巨刺和穴位注射治疗膝骨关节炎108例疗效观察.docVIP

巨刺和穴位注射治疗膝骨关节炎108例疗效观察 　　摘要：目的 观察巨刺与穴位注射治疗膝骨关节炎的疗效。方法 对确诊为膝骨关节炎的108例患者随机分为两组，治疗组56例，采用巨刺与穴位注射治疗；对照组52例使用美洛昔康为主治疗，两组的基础治疗相同，并在疼痛局部予以盒灸，1次/d，30min/次左右。结果 治疗组中临床治愈21例，有效33例，无效2例，总有效率96.42%；对照组中临床治愈8例，有效24例，无效20例，总有效率61.54%；两组结果之间采用χ2检验 ，P0.05两组之间有明显差异。结论 巨刺与穴位注射治疗膝骨关节炎的疗效优于美洛昔康为主的治疗。 　　关键词：巨刺；穴位注射；美洛昔康；膝骨关节炎 　　To Observe the Curative Effect of 108 Cases of Opposing Needling and Acupoint Injection in the Treatment of Knee Osteoarthritis 　　SONG Wei-jian 　　（Guangyuan City Hospital of traditional Chinese Medicine，Guangyuan 628000，Sichuan，China） 　　Abstract：Objective This paper discusses needing and acupoint injection improve the treatment of the clinical curative effect of the OAK.Methods We collected 108 patients with the diagnosis of OAK.The patients collected for the clinical research were randomly divided into two groups. The experimental group included 56 cases with the treatment of Needing and Acupoint injection， the control group included 52 cases with the treatment of Meloxicam. Two groups have the same foundation treatment and we do moxibustion where the patients feel pain for about 30 minutes per day when necessary. Results After the treatment we found 21 patients have clinical crue，33 effective，2 invalid and the total effective rate is 96.42% in the experimental group；In the control group there were 8 patients have clinical crue，24 effective，20 invalid and the total effective rate is 61.54%.We use χ2-test and there are many statistically significant in improving the symptom of the OAK（P 0.05， ） between the two groups.Conclusion The treatment of Needing and Acupoint injection is better than Meloxicam in preventing Bone symptom caused by the OAK. 　　Key words：Needing Acupoint injection Meloxicam OAK 　　膝骨性关节炎（knee osteoarthritis，KOA）又称退行性关节炎，是一种以关节软骨的变性、破坏及骨质增生为特征的慢性关节病，主要病变为膝关节软骨退行性变和继发性骨质增生，多见于中老年人。对于本病，西医治疗主要以NSAIDs为主的消炎镇痛药，以及改善病情类药物、软骨保护剂、手术治疗等为主，但常因为药物不良反应及远期效应以及患者决策等疗效不太满意，笔者在2008年～2011年用巨刺与穴位注射治疗膝骨关节炎疗效尚可，现报告如下： 　　1 资料与方法 　　1.1一般资料 108例膝骨性关节患者均来自我院