苗医弩药针疗法对膝骨性关节炎的临床研究及滑液含量的影响

Clinical research of Miao medical crossbow medicine needle therapy for knee osteoarthritis and the influence on the synovial fluid content

目的:苗医弩药针疗法对膝骨性关节炎的临床疗效及膝关节液中的透明质酸(HA)、一氧化氮(NO)含量影响的观察,为该疗法提供一定的临床依据,以利于推广应用。方法:选取诊断明确膝骨性关节炎患者,分成治疗组60例、对照组60例。治疗组采用苗医弩药针疗法治疗,对照组采用针灸治疗,10次为1个疗程,共观察2个疗程。结果:两组组内比较:治疗后HA的含量较治疗前均有显著升高(P<0.01),治疗后NO含量较治疗前均有显著降低(P<0.01)。两组组间比较:治疗后两组膝关节液中的HA及NO含量比较有显著差异,治疗组优于对照组。结论:苗医弩药针疗法治疗膝骨性关节炎能显著改善患者膝关节疼痛及HA、NO的含量。

Objective： Based on the observation of medical crossbows Miao medicine acupuncture on knee osteoarthritis of the knee joint fluid and the clinical efficacy of hyaluronic acid （HA） and nitric oxide （NO） content influence, to provide a certain clinical evidence for popularization and application. Methods： patients with knee osteoarthritis who were diagnosed clearly were selected, divided into treatment group and control group, with 60 cases in each. Treatment group were using Miao medical crossbow medicine needle therapy, the control group were using acupuncture therapy, 10 times for one course, then made an observation of the two periods of treatment. Results： In comparison of groups before and after treatment： after treatment, HA content was significantly higher than before （P〈0.01）, NO content was significantly lower than before （P〈0.01）. In comparison between the two ways of treatment： HA and NO content in knee joint fluid had differences in both groups before and after treatment. Conclusion： Miao medical crossbow medicine needle therapy for knee osteoarthritis could significantly improve HA, NO content in patients with knee joint pain.