膝三针联合骨刺软化丸治疗膝骨关节炎

Knees three needles with bony spurs soften pill in treating knee joint osteoarthritis

目的对膝三针联合骨刺软化丸治疗膝骨关节炎的临床疗效进行观察。方法应用随机数字表把纳入的135例患者随机分为治疗组、对照组1和对照组2,3组各45例,对照组1予塞来昔布胶囊,对照组2予膝三针,治疗组予膝三针联合骨刺软化丸,共治疗6周。比较3组治疗前后膝骨性关节炎症状分级量化积分表、视觉模拟评分法(VAS)、患者满意度(PSS)、SF-36评分。结果治疗组、对照组1和对照组2的总有效率分别是93.33%、91.11%和77.78%;3组VAS评分、症状量化积分治疗前后差值的组间比较,治疗后、治疗结束后8周,治疗组与对照组1、对照组2比较,差异具有统计学意义(P<0.05),表明在改善膝关节活动功能、减轻疼痛症状等方面治疗组效果均优于对照组1、对照组2;治疗后、8周后PSS评分,治疗组患者与对照组1和对照组2比较,差异均具有统计学意义(P<0.05)。治疗组治疗后综合积分与对照组1和对照组2比较,差异均具有统计学意义(P<0.05)。结论膝三针联合骨刺软化丸治疗肝肾不足、筋脉瘀滞型膝骨关节炎疗效显著,并能提高患者生活质量。

Objective Clinical efficacy of knees three needleswith bony spurs soften pillin treatingknee joint osteoarthritiswas observed.Methods 135 patients were randomly divided into treatmentgroup and control group 1 and group 2 by random number table.45 cases for each group,treatment group was treated with Celecoxib capsules,control group 1 was treated with knees three needles,control group 2 was treated with knees three needles withbony spurs soften pill.The treatment was for 6 weeks.Compare the knee joint osteoarthritis symptom grade quantification integral table,VAS,PSS,SF-36 scores before and after treatment.Results The total effective rate of the treatment group,control group 1 and control group 2 were 93.33%,91.11% and 77.78%.Compare the VAS score,symptoms of quantitative integral table scoresof three groups before and after treatment.And comparedobservation group with control group 1,group 2 before and after 8-week treatment,the differences were statistically significant（P0.05）,indicating that at aspects of thesymptoms of knee joint activity function,alleviate pain,the effects of treatment groupwere better than that in control group 1,group 2; PSS scoresof treatment group after 8-week treatment were compared with control group 1 and group 2,the differences were statistically significant（P0.05）.Comprehensive integral scores of treatment group after treatment compared with control group 1 and grou-p 2,the differences were statistically significant（P0.05）.Conclusion Thecurativeeffect of knees three needles with bone spurs soften pill treating in liver and kidney deficiency and stasis type of knee osteoarthritis is remarkable,and can improve life quality.