水针配合透明质酸钠关节腔注射治疗膝骨关节炎疗效观察

Therapeutic Observation on Acupoint Injection plus Intracavitary Injection of Sodium Hyaluronate for Knee Osteoarthritis

目的观察穴位注射配合透明质酸钠关节腔注射治疗膝骨关节炎的临床疗效。方法将60例膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用穴位注射配合透明质酸钠关节腔注射治疗,对照组采用单纯透明质酸钠关节腔注射治疗。采用视觉模拟评分法(VAS)评估两组患者治疗前及治疗1星期、5星期后评分,观察两组临床疗效及治疗前后膝关节功能评分。结果两组治疗1星期、5星期后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗1星期、5星期后VAS评分与对照组比较,差异均具有统计学意义(P<0.01)。两组治疗5星期后Lysholm膝关节功能评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组患者治疗5星期后Lysholm膝关节功能评分与对照组比较,差异具有统计学意义(P<0.05)。两组临床疗效比较,差异具有统计学意义(P<0.05)。结论穴位注射配合透明质酸钠关节腔注射是一种治疗膝骨关节炎的有效方法。

Objective To observe the clinical efficacy of acupoint injection plus intracavitary injection of sodium hyaluronate in treating knee osteoarthritis （KO）. Method Sixty KO patients were randomized into a treatment group and a control group, 30 each. The treatment group was intervened by acupoint injection plus intracavitary injection of sodium hyaluronate, and the control group was by intracavitary injection of sodium hyaluronate alone. Visual Analogue Scale （VAS） was adopted for evaluation before treatment and after 1-week and 5-week treatment. The clinical efficacies and knee joint function of before and after treatment were observed. Result Compared with pre-treatment VAS scores, both groups showed significant changes after 1-week and 5-week treatment respectively （P〈0.01）. The treatment group was markedly different from the control group in comparing VAS score after 1-week and 5-week treatment （P〈0.01）. After 5-week treatment, the Lysholm Knee Scoring Scale （LKSS） score showed marked changes in both groups compared to the pre-treatment results （P〈0.01）. The treatment group was significantly different from the control group in comparing LKSS score after 5-week treatment （P〈0.05）. There was a statistically significant difference in comparing the clinical efficacy between the two groups （P〈0.05）. Conclusion Acupoint injection plus intracavitary injection of sodium hyaluronate is an effective method in treating KO.