玻璃酸钠关节腔注射配合小针刀松解治疗膝骨关节炎疗效观察.pdfVIP

中医正骨 2012 年 1 月第 24 卷第 1 期 (总 015). 15 • ·临床研究· 玻璃酸纳关节腔注射配合小针刀松解 治疗膝骨关节炎疗效观察 郑广程1 ，郑海伟2 ，张国辉I ，张英杰I (1.山东省青州市中医院，山东 青州 262500; 2. 山东省青州市社会保险事业管理局，山东 青州 262500) 摘 要 目的:观察玻璃酸纳关节腔注射配合小针刀松解治疗膝骨关节炎的临床疗效。方法:将符合要求的 170 例患者随机分为 2 组，治疗纽86 例，对照纽84 例。治疗纽采用攻璃酸纳关节腔注射结合小针刀松解治疗;对照纽口服芬必得胶囊，局部外涂扶他 林乳胶剂。分别于治疗前和治疗 3 周后采用Lequesne 膝骨关节炎严重性和活动性指数评定患者的膝关节功能，同时于治疗结束 后参照《中医病证诊断疗效标准》中骨痹的疗效标准判定2 纽患者的临床疗效。结果:①治疗前2 纽患者膝关节功能比较，差异 元统计学意义。=0. 958 ,P =0. 836); 治疗纽膝关节功能评分治疗前后差值大于对照纽(t =22. 921 ,P =0. ∞5) 。②治疗组临床疗 效优于对照组[治疗纽95%CI ，为 (0.5820 ， 0.690 2) ， R剧组 =0.6361; 对照纽95%CI 为 (0.399 2 ,0.5252) ， R相姐 =0.4622] 。 结论:玻璃酸纳关节腔注射配合小针刀松解能明显改善膝骨关节炎患者的膝关节功能，疗效优于口服芬必得胶囊配合外涂扶他林 乳胶剂疗法，是治疗膝骨关节炎的有效方法。 飞~,;_ 关键词骨关节炎，膝小刀针治疗，临床研究性 Observation on the curative effect of intra-articular injection of sodium hyaluronate combined wi由 soft tissue relea随 with small knife needle on knee osteoarthritis ZHENG Guang-cheng. ,ZHENG Hai-wei ,ZHANG Gω­ hui ,ZHANG Ying-jie. • Traditional Chinese Medical Hospital 01 Qingzhou City , Qingzhou 262500 ,Shandong ,China ABSTRACT Objective: To observe the clinical curative effect of intra-articular injection of sodium hyaluronate combined with soft tissue 陀lease with small knife needle on knee osteoarthritis ( KOA) . Methods: One hundred and seventy patients met the criteria were randomly divided into 2 groups ,86 cases in the treatment group ,while the others in the ωntrol group. Patients in the treatment group were administra- ted with intra-articul缸 i时ection of sodium hyaluronate combined with soft tissue release with small knife needle ,while the others 扭曲e control group were administrated wi由 oral application of Fenbid capsul