摘要
目的观察小针刀结合手法和热敷治疗膝关节骨性关节炎的临床疗效。方法将2017年06月—2019年06月符合研究条件的120例膝骨性关节炎患者随机分为对照组和观察组。对照组采用玻璃酸钠常规治疗;观察组选用小针刀结合手法和热敷治疗。结果治疗组的总有效率为96.7%,优于对照组的78.3%。两组患者的VAS评分,在治疗后第1个月末均明显减低,治疗组优于对照组,但差异无统计学意义(P>0.05),治疗后第3、7、12个月末治疗组VAS评分明显优于对照组,差异有统计学意义(P<0.05)。两组患者的WOMAC评分,在治疗后第1、3、7、12个月末均较治疗前改善,但治疗组明显优于对照组,差异有统计学意义(均P<0.05)。结论小针刀结合手法和热敷治疗KOA具有良好的缓解疼痛、改善功能的效果,疗效确切,值得推广。
Objective To observe the clinical efficacy of small needle knife combined with manipulation and hot compress in the treatment of knee osteoarthritis.Methods From June 2017 to June 2019,120 patients with knee osteoarthritis were randomly divided into control group and observation group.The control group was treated with sodium hyaluronate;the observation group was treated with small needle knife combined with manipulation and hot compress.Results The total effective rate of the treatment group was 96.7%,which was better than 78.3%of the control group.The VAS scores of the two groups were significantly lower at the end of the first month after treatment,and the treatment group was better than the control group,but the difference was not statistically significant(P>0.05).The VAS scores of the treatment group were significantly better than the control group at the end of the 3rd,7th and 12th month after treatment,and the difference was statistically significant(P<0.05).WOMAC scores of the two groups were improved at the end of the 1st,3rd,7th and 12th month after treatment,but the treatment group was significantly better than the control group,the difference was statistically significant(P<0.05).Conclusion Small needle knife combined with manipulation and hot compress in the treatment of KOA has a good effect in relieving pain and improving function,with definite curative effect,which is worthy of promotion.
作者
楚向东
张为宝
李志鹏
昝强
袁普卫
CHU Xiang-dong;ZHANG Wei-bao;LI Zhi-peng;ZAN Qiang;YUAN Pu-wei(Affiliated hospital of Shaanxi Xianyang university of traditional Chinese medicine,Shaanxi Xianyang 712000,China;Shaanxi University of traditional Chinese medicine,Shaanxi Xianyang 712000,China)
出处
《现代中医药》
CAS
2021年第2期87-92,共6页
Modern Chinese Medicine
基金
国家中医药管理局中医药科研项目(JDZX2015279)
陕西省重点科技创新团队项目(2013KCT-26)
陕西省名中医昝强传承工作室建设项目(2019009)。
关键词
小针刀
推拿手法
热敷
膝关节炎
临床疗效
Small needle knife
Massage manipulation
Hot compress
Knee arthritis
Clinical efficacy