“膝十针”治疗膝骨性关节炎的临床研究

发布时间：2018-05-11 06:02

本文选题：膝骨性关节炎 + 膝十针　；参考：《华北理工大学》2016年硕士论文

【摘要】：目的观察“膝十针”治疗膝骨性关节炎对患者临床症状、体征及影像学的影响,科学客观评价“膝十针”治疗膝骨性关节炎的临床疗效及应用价值。为临床治疗膝骨性关节炎提供一个疗效确切、操作规范、施治方便的治疗方法。方法将2014年12月~2015年12月,来自中国人民解放军255医院中医门诊,符合纳入标准的60例膝骨性关节炎患者,随机分为治疗组和对照组,每组30例。治疗组采用“膝十针”治疗,每日针刺1次,留针30分钟,10次为1个疗程,每疗程结束后休息2天,共治疗3个疗程;对照组采用玻璃酸钠注射液膝关节腔注射治疗,每周1次,连续治疗5周。两组治疗结束后6个月进行随访。观察评价治疗前后两组患者膝关节WOMAC评分、临床疗效及影像学变化。结果两组患者治疗前在性别、年龄、病程方面比较,差异无统计学意义(P0.05),具有可比性。两组治疗后WOMAC评分较治疗前均明显降低,有显著性差异(P0.05)。治疗组远期WOMAC评分低于对照组。治疗组和对照组近期总有效率,差异无统计学意义(P0.05)。治疗组远期总有效率为93.33%,高于对照组的83.33%,两组临床疗效比较具有显著差异(P0.01)。且膝关节核磁Noyes评分及一般情况,治疗组明显优于对照组。结论“膝十针”治疗膝骨性关节炎临床疗效显著,且远期疗效较好。“膝十针”能够缓解膝关节疼痛、改善关节活动功能、修复关节损伤。“膝十针”治疗膝骨性关节炎疗效确切、操作规范、施治方便,适宜临床推广应用。
[Abstract]:Objective to observe the effects of "ten needles of knee" on clinical symptoms, signs and imaging of patients with knee osteoarthritis, and to evaluate the clinical efficacy and application value of "ten needles of knee" in the treatment of knee osteoarthritis. For the clinical treatment of knee osteoarthritis to provide a curative effect, standard operation, convenient treatment. Methods from December 2014 to December 2015, 60 patients with knee osteoarthritis from Chinese Medicine Clinic of 255 Hospital of Chinese people's Liberation Army were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with "ten needles of the knee" once a day, and the treatment group was treated by injection of sodium hyaluronate injection into the knee joint for 10 times and 10 times as a course of treatment for 2 days after each course of treatment, while the control group was treated by injection of sodium hyaluronate injection into the knee joint. The patients were treated once a week for 5 weeks. The two groups were followed up 6 months after treatment. To observe and evaluate the knee joint WOMAC score, clinical efficacy and imaging changes before and after treatment. Results there was no significant difference in sex, age and course of disease between the two groups before treatment (P 0.05). The WOMAC score of the two groups after treatment was significantly lower than that before treatment, with a significant difference (P 0.05). The long term WOMAC score in treatment group was lower than that in control group. There was no significant difference between the treatment group and the control group (P 0.05). The long-term total effective rate in the treatment group was 93.33, which was higher than that in the control group (83.33). There was a significant difference in the clinical efficacy between the two groups (P 0.01). The Noyes score and general situation of knee joint in the treatment group were significantly better than those in the control group. Conclusion Ten needles of knee is effective in the treatment of knee osteoarthritis, and the long-term curative effect is better. Ten needles can relieve knee pain, improve joint function and repair joint injury. The treatment of knee osteoarthritis with ten needles is effective, standard, convenient and suitable for clinical application.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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