针刀联合筋骨痛宁胶囊治疗膝骨关节炎临床观察

《针刀联合筋骨痛宁胶囊治疗膝骨关节炎临床观察》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、针刀联合筋骨痛宁胶囊治疗膝骨关节炎临床观察【摘要】目的：观察针刀联合筋骨痛宁胶囊治疗膝骨关节炎的临床疗效。方法：将105例膝骨关节炎患者随机分为3组，每组35例。A组给予针刀松解治疗，B组给予筋骨痛宁胶囊口服治疗，C组给予针刀松解联合筋骨痛宁胶囊口服治疗。3组疗程均为3个月。观察3组临床疗效、疼痛VAS评分、Lysholm膝关节功能评分。结果：A组显效16例，有效10例，无效9例，总有效率为74.29%；B组显效13例，有效11例，无效11例，总有效率为68.57%；C组显效23例，有效7例，无效5例，总有效率为85.71%。C组临床疗效优于A组（P>0.05）、B组（P〈0.

2、05）。治疗后，3组疼痛VAS评分、Lysholm膝关节功能评分较本组治疗前均有改善（P〈0.05）,且C组优于A组、B组（P〈0.05）o结论：针刀松解联合筋骨痛宁胶囊治疗K0A临床疗效显著，优于单独采用针刀松解或单独口服筋骨痛宁胶囊治疗，值得临床应用推广。【关键词】骨关节炎，膝；针刀；筋骨痛宁胶囊[ABSTRACT]Objective:ToobservetheclinicaleffectofacupotomycombinedwithJinguTongningJiaonang（筋骨痛宁胶囊）inthetreatmentofkneeosteoarthritis・Methods：

3、105patientswithkneeosteoarthritiswererandomlydividedinto3groups,35casesinoachgroup.GroupAwastreatedwithacupotomytherapy,groupBwasorallygivenJinguTongningJiaonang,andgroupCwastreatedwithacupotomytherapycombinedwithJinguTongningJiaonemg.Thethreegroupsweretreatedfor3months.Clinicalefficacy,pain

4、VASscore,andLysholmkneefunctionscorewereobservedinthe3groups.Results：IngroupA,16casesweremarkedlyeffective,10caseswereeffective,and9caseswereineffective,thetotalefficiencybeing74.29%・IngroupB,13caseswereeffective,11caseswereeffective,11caseswereineffective,andthetotalefficiencywas68.57%；whil

5、eingroupC,23caseswereeffective,7caseswereeffective,and5caseswereinvalid,thetotaleffectiveratebeing85.71%.TheclinicalefficacyofgroupCwasbetterthanthatofgroupA(P>0.05)andgroupB(P<0.05).Aftertreatment,thepainVASscoreandLysholmkneefunctionscoreofthe3groupswereimproved(P<0.05)thanbeforetreatment,

6、groupCbeingbetterthangroupAandgroupB(P<0.05)・Conclusion：TheclinicalcurativeeffectofacupotomycombinedwithJinguTongningJiaonangisevidentinthetreatmentofkneeosteoarthritis,betterthantheisolateduseofeachandworthyofclinicalapplication.【Keywords]osteoarthritis,knee；acupuncture；JinguTongningJiaonan

7、g(筋骨痛宁胶囊)膝骨关节炎(kneeosteoarthritis,K0A)是屮老年人常见的慢性退行性疾病，患者常诉膝关节疼痛，重者伴行动不便，甚至牛活不能自理。K0A具有病程长、易反复等特点，致残率较高，严重影响患者的工作和生活质量。随着我国人口老龄化的加剧，发病率也逐年升高。目前，对KOA的病因病机尚不完全明确。治疗方法虽然很多，但尚无行之有效的方法能阻止KOA的进程和关节软骨的退变。很多学者对多种方法联合治疗KOA进行了研究观察，如胡怀军等［1-2］均采用多种方法改善患膝功能、延缓疾病