针刀松解联合复方骨肽关节内注射治疗膝关节骨性关节炎的疗效

Efficacy of acupotomy therapy combined with compound ossotide intra-articular injection in the treatment of patients with knee osteoarthritis

目的观察针刀松解联合复方骨肽关节内注射治疗膝关节骨性关节炎的疗效。方法选取膝关节骨性关节炎患者80例，随机分成两组，各40例，Ⅰ组为针刀治疗组，针刀松解膝关节周围压痛点；针刀在压痛点经皮肤、皮下组织、筋膜达骨面，纵行切割、横行剥离，范围0．5em。Ⅱ组为针刀松解后，第2日关节腔内注入复方骨肽30mg。两组均为每周1次，5次为1个疗程。随访6个月后评定疗效。结果Ⅱ组总有效率（97．5％，39／40例）高于Ⅰ组（90．0％，36／40例），差异有统计学意义（P〈0．05）；Ⅰ组的复发率（25．0％，9／36例）高于Ⅱ组（7．6％，3／39例），差异有统计学意义（P〈0．05）。结论针刀松解联合复方骨肽关节内注射疗效明显优于单纯针刀松解治疗膝关节骨性关节炎。

Objective To observe the efficacy of acupotomy therapy combined with compound oss- otide intra-articular injection in the treatment of patients with knee osteoarthritis. Methods A total of 80 patients with knee osteoarthritis were randomly divided into 2 groups, 40 cases in each group. The patients in group Ⅱ only received the acupotomy therapy, from the pain point to the surface of bone through the skin, subcutaneous tissue and fascia in turn, using a small needle knife to cut longitudinally and stripped transversely in the range of 0.5 era; group Ⅱ were treated by acupotomy, then intra-articular injection of compound ossotide 30 mg at the next day, once a week, five times in a course. After 6 months follow-up, the efficacy was evaluated. Results The total effective rate was significantly higher in group Ⅱ （97.5%, 39/40 cases）than that in group Ⅰ（90.0%, 36/40 cases）（P 〈 0.05）; the recurrence rate was higher in group Ⅰ（25.0%, 9/36 cases）than that in group Ⅱ （7.6%, 3/39 cases） （P 〈 0.05）. Conclusion The efficacy of acupotomy therapy combined with compound ossotide intra-articular injection is superior to acupotomy therapy only in the treatment of patients with knee osteoarthritis.