导入联合关节内阻滞治疗KOA临床疗效确切,可明显促进患者临床症状改善,促进膝关节功能恢复,缓解关节疼痛,安全可靠。Objective To observe the clinical efficacy of acupuncture and lontophoresis of Chinese medicine combined with intra-articular block in the treatment of knee osteoarthritis (KOA). Methods 76 patients with KOA were randomly divided into two groups according to random number table method. 38 cases in treatment group were treated by acupuncture and iontophoresis of Chinese medicine combined with intra-articular block. 38 cases in control group were treated by diclofenac sodium sustained-release tablets combined with glucosamine hydrochloride granules. Both groups were treated for 1 month, and the clinical efficacy was counted. The pain relief time, swelling subsidence time and recovery time of joint dysfunction after treatment were compared between the two groups. The changes of Lysholm score and pain visual analogue score (VAS) of knee joint function before and after treatment were compared between the two groups, and the adverse reactions during treatment were observed and counted. Results The total effective rate was 97.37% in treatment group and 81.58% in control group. The incidence of adverse reactions was 10.53% in treatment group and 15.79% in control group. The clinical curative effect of the treatment group was higher than that of the control group ( P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups ( P >0.05). The pain relief time, swelling subsidence time and recovery time of joint dysfunction in the treatment group were shorter than those in the control group ( P <0.05). After treatment, the Lysholm score of the two groups was increased ( P < 0.05 ), the VAS score was decreased ( P <0.05), and the improvement of Lysholm score and VAS score in treatment group was better than those in the control group( P <0.05). Conclusion Acupuncture and lontophoresis of Chinese medicine combined with intra-articular block in the treatment of KOA is effective, which can significantly improve the clinical symptoms of patients, promote the recovery of knee joint func

关 键 词：骨关节炎 膝 针刺疗法 离子透入法 注射 关节内 中药疗法 

分 类 号：R289.62[医药卫生—方剂学] R684.3[医药卫生—中药学]