火针膝周痛点去神经化联合关节腔冲洗、臭氧灌注治疗中、晚期膝骨关节炎的临床疗效观察

Efficacy of fire needle peri-genicular pain point penervation combined with articular cavity irrigation and ozone injection in treating moderate & advanced knee osteoarthritis

目的观察火针膝周痛点去神经化联合关节腔冲洗、臭氧灌注治疗中、晚期膝骨关节炎(KOA)的临床疗效。方法将72例中、晚期KOA患者按照随机数字表法分为2组。对照组36例采用关节腔冲洗、臭氧灌注治疗,治疗组36例在对照组治疗基础上联合火针膝周痛点治疗。2组均7 d治疗1次,共治疗4次。记录并比较2组治疗前、治疗后1周及治疗后3、6个月疼痛视觉模拟评分(VAS)、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分,并于治疗后6个月统计疗效。结果治疗后1周及治疗后3、6个月2组疼痛VAS、WOMAC骨关节炎指数评分均较本组治疗前降低(P<0.05),治疗后1周及治疗后3、6个月治疗组疼痛VAS均低于对照组同期(P<0.05),治疗后1周、6个月治疗组WOMAC骨关节炎指数评分均低于对照组同期(P<0.05)。治疗组总有效率88.9%(32/36),对照组总有效率61.1%(22/36),治疗组疗效优于对照组(P<0.05)。结论火针膝周痛点去神经化联合关节腔冲洗、臭氧灌注治疗中、晚期KOA患者疗效确切,可以显著改善患者的临床症状及关节功能。

Objective To investigate clincial effficacy of fire needle peri genicular pain point denervation combined with articular cavity irrigation and ozone injection on the knee osteoarthritis( KOA). Methods Seventy-two patients with immediate and advanced KOA were randomly divided two groups by means of random number table,The patients in the control group were treated with articular cavity irrigation and ozone injection,and the patient in the treatment group received fire needle peri-genicular pain point denervation combined. The two groups were treated once every seven days,four times in total. Visual analogue scale( VAS) and Western Ontario and McMaster University( WOMAC) osteoarthritis index scores before treatment,1 week,3 months and 6 months after treatment were recorded and compared to such scores of patients,and the efficacy was subject to statistics 6 months after treatment.Results After 1 week,3 months and 6 months of treatment,the pain VAS and WOMAC osteoarthritis index scores in the two groups were lower than those before treatment( P < 0. 05),and the pain VAS in the treatment group was lower than that in the control group( P < 0. 05). The WOMAC osteoarthritis index scores of the treatment group were lower than those of the control group at 1 week and 6 months after treatment( P < 0. 05). The total effective rate of the treatment group was 88. 9%( 32/36),and that of the control group was 61. 1%( 22/36). The curative effect of the treatment group was better than that of the control group( P < 0. 05). Conclusion The method of fire needle peri-genicular pain point denervation combined with cavity irrigation and ozone injection deliver definite efficacy and can significantly improve the clinical symptoms and joint function of patients with immediate and advanced KOA.