针刀联合玻璃酸钠注射治疗早中期髌股关节炎疗效观察

Efficacy Observation on Acupotomy Combined with Sodium Hyaluronate Injection in the Treatment of Early and Middle Stage Patellofemoral Arthritis

目的：探讨针刀联合玻璃酸钠注射治疗早中期髌股关节炎（PFOA）的临床疗效。方法：选取2014年11月~2015年7月确诊为早中期PFOA患者60例,随机分为实验组与对照组,每组30例。实验组用针刀联合膝关节内玻璃酸钠注射治疗,对照组单纯膝关节内玻璃酸钠注射治疗。观察两组患者完成所有治疗疗程后第0、6、12周的临床疗效。结果：对照组和实验组的治疗前后VAS疼痛评分组间比较采用重复资料方差分析,经分析得F=4.54,P=0.037〈0.05,说明两组间疗效差异有统计学意义;WOMAC评分经分析得F=9.2,P=0.004〈0.01,说明两组间疗效差异有统计学意义;软骨损伤治疗后对照组与实验组数据经秩和检验显示两组数据无显著差异（Z=0.976,P=0.329〉0.05）。结论：针刀联合膝关节内玻璃酸钠注射治疗早中期PFOA的临床疗效优于单纯膝关节内玻璃酸钠注射治疗。

Objective： To investigate the clinical curative effect of acupotomy combined with sodium hyaluronate injection in the treatment of early and middle stage patellofemoral arthritis （PFOA）. Methods： 60 Patients from November 2014 to July 2015 were diagnosed with early and middle stage of PFOA, were randomly divided into treatment group （acupuncture therapy combined with intra-articular sodium hyaluronate injection） and control group （simple knee intra-articular sodium hyaluronate injection）. The clinical curative effect was observed before and after treatment. Result： After treatment, the VAS score, WOMAC score were compared between the two groups, the difference between the two groups was statistically significant, P〈0.05. There was no significant difference between the two groups after the treatment of cartilage injury （Z=0.976, P〉0.05）. Conclusion： Acupotomy combined with sodium hyaluronate injection is better than sodium hyaluronate injection in the treatment of early and middle stage PFOA.