理疗与臭氧联合针刀治疗膝关节骨性关节炎的疗效比较

Clinical effect comparison between physiotherapy and ozone combined with acupotomy in knee joint osteoarthritis

目的探讨臭氧注射联合针刀治疗膝关节骨性关节炎临床疗效。方法以120例膝关节骨性关节炎患者为研究对象,随机分为臭氧联合针刀组和理疗组。理疗组给予磁疗加红线外治疗,20 min/d,共2周;臭氧联合针刀组按照操作程序向膝关节腔内注入30 ml臭氧并行针刀治疗,每周1次,共两次。比较两组疼痛、关节活动度及Lysholm膝关节评分变化。结果经理疗及臭氧联合针刀治疗后,两组疼痛减轻,膝关节活动度及Lysholm膝关节评分均提高,差异均有统计学意义(t分别=2.00、3.35、4.28;2.24、4.38、3.25,P均<0.05);臭氧联合针刀组治疗后疼痛较理疗组治疗后明显减轻、膝关节活动度的改善及Lysholm膝关节评分亦明显提高,差异均有统计学意义(t分别=2.35、5.23、3.71,P均<0.05)。结论臭氧注射联合针刀治疗相对理疗减轻疼痛、膝关节活动度及改善膝关节整体功能效果较好。

Objective To discuss the clinical effect of ozone injection combined with acupotomy in knee osteoarthritis. Methods A total of 120 cases of knee osteoarthritis patients were randomly divided into the physiotherapy group and the ozone combined with acupotomy group. The physiotherapy group was given infrared and magnetic therapy by prescription, 20 minutes per day, totally 2 weeks. The ozone combined with acupotomy group was given 30 ml of ozone to inject knee joint cavity and acupotomy therapy in parallel, once a week, totally 2 weeks. The pain, joint range of motion and Lysholm knee scores were compared. Results Both of the group showed that the relieve of the pain, the improvement of the knee joint motion and the improvement of Lysholm knee score, the differences were statistically significant（t=2.00,3.35,4.28,2.24, 4.38,3.25,P〈0.05）. Compared with the physiotherapy group after treatment, the pain of the ozone combined with acupo-tomy group was significantly relieved as well as the knee joint motion and Lysholm knee score were significantly （t=2.35,5.23,3.71,P〈0.05）. Conclusions Ozone injection combined with acupotomy is better than physiotherapy in reliev-ing the pain, improving the knee joint motion and improving the Lysholm knee score.