[1]楚向东 张为宝 李志鹏 昝强 袁普卫.针刀结合手法和热敷治疗膝骨性关节炎的临床研究[J].现代中医药,2021,(02):087-92.[doi:10.13424/j.cnki.mtct.2021.02.019]
　CHU Xiang - dong,ZHANG Wei - bao,LI Zhi - peng,et al.Clinical Efficacy of Acupotomy Combined with Manipulation and Hot Compress in The Treatment of Knee Osteoarthritis[J].Modern Traditional Chinese Medicine,2021,(02):087-92.[doi:10.13424/j.cnki.mtct.2021.02.019]
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针刀结合手法和热敷治疗膝骨性关节炎的临床研究()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年02期
页码:
087-92
栏目:
出版日期:
2023-11-20

文章信息/Info

Title:
Clinical Efficacy of Acupotomy Combined with Manipulation and Hot Compress in The Treatment of Knee Osteoarthritis
文章编号:
1672-0571(2021)02-0087-06
作者:
楚向东 1张为宝 1李志鹏 2昝强 1袁普卫 1
1.陕西中医药大学附属医院,陕西咸阳712000;
2.陕西中医药大学,陕西咸阳712046
Author(s):
CHU Xiang - dong 1;  ZHANG Wei - bao 1;  LI Zhi - peng 2;  ZAN Qiang 1;  YUAN Pu - wei 1
1. Affiliated hospital of Shaanxi Xianyang university of traditional Chinese medicine, Shaanxi Xianyang 712000, China;
2. Shaanxi University of traditional Chinese medicine, Shaanxi Xianyang 712000, China
关键词:
小针刀; 推拿手法; 热敷; 膝关节炎; 临床疗效
Keywords:
Small needle knife;  Massage manipulation;  Hot compress;  Knee arthritis;  Clinical efficacy
分类号:
R245.3
DOI:
10.13424/j.cnki.mtct.2021.02.019
文献标志码:
A
摘要:
目的观察小针刀结合手法和热敷治疗膝关节骨性关节炎的临床疗效?方法将2017年06月—2019年06月符合研究条件的120例膝骨性关节炎患者随机分为对照组和观察组?对照组采用玻璃酸钠常规治疗;观察组选用小针刀结合手法和热敷治疗?结果治疗组的总有效率为96.7%,优于对照组的78.3%?两组患者的VAS评分,在治疗后第1个月末均明显减低,治疗组优于对照组,但差异无统计学意义(P>0.05),治疗后第3?7?12个月末治疗组VAS评分明显优于对照组,差异有统计学意义(P<0.05)?两组患者的WOMAC评分,在治疗后第1?3?7?12个月末均较治疗前改善,但治疗组明显优于对照组,差异有统计学意义(均P<0.05)?结论小针刀结合手法和热敷治疗KOA具有良好的缓解疼痛?改善功能的效果,疗效确切,值得推广?
Abstract:
Objective To observe the clinical efficacy of small needle knife combined with manipulation and hot compress in the treatment of knee osteoarthritis. Methods From June 2017 to June 2019, 120 patients with knee osteoarthritis were randomly divided into control group and observation group. The control group was treated with sodium hyaluronate; the observation group was treated with small needle knife combined with manipulation and hot compress. Results The total effective rate of the treatment group was 96. 7%, which was better than 78. 3% of the control group. The VAS scores of the two groups were significantly lower at the end of the first month after treatment, and the treatment group was better than the control group, but the difference was not statistically significant ( P > 0. 05) . The VAS scores of the treatment group were significantly better than the control group at the end of the 3rd, 7th and 12th month after treatment, and the difference was statistically significant ( P < 0. 05) . WOMAC scores of the two groups were improved at the end of the 1st, 3rd, 7th and 12th month after treatment, but the treatment group was significantly better than the control group, the difference was statistically significant ( P < 0. 05) . Conclusion Small needle knife combined with manipulation and hotcompress in the treatment of KOA has a good effect in relieving pain and improving function, with definite curative effect, which is worthy of promotion.Objective To observe the clinical efficacy of small needle knife combined with manipulation and hot compress in the treatment of knee osteoarthritis. Methods From June 2017 to June 2019, 120 patients with knee osteoarthritis were randomly divided into control group and observation group. The control group was treated with sodium hyaluronate; the observation group was treated with small needle knife combined with manipulation and hot compress. Results The total effective rate of the treatment group was 96. 7%, which was better than 78. 3% of the control group. The VAS scores of the two groups were significantly lower at the end of the first month after treatment, and the treatment group was better than the control group, but the difference was not statistically significant ( P > 0. 05) . The VAS scores of the treatment group were significantly better than the control group at the end of the 3rd, 7th and 12th month after treatment, and the difference was statistically significant ( P < 0. 05) . WOMAC scores of the two groups were improved at the end of the 1st, 3rd, 7th and 12th month after treatment, but the treatment group was significantly better than the control group, the difference was statistically significant ( P < 0. 05) . Conclusion Small needle knife combined with manipulation and hotcompress in the treatment of KOA has a good effect in relieving pain and improving function, with definite curative effect, which is worthy of promotion.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局中医药科研项目(JDZX2015279);陕西省重点科技创新团队项目(2013KCT-26);陕西省名中医昝强传承工作室建设项目(2019009)
通讯作者:张为宝,主治医师?E-mail:273998171@qq.com
更新日期/Last Update: 2021-03-26