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1、.518.中国骨肿瘤骨病2010年12月第9卷第6期ChinJBoneTumor&BoneDisease,December2010,Vol9,No.6.临床论著.综合疗法治疗膝关节骨性关节炎的疗效观察王同山 赵洪波 李建强 申云龙 金建武作者单位:065800,河北省文安县医院【摘要】 目的 观察综合疗法治疗膝关节骨性关节炎的疗效。方法 120例膝关节骨性关节炎患者,随机分为口服盐酸氨基葡萄糖组(A组)和综合采用依托芬那酯凝胶膝部外用、微波理疗、运动疗法配合口服氨基葡萄糖等方法治疗组(B组)。A组口服盐酸氨基葡萄糖,0.75g/次,2次/d,
2、疗程6周;B组口服盐酸氨基葡萄糖,0.75g/次,2次/d,疗程6周,同时用依托芬那酯凝胶膝部外用,3次/d,疗程10d、膝部微波理疗,2次/d,疗程10d、运动疗法,2次/d,疗程2个月。结果 治疗2周后A组优0例,良16例,优良率26.7%;B组60例优6例,良27例,优良率55.0%。随访3个月后A组优2例,良23例,优良率41.7%;B组优9例,良31例,优良率66.7%。结论 综合疗法治疗膝关节骨性关节炎安全有效,疗效明显优于单纯口服盐酸氨基葡萄糖。【关键词】 膝关节骨性关节炎;运动疗法;氨基葡萄糖;依托芬那酯凝胶doi:10.39
3、69/j.issn.1671-1971.2010.06.012ObservationontheefficacyofcompositetreatmentforkneeosteoarthitisWANGTongshan,ZHAOHongbo,LIJianqiang,etal.DepartmentofOrthopedics,HospitalofWenanCounty,Langfang,Hebei,065800,PRC【Abstract】ObjectiveToobservetheefficacyofcompositetreatmentforkneeo
4、steoarthritis.MethodsAtotalof120patientswithkneeosteoarthritisweredividedrandomlyintotwogroups:theglucosaminehydrochloridegroup(groupA)andthecompositetreatmentgroup(groupB).PatientsingroupAorallytookglucosaminehydrochloridetwicedailyfor6weeks,with0.75geachtime.Patientsingro
5、upBweretreatedwiththemethodofgroupAandusedetofenamategel3timesadayfor10days,underwentmicrowavetherapytwiceadayfor10days,andkinesiotherapytwiceadayfor2months.ResultsAfter2weeks,ingroupA,nopatientreportedexcellentresults,and16patientsreportedgoodresults.Theexcellentandgoodrat
6、ewas26.7%.IngroupB,6patientsreportedexcellentresults,and27reportedgoodresults.Theexcellentandgoodratewas55.0%.Allpatientswerefollowedupfor3months.2patientsfromgroupAreportedexcellentresults,and23reportedgoodresults.Theexcellentandgoodratewas41.7%.9patientsfromgroupBreported
7、excellentresults,and31reportedgoodresults.Theexcellentandgoodratewas66.7%.ConclusionsThecompositetreatmentofglucosaminehydrochloride,etofenamategel,microwavetherapyandkinesiotherapyissafeandeffectiveintreatingosteoarthritisofthekneejoint.Itcanrelievesymptomsandimprovejointf
8、unctions.Theefficacyofcompositetreatmentisbetterthanthatofsoleglucosaminehydrochlo