穴位注射与运动疗法治疗膝骨关节炎的疗效观察

目的　对膝骨关节炎 (KOA)的治疗国内尚无可靠有效的方法 ,本研究拟通过病例对照研究观察穴位注射与运动疗法治疗膝骨关节炎的临床疗效 ,探索一种确切的有效方法。方法　KOA患者 5 0例 ,分为治疗组 (试验组 ) 30例 ,对照组 2 0例。试验组用丹参注射液穴位注射和运动疗法 ,对照组用超短波治疗 ,对治疗前后临床症状和功能活动进行评估并进行统计学处理 (t检验 )。　结果两组疗效综合评估 ,治疗后治疗组显著进步 6例 ,进步 13例 ,总有效率 87% ;对照组分别为 3例 ,8例 ,5例 ,4例 ,总有效率 83%。两组膝关节的活动痛和关节痛都有显著改善 (P <0 .0 0 1) ,但在关节功能改善方面 ,试验组远远优于对照组 (P <0 .0 0 1)。结论　穴位注射和运动疗法不仅能缓解KOA患者的疼痛而且能显著改善其功能活动 ,因而是一种防治KOA的有效疗法 ,建议推广应用

Clinical research of point injection and kinesiotherapy on knee osteoarthritis

Objective To research the clinical effects of point injection therapy and kinesiotherapy on knee osteoarthritis(KOA) by means of contrast study,so as to seek a new effective therapy for KOA.Methods 50 KOA patients were randomly divided into experiment group(n=30) and control group(n=20);the experiment group patients were treated with salviae miltiorrhizae radix injection to Yanglingquan and Dubi acupoints of affected leg(one time every other day) and received the kinesiotherapy including muscle isometric and isotonic training,once a day,for four weeks.The control group were treated with ultrashort wave of gentle heat,20min/per time,twice a day for four weeks.Before and after the treatment,the clinical effects and limb functional activities were assessed and analysed statistically.Results The knee arthralgia of patients in two groups all was significantly relieved (P<0.001).The effcts of two groups were comprehensively assessed.After the treatment,the effective rate of experiment group and control group was 87% and 83% respectively.But the limb functional activity of experiment group was markedly superior to the control group(P<0.001).Conclusion It is demonstrated that the point injection and kinesiotherapy can obviously relieve the arthralgia and improve the functional activity.It is a new effective therapy for prophylaxis and treatment of KOA.While it is worth using in clinical treatment.