梅花针配合超声治疗膝骨关节炎疗效观察
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摘要
目的观察梅花针配合聚焦超声疗法治疗膝骨关节炎的临床疗效。方法 60例膝骨关节炎患者,采用随机数字表法分为治疗组和对照组,每组30例。治疗组采用梅花针配合聚焦超声治疗,对照组采用玻璃酸钠关节腔内注射治疗,治疗4周后进行临床疗效评价,并比较两组患者疼痛积分和WOMAC骨关节炎指数评分的改善程度。结果治疗组和对照组对膝关节疼痛及关节活动均有一定程度的改善,治疗组改善优于对照组,组间差异有统计学意义(P<0.05)。结论梅花针配合超声治疗膝骨关节炎疗效确切。
Objective To investigate the clinical efficacy of plum-blossom needle therapy plus focused ultrasound therapy for knee osteoarthritis. Method Sixty patients with knee osteoarthritis were allocated, using a random number table, to treatment and control groups, 30 cases each. The treatment group received plum-blossom needle therapy plus focused ultrasound therapy and the control group, intra-articular injection of sodium hyaluronate. After four weeks of treatment, the clinical therapeutic effects were evaluated and the pain VAS scores and the WOMAC Osteoarthritis Index scores were compared between the two groups of patients. Result Knee pain was relieved and knee joint activity was improved to a certain extent in both treatment and control groups. The effects were better in the treatment group than in the control group with a statistically significant difference(P<0.05). Conclusion Plum-blossom needle therapy plus ultrasound therapy has a definite effect on knee osteoarthritis.
Objective To investigate the clinical efficacy of plum-blossom needle therapy plus focused ultrasound therapy for knee osteoarthritis. Method Sixty patients with knee osteoarthritis were allocated, using a random number table, to treatment and control groups, 30 cases each. The treatment group received plum-blossom needle therapy plus focused ultrasound therapy and the control group, intra-articular injection of sodium hyaluronate. After four weeks of treatment, the clinical therapeutic effects were evaluated and the pain VAS scores and the WOMAC Osteoarthritis Index scores were compared between the two groups of patients. Result Knee pain was relieved and knee joint activity was improved to a certain extent in both treatment and control groups. The effects were better in the treatment group than in the control group with a statistically significant difference(P<0.05). Conclusion Plum-blossom needle therapy plus ultrasound therapy has a definite effect on knee osteoarthritis.
引文
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[20]李雪武,王卫友,杨益民.玻璃酸钠对膝骨关节炎的治疗作用及其与相关细胞因子表达的关系[J].国际免疫学杂志,2015,38(4):333-335.
[21]苏晓川,王义生.电针联合玻璃酸钠注射对膝骨关节炎患者关节液中IL-1?、TNF-?的影响及其疗效[J].实用医学杂志,2012,28(15):2546-2548.
[2]Sch?fer AGM,Zalpour C,von Piekartz H,et al.The efficacy of electronic health-supported home exercise interventions for patients with osteoarthritis of the knee:systematic review[J].J Med Internet Res,2018,20(4):e152.
[3]Ebell MH.Osteoarthritis:rapid evidence review[J].Am Fam Physician,2018,97(8):523-526.
[4]McGrory BJ,Weber KL,Jevsevar DS,et al.Surgical management of osteoarthritis of the knee:evidence-based guideline[J].J Am Acad Orthop Surg,2016,24(8):e87-93.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:20.
[6]王佩玲.腹针配合梅花针刺络拔罐治疗膝骨性关节炎疗效观察[J].中医临床研究,2016,8(12):100-102.
[7]贾朗.低强度脉冲聚焦超声治疗膝骨关节炎安全性、有效性随机对照临床试验及作用机制研究[D].重庆:重庆医科大学,2015:1-139.
[8]Wang H,Zhang J,Chen L.The efficacy and safety of medical leech therapy for osteoarthritis of the knee:Ameta-analysis of randomized controlled trials[J].Int JSurg,2018,54(Pt A):53-61.
[9]Young T,Dowsey MM,Pandy M,et al.A systematic review of clinical functional outcomes after medial stabilized versus non-medial stabilized total knee joint replacement[J].Front Surg,2018,5:25.
[10]王君.温针灸为主治疗膝骨性关节炎的临床应用进展研究[J].中国社区医师,2018,34(8):12-13.
[11]丛林,朱静华.膝关节损伤与防治[J].田径,2012,(6):56-57.
[12]唐林涛,许明辉,林波,等.近十年针灸治疗膝骨关节炎研究综述[J].亚太传统医药,2017,(4):54-56.
[13]韩清民,张罡瑜,郭斯印,等.膝骨关节炎经筋辨证研究进展[J].广州中医药大学学报,2019(3):447-452.
[14]陈福灵,张健.膝关节骨性关节炎治疗进展[J].检验医学与临床,2013,10(12):1596-1598.
[15]丁明霞.聚焦超声联合载MTX超声微泡定位释放技术对滋养细胞作用的实验研究[D].重庆:重庆医科大学,2014:1-104.
[16]吕亚淑,陈书玲.聚焦超声在妇产科领域的临床应用[J].河北医药,2014,36(15):2347-2349.
[17]崔亮,杨荣骞,宋传旭.低强度聚焦超声对膝关节软组织损伤的疗效研究[C].第十七届中国科协年会论文集,2015:1-4.
[18]孟景春,王新华.黄帝内经灵枢译释[M].上海:上海科学技术出版社,2011:30-32.
[19]许寿春,王秀丽,王桂玲.玻璃酸钠的基本特性及其在临床中的应用[J].齐齐哈尔医学院学报,2007,28(18):2233-2235.
[20]李雪武,王卫友,杨益民.玻璃酸钠对膝骨关节炎的治疗作用及其与相关细胞因子表达的关系[J].国际免疫学杂志,2015,38(4):333-335.
[21]苏晓川,王义生.电针联合玻璃酸钠注射对膝骨关节炎患者关节液中IL-1?、TNF-?的影响及其疗效[J].实用医学杂志,2012,28(15):2546-2548.