火针配合中药治疗膝关节骨性关节炎疗效观察

Observation of effect of fire-needling combined with Chinese medicine on knee osteoarthritis

目的:观察火针配合中药治疗膝关节骨性关节炎的疗效。方法:选取116例膝关节骨性关节痛患者,随机分为治疗组和对照组各58例,治疗组予火针配合中药治疗,对照组予以双氯芬酸二乙胺乳胶剂局部外用,均14天为1疗程,1个疗程后评价疗效。结果:治疗组有效率98.3%,对照组有效率68.9%,两组比较,有统计学意义(P<0.05)。结论:火针配合中药治疗膝关节骨性关节炎与双氯芬酸二乙胺乳胶剂相比,疗效及复发率均明显优于双氯芬酸二乙胺乳胶剂局部外用。

Objective： To observe the curative effect of fire-needling combined with Chinese medicine on knee osteoarthritis. Methods： 116 cases of selected patients with knee osteoarthritis were randomly divided into treatment group and control group,58 cases in each group. The treatment group was treated with fire-needling combined with Chinese medicine,while the control group was treated with topical application of Diclofenac Diethylamine Emulgel. For both groups,14 days were taken as 1 course of treatment. After a course of treatment,the curative effect was evaluated,and after 6 months,the patients were followed-up. Results： the total effective rate of treatment group was 98. 3%,while the total effective rate of control group was 68. 9%. Compared between two groups,there was statistically significant difference（ P〈0. 05）. In following-up after 3 months,the recurrence rate of treatment group was 3. 45%,while the recurrence rate of control group was 20. 7%. Compared between two groups,there was significant difference in recurrence rate（ P〈0. 05）. Conclusion： The curative effect and the recurrence rate of fire needling combined with Chinese medicine on knee osteoarthritis are significantly better than those of topical application of Diclofenac Diethylamine Emulgel.