小针刀与关节腔内注药治疗膝骨性关节炎68例

Treatment of small needle knife and intraarticular injection in 68 patients with knee osteoarthritis

目的观察小针刀联合关节腔内药物注射治疗膝关节骨性关节炎的临床疗效。方法确诊为膝骨性关节炎患者68例随机分为两组．治疗组38例，采用小针刀松孵职合药物关节腔内注射治疗，每周1次；对照组30例。采用单纯药物关节腔内注射治疗，每周1次。结果3周内治疗比较其近期疗效，治疗组有效率100％（38／38例），对照组有效率90．0％（27／30例）；随访6个月～2年。比较其远期疗效，治疗组有效率97．4％（37／38例），对照组有效率70％（21／30例）；治疗组近期疗效和远期疗效均优于对照组（P〈0．05）。结论小针刀松解联合关节腔内药物注射治疗膝关节骨性关节炎具有较好的临床疗效及显著的镇痛、抗炎作用。

Objective To observe the clinical efficacy of small needle-knife combined with intraarticular injection on the treatment of knee osteoarthritis. Methods Sixty-eight patients diag nosed as knee osteoartbritis were randomly divided into two groups. In treatment group, 38 cases, a small needle knife was used to loosen the adhesive tissue and drugs were injected into the knee articu- lar cavity, one time per week. In control group, 30 cases, intraarticular injection of drugs was used only, one time per week. Results The effective rate of short-term within 3 weeks in treatment group was 100%（38/38 cases）, in control group was 90.0%（27/30 cases）. Follow-up 6 months to 2 years, comparing their long-term effect, the effective rate in treatment group was 97.4%（37/38 cases）, in control group was 70 % （21/30 cases）. The short term and long-term effects of treatment group were better than that of control group. Conclusion Srnali needle-knife lysis combined with intraarticular drug injection is of better clinical efficacy with significant analgesiaeoarthritis. and anti-inflammatory effects than intraarticular injection only in the treatment of knee ost