针刀治疗早中期膝骨性关节炎的近远期疗效观察

Observation on Short-term and Long-term Curative Effect of Needle Knife in the Treatment of Knee Osteoarthritis in Early and Medium Term

目的:观察针刀治疗早中期膝骨性关节炎的近远期疗效。方法:采用单盲设计,将符合标准的60例早中期膝骨性关节炎患者随机分为观察组和对照组,每组各30例。对照组患者给予针刺+TDP+拔罐治疗,1次/d,10次为1疗程,需1-2个疗程;观察组予针刀治疗,每周治疗一次,两次定为一疗程。评价2组总体临床疗效、比较2组视觉模拟评分(VAS)及英国牛津膝关节评分(OKS)的变化。结果:临床总有效率=(痊愈+显效+有效)/总例数,其中近期临床总有效率观察组(96.0%)高于对照组(64.0%),远期临床总有效率观察组(84.00%)高于对照组(52.00%),2组近期和远期临床疗效分布的差异均有统计学意义(X^21=8.000,P=0.005;X^22=5.882,P=0.015)。观察组疗程结束后2天和疗程结束后6个月的膝关节VAS及OKS评分均优于对照组(均P<0.05)。结论:针刀治疗早中期膝骨性关节炎的近远期疗效,均优于普通针刺+TDP+拔罐治疗,值得临床推广。

Objective:Observe the short-term and long-term effects of needle knife on knee osteoarthritis in early and medium term.Method:Sixty patients with knee osteoarthritis in early and medium term admitted to our hospital were randomly divided into observation group and control group,30 cases in each group.Patients in the control group were given acupuncture+TDP+cupping treatment,once a day,10 times for a course of treatment,requiring 1-2 courses of treatment;the observation group was treated with needle knives,once a week,twice as a course of treatment.The overall clinical efficacy of the two groups was evaluated,and the visual analogue scale(VAS)and the Oxford knee score(OKS)were compared between the two groups.Results:The total clinical effective rate=(healing+markedly effective+effective)/total number of cases,of which the recent clinical total effective observation group(96.0%)was higher than the control group(64.0%),the long-term clinical total effective observation group(84.00%)Compared with the control group(52.00%),the difference of clinical and long-term clinical efficacy distribution between the two groups was statistically significant(X^21=8.000,P=0.005;X^22=5.882,P=0.015).Conclusion:The short-term and longterm effects of needle knives on knee osteoarthritis in early and medium term are better than ordinary acupuncture+TDP+cupping treatment,which is worthy of clinical promotion.