小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗膝骨关节炎的临床效果  

Clinical efficacy of acupuncture-knife soothing tendons and curing the focus of sarcoidosis combined with sodium hyaluronate injection in the treatment of knee osteoarthritis

作　　者：戎涛 张进虎[2] RONG Tao;ZHANG Jinhu(Department of Orthopedics of Traditional Chinese Medicine,Aviation General Hospital,Beijing 102218,China;Department of Internal Medicine,Aviation General Hospital,Beijing 102218,China)

机构地区：[1]航空总医院中医骨科,北京102218 [2]航空总医院内科,北京102218

出　　处：《中国医药科学》2022年第14期157-160,共4页China Medicine And Pharmacy

摘　　要：目的研究膝骨关节炎(KOA)患者应用小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗的临床疗效。方法选取航空总医院天通苑门诊部中医骨科于2019年9月至2021年2月接诊的106例KOA患者作为研究对象。根据不同的治疗方案分为对照组和试验组,每组各53例。对照组采用玻璃酸钠注射治疗,试验组在对照组的基础上增加小针刀舒筋理刺结筋病灶点治疗。比较两组临床疗效;比较两组治疗前后骨关节指数、疼痛指数以及血清炎性因子指标水平。结果试验组总有效率为96.23%,显著高于对照组的83.02%(P<0.05);治疗前,两组西安大略和曼彻斯特大学关节炎指数(WOMAC)和视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗4周后,两组WOMAC和VAS评分显著低于治疗前(P<0.05),试验组显著低于对照组(P<0.05);治疗前,两组降钙素原(PCT)、血沉(ESR)和C反应蛋白(CRP)指标水平比较,差异无统计学意义(P>0.05);治疗4周后,两组上述指标显著低于治疗前(P<0.05),试验组显著低于对照组(P<0.05)。结论KOA患者应用小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗后可提高治疗有效率,改善临床症状,减轻疼痛,值得临床推广应用。Objective To investigate the clinical efficacy of acupuncture-knife s oothing tendons and curing the focus of sarcoidosis combined with sodium hyaluronate injection in the treatment of patients with knee osteoarthritis(KOA).Methods A total of 106 patients with KOA admitted to the Outpatient Department of Orthopedics of Traditional Chinese Medicine of Tiantongyuan of Aviation General Hospital from September 2019 to February 2021 were selected as study subjects.They were divided into the control group(n=53)and the experimental group(n=53)according to different treatment schemes.The control group was treated with sodium hyaluronate injection,while the experimental group was treated with acupuncture-knife soothing tendons and curing the focus of sarcoidosis based on the treatment in the control group.The clinical efficacy of the two groups was compared.The levels of arthritis index,pain index and serum inflammatory factor index before and after treatment were compared between the two groups.Results The overall response rate of the experimental group was 96.23%,higher than 83.02%of the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistically significant difference in the scores of Western Ontario and McMaster Universities arthritis index(WOMAC)and visual analogue scale(VAS)between the two groups(P>0.05).4 weeks after treatment,the WOMAC scores and VAS scores of the two groups were lower than those before treatment,with statistically significant differences(P<0.05);the above scores in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there were no statistically significant contrast differences in the levels of procalcitonin(PCT),erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)between the two groups(P>0.05).4 weeks after treatment,the above indices in the two groups were lower than those before treatment(P<0.05),and those in the experimental group were lower than those in

关 键 词：小针刀 玻璃酸钠 膝骨关节炎 骨关节指数 

分 类 号：R246.9[医药卫生—针灸推拿学]