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ID:39841516
大小:94.50 KB
页数:11页
时间:2019-07-12
《论文--膝骨关节炎“从筋论治”的临床研究 》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、膝骨关节炎“从筋论治”的临床研究摘要目的:通过观察针刀联合玻璃酸钠关节腔治疗膝骨关节炎有效性及其优势,为膝骨关节炎“从筋论治”提供理论依据。方法:将120例膝骨关节炎患随机分为治疗组和对照组,每组各60例,治疗组给予针刀联合玻璃酸钠关节腔治疗,对照组给予玻璃酸钠关节腔注射治疗,并以治疗5周、治疗后3月VAS评分、HSS评分为疗效评价指标。数据统计运用SPSS17.0软件进行统计学分析,两组间计数资料采用X2检验、Fisher精确检验,计量资料采用t检验、Willcoxon秩和检验,治疗组组内比较采用配
2、对t检验。结果:治疗5周、治疗后3月,治疗组VAS评分均低于对照组(P<0.001),HSS总体评分治疗组均高于对照组(p<0.001)。HSS评分系统中,治疗5周时,其中疼痛及功能方面评分治疗组均高于对照组(p<0.05),治疗后3月,其中疼痛、功能及关节活动度方面评分治疗组均高于对照组(p<0.05)。治疗组治疗5周和治疗后3月HSS系统评分中,除稳定性评分外(稳定性评分治疗前后均为10分),其他各个方面评分均高于治疗前(P<0.001)。结论:“从筋论治”的思想指导下的针刀联合玻璃酸钠关节腔治疗
3、膝骨关节炎,可有效缓解疼痛,改善日常活动能力,是一种治疗早中期膝骨关节炎的一种简单、有效、可行方法,值得推广。关键词:膝骨关节炎;从筋论治;临床疗效ClinicalstudyontreatmentbasedontendonsofpatientswithkneeosteoarthritisHEHai-junWANGRong-tianCHENZhi-weiLIUDao-bingXIEBinWANGJun-yuCHENWei-hengWangjingHospitalofChinaAcademyOfChine
4、seMedicalSciences,Beijing100102,ChinaABSRTACTObjective:toprovideatheoreticalbasisfortreatingkneeosteoarthritisbytreatmentbasedontendonsthroughobservingeffectivenessandadvantageofacupotomologycombinedwitharticularsodiumhyaluronateinjection.Methods:120pat
5、ientssufferedfromkneeosteoarthritiswererandomlydividedintotreatmentgroupreceivedacupotomologycombinedwitharticularsodiumhyaluronateinjectionandcontrolgrouptreatedwitharticularsodiumhyaluronateinjection,with60casesineach.VASscoreandHSSscorewererecordedfo
6、refficacyevaluationafter5-weekand3-monthtreatment.ThedatawasanalyzedwithSoftwareSPSS17.0,countdatausingX2testandFisher'sexacttest,measurementdatausingttestandWilcoxonranksumtestbetweenthetwogroups.Theresultswerecomparedusingpairedttestwithingroup.Result
7、s:TheVASscoreofthetreatmentgroupwaslowerthanthatofthecontrolgroup(P<0.001),andthetotalscoreofHSSwassignificantlyhigherthanthecontrolgroup(p<0.001)after5weeksand3months.IntheHSSsystem,painandfunctionscoreofthetreatmentgroupwerehigherthancontrolgroup(P<0.
8、05)after5week.Attheendofthe3thmonthaftertreatment,pain,functionandjointactivitydegreescoreofthetreatmentgroupwerehigherthancontrolgroup(P<0.05).HSSscoreofthetreatmentgroupwerehigherthanbeforeafter5weekand3months,exceptthestabilit
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