关节腔内注射玻璃酸钠联合针灸治疗骨性膝关节炎的效果评价
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- 论文作者：肖建墙
- 年：2016
- 作者机构：重庆市第七人民医院;
- 论文关键词：玻璃酸钠 ; 针灸 ; 骨性膝关节炎 ; 临床效果
- 英文论文关键词：sodium hyaluronate ; acupuncture ; osteoarthritis ; clinical effect
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R684.3
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2025k
- 原文格式：D
- 会议级别：全国
摘要
目的探究关节腔内注射玻璃酸钠联合针灸治疗骨性膝关节炎的临床效果。方法选取2015年3月~2016年3月在我院接受治疗的60例骨性膝关节炎患者分为治疗组和对照组,各30例。对照组采用中医针灸治疗,再将盐酸氨葡萄糖静脉注射,治疗组采用关节腔内注射玻璃酸钠之后再进行针灸治疗,另外还配合安慰剂,比较两组患者的治疗效果,治疗1月和3月前后软骨、滑膜厚度和积液的深度。结果治疗组治疗1个月后,软骨、滑膜厚度和积液的深度和对照组相比无明显变化,两组1个月治疗前后的差异不显著(P>0.05),无统计学意义;治疗组治疗3个月后,软骨、滑膜厚度和积液的深度都优于对照组,两组差异显著(P<0.05),有统计学意义。治疗组的治愈率80%,总有效率93.33%;对照组的治愈率53.33%,总有效率73.4%,治疗组的临床效果优于对照组,两组差异显著(P<0.05),有统计学意义。结论关节腔内注射玻璃酸钠联合针灸对治疗骨性膝关节炎具有较大的意义,临床上应对这种中西结合的治疗方法大力推广。
Objective To explore the clinical effect of intra-articular injection of sodium hyaluronate combined with acupuncture in the treatment of osteoarthritis of the knee joint. Methodsfrom March 2015 to March 2016 in our hospital 60 cases of osteoarthritis of the knee were divided into treatment group and control group, each of 30 cases. Control group was treated with acupuncturetreatment, then the ambroxol hydrochloride glucose injection, treatment group with intra-articular injection of sodium hyaluronate after acupuncture treatment, also with placebo, treatment effects werecompared between the two groups, treatment before and after 1 month and 3 months of articular cartilage and synovial membrane thickness and effusion of depth. Result in the treatment group, 1 monthafter, cartilage, synovial membrane thickness, and effusion of the depth and the control group had no obvious change compared, differences before and after 1 month of treatment in the two groups was notsignificant(P > 0.05), the difference was not statistically significant; treatment group 3 months after the treatment, cartilage, synovial membrane thickness, and effusion of depth are better than that of thecontrol group, there was significant difference between two groups(P < 0.05), statistical significance. The cure rate of the treatment group was 80%, the total effective rate was 93.33%; the control groupwas 53.33%, the total effective rate was 73.4%, the clinical effect of the treatment group was better than the control group, the difference was significant(P<0.05), there was significant difference betweenthe two groups. Conclusion intra articular injection of sodium hyaluronate combined with acupuncture is of great significance for the treatment of osteoarthritis of the knee, and it should promote thetreatment of the combination of traditional Chinese and Western medicine.
Objective To explore the clinical effect of intra-articular injection of sodium hyaluronate combined with acupuncture in the treatment of osteoarthritis of the knee joint. Methodsfrom March 2015 to March 2016 in our hospital 60 cases of osteoarthritis of the knee were divided into treatment group and control group, each of 30 cases. Control group was treated with acupuncturetreatment, then the ambroxol hydrochloride glucose injection, treatment group with intra-articular injection of sodium hyaluronate after acupuncture treatment, also with placebo, treatment effects werecompared between the two groups, treatment before and after 1 month and 3 months of articular cartilage and synovial membrane thickness and effusion of depth. Result in the treatment group, 1 monthafter, cartilage, synovial membrane thickness, and effusion of the depth and the control group had no obvious change compared, differences before and after 1 month of treatment in the two groups was notsignificant(P > 0.05), the difference was not statistically significant; treatment group 3 months after the treatment, cartilage, synovial membrane thickness, and effusion of depth are better than that of thecontrol group, there was significant difference between two groups(P < 0.05), statistical significance. The cure rate of the treatment group was 80%, the total effective rate was 93.33%; the control groupwas 53.33%, the total effective rate was 73.4%, the clinical effect of the treatment group was better than the control group, the difference was significant(P<0.05), there was significant difference betweenthe two groups. Conclusion intra articular injection of sodium hyaluronate combined with acupuncture is of great significance for the treatment of osteoarthritis of the knee, and it should promote thetreatment of the combination of traditional Chinese and Western medicine.
引文
[1]郭红辉.臭氧联合玻璃酸钠关节腔内注射在骨性膝关节炎患者治疗中的应用[J].齐鲁护理杂志,2011,35(33):34-35.
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[4]蒋屹峰.针灸联合关节腔内注射玻璃酸钠治疗膝关节骨性关节炎16例的临床观察[J].世界最新医学信息文摘,2015,2(88):218-219.
[5]方懿.不同浓度医用臭氧联合玻璃酸钠关节腔注射治疗膝骨性关节炎的临床研究[J].广西医科大学,2011,22(56):789-791.
[6]易海军.中医综合疗法配合关节镜清理术治疗中度膝关节骨关节炎[J].湖北中医药大学,2015,(45):456-458.
[2]夏培字.关节腔内单纯注射玻璃酸钠与注射玻璃酸钠联合口服盐酸氨基葡萄糖治疗膝骨关节炎的效果评价[J].青岛大学,2014,14(23):25-23.
[3]莫永豪.温针灸治疗膝骨性关节炎的临床疗效观察[J].广州中医药大学,2015,(12):45-45.
[4]蒋屹峰.针灸联合关节腔内注射玻璃酸钠治疗膝关节骨性关节炎16例的临床观察[J].世界最新医学信息文摘,2015,2(88):218-219.
[5]方懿.不同浓度医用臭氧联合玻璃酸钠关节腔注射治疗膝骨性关节炎的临床研究[J].广西医科大学,2011,22(56):789-791.
[6]易海军.中医综合疗法配合关节镜清理术治疗中度膝关节骨关节炎[J].湖北中医药大学,2015,(45):456-458.