内热针治疗膝关节骨性关节炎的临床研究

发布时间：2018-05-10 22:26

  本文选题：内热针 + 膝关节骨性关节炎　； 参考：《济南大学》2017年硕士论文

【摘要】：目的:探究不同温度下内热针治疗膝关节骨性关节炎(KOA)的临床疗效,科学客观的评价临床疗效,更好的指导临床。方法:将120例KOA患者随机分为四组,四组均采用内热针治疗,分别以不加热(A组)、40℃(B组)、43℃(C组)、46℃(D组)四种温度下对患者进行治疗。四组患者治疗共分3次,1周1次。四组临床疗效判断将由膝关节疼痛(VAS)评分,膝关节活动度检查,膝关节压痛点数量,KOA炎症程度、病情程度WOMAC评分以及参照《中药新药临床研究指导原则》中关于骨性关节炎的疗效评定标准制定的综合疗效标准结果:治疗后各组分别与治疗前进行对比,评分具有统计学意义,治疗后各组评分之间差异有统计学意义。KOA炎症程度及病情程度治疗后WOMAC评分、膝关节活动度治疗后评分、膝关节压痛点治疗后评分:C组=D组B组A组。治疗后WOMAC改善情况以C、D两组最好,疗效优于A、B两组。C、D两组之间差异无统计学意义。膝关节疼痛治疗后VAS评分:不加热针体组与加热不同温度的针体组VAS评分的比较:A、B两组之间差异无统计学意义;A组与C、D两组之间差异有统计学意义;加热针体组VAS评分的比较:B、C、D三组之间差异无统计学意义;膝关节治疗后疗效评分:C组=D组B组A组,治疗后膝关节疗效改善情况C、D两组下最好,疗效优于A、B两组。C、D两组之间差异无统计学意义。反应治疗手段是否安全体现在治疗前后KOA患者不良反应上,本研究通过针对A、B、C、D四组的观察,均无严重不良反应,经情绪疏导或休息等均可获得缓解。经统计,4组患者不良反应率均无统计学意义。结论:1.内热针软组织松解术治疗KOA,临床疗效值得肯定。2.不同温度下内热针治疗KOA临床效果不同,内热针在43℃和46℃温度控制临床效果最佳。3.在不加热、40℃、43℃、46℃四种内热针温度控制下,临床推荐使用43℃内热针作为KOA的治疗温度。
[Abstract]:Objective: to explore the clinical effect of internal heat acupuncture in the treatment of knee osteoarthritis (KOAA) at different temperatures, and to evaluate the clinical effect scientifically and objectively, and to guide the clinical practice better. Methods: one hundred and twenty patients with KOA were randomly divided into four groups. The four groups were treated with internal heat acupuncture under four different temperatures. The patients in the four groups were divided into three groups: once a week. The clinical curative effect of the four groups will be evaluated by VAS-score of knee joint pain, examination of knee motion, number of tenderness points of knee joint and degree of KOA inflammation. The WOMAC score of the degree of illness and the comprehensive curative effect standard of the criteria for evaluating the curative effect of osteoarthritis in reference to the guiding principles of Clinical Research of New drugs of traditional Chinese Medicine (TCM): after treatment, each group was compared with that before treatment. The scores were statistically significant. There were significant differences between the groups after treatment. The WOMAC score after treatment, the score of knee motion after treatment, the score of knee tenderness point after treatment, the score of group D and group B after treatment were statistically significant. After treatment, the improvement of WOMAC was the best in group C and D, and the curative effect was better than that in group A and B. There was no significant difference between group C and group D. VAS score after knee pain treatment: there was no significant difference in VAS score between the unheated needle group and the heated needle body group. There was no significant difference between the two groups. There was no significant difference among the three groups in the score of VAS in the heating needle group, and the score of curative effect in group C was better than that in group B after treatment, and the improvement of curative effect in group C was the best in group C after treatment, and the improvement of curative effect in group C was the best in group D after treatment. There was no significant difference between the two groups. The safety of response therapy is reflected in the adverse reactions of patients with KOA before and after treatment. In this study, no serious adverse reactions were observed in the four groups of KOA patients, and they were alleviated by emotional persuasion or rest. There was no significant difference in adverse reaction rate among the 4 groups. Conclusion 1. The clinical curative effect of internal heat acupuncture soft tissue release in treating KOAis worth affirming. 2. The clinical effect of internal heat acupuncture on KOA was different at different temperature. The best clinical effect was controlled by internal hot needle at 43 鈩，

本文编号：1871202