参麦针关节腔内注射治疗膝骨性关节炎的临床研究

张 龙  陈健  姚子升  卓秋华

(平远县中医医院，广东  平远，514699)

中图分类号：R274.9     文献标识码：A   文章编号：1674-7860（2015）33-0124-03   证型：ID

【摘  要】目的：观察参麦针关节腔内注射治疗膝骨性关节炎的临床疗效。方法：86例膝骨性关节炎患者，分为参麦针关节腔内注射组（治疗组45例），玻璃酸钠关节腔内注射组（对照组41例）。治疗组予每周2次参麦针+利多卡因膝关节腔内注射，对照组予玻璃酸钠每周1次膝关节腔内注射。在治疗前后两组进行中医症状评分、ISOA评分，并根据评分结果进行疗效比较。结果：治疗组中医症状改善总有效率达90.7%，对照组为68.0%，两组差异有统计学意义（x²=8.331，P＜0.05）。治疗后治疗组ISOA积分（7.76±1.64），对照组ISOA积分（8.52±1.87），两组差异有统计学意义（t=-2.215，P＜0.05）；治疗组治疗前后ISOA积分有统计学差异（t=11.918，P＜0.0001）。结论：参麦针关节腔内注射治疗膝骨性关节炎具有确切疗效，且较单纯玻璃酸钠关节腔内注射治疗起效更快，复发率更低。

【关键词】参麦针；腔内注射；膝骨性关节炎　

【Abstract】Objective: To observe the clinical curative effect ofintra-articular injection of shenmai needle in treating knee osteoarthritis.Methods:86 case of patients with knee osteoarthritis were divided into twogroups: the intra-articular injection of shenmai needle group(45 cases)(treatmentgroup)and the intra-articular injection of sodium hyaluronate group(41 cases)(controlgroup).The treatment group are given shenmai needle and lidocaine byintra-articular injection twice a week,the control group are given sodiumhyaluronate by intra-articular injection once a week.Before and after thetreatment ,the two groups are given TCM symptom scores and ISOA scores. Result:The total effective rate of the treatment group was 90.7%, and 68.0% of thecontrol group , the difference between the two groups was statisticallysignificant (x²=8.331,P< 0.05). After treatment,the ISOA of the treatment group was(7.76±1.64) , the ISOC of the control group was (8.52±1.87),the differencebetween the two groups was statistically significant (t =-2.215,P<0.05).Conclusion:The intra-articular injection of shenmai needle in treating kneeosteoarthritis had exact curative effect, and the recurrence rate was lowerwhen compared with simple intra-articular injections of sodium hyaluronate .

【Keywords】Shenmai needle; Intra-articular injection; Kneeosteoarthritis

doi:10.3969/j.issn.1674-7860.2015.33.062

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