穴位埋线联合关节腔注射玻璃酸钠治疗膝关节骨性关节炎60例临床观察

目的:比较单纯玻璃酸钠膝关节腔注射与膝关节局部穴位埋线联合玻璃酸钠膝关节腔注射的即时、近期与远期疗效,以探寻本病的较佳疗法。方法:自2009年1月至2012年12月,门诊及住院共收集膝关节骨性关节炎患者120例共164膝,随机分为治疗组和对照组,治疗组60例86膝,行膝关节局部穴位埋线联合玻璃酸钠膝关节腔注射治疗,对照组60例78膝,行单纯玻璃酸钠膝关节腔注射治疗。根据治疗前、治疗5周后、治疗后3个月及治疗后6个月进行HSS评分对照比较,以评估2组治疗的即时、近期以及远期效果。结果:治疗组和对照组HSS评分,治疗前与治疗5周后、治疗后3个月、治疗后6个月比较并进行统计学分析,治疗5周后治疗组优良率60%,对照组优良率53.3%(P0.05),差异无统计学意义;治疗后3个月随访期时治疗组优良率70.0%,对照组优良率45.0%(P0.05),差异有统计学意义。治疗后6个月随访时治疗组优良率76.7%,对照组优良率35.0%(P0.01),差异有统计学意义。结论:单纯玻璃酸钠膝关节腔注射与膝关节局部穴位埋线联合玻璃酸钠膝关节腔注射对于治疗膝关节骨性关节炎均有一定的效果,即时效果经统计学分析无明显统计学意义,但膝关节局部穴位埋线联合玻璃酸钠膝关节腔注射治疗在近期和远期效果都优于单纯膝关节腔注射玻璃酸钠治疗。

Clinical Observation on Acupoint Catgut Embedding Combined with Articulation Injection of Sodium Hyaluronate Treating 60 Knee Osteoarthritis Patients

Objective： To compare the instant,short and long-term effects of pure knee joint cavity injection of sodium hyaluronate and the combination of knee joint local acupoint catgut embedding and the sodium hyaluronate injection,and to explore a better method of treatment. Methods： One hundred and twenty patients with 164 knee osteoarthritis treated in our hospital from January 2009 to December2012 were randomly divided into treatment group and control group. In the treatment group,there were 60 patients with 86 knees to be treated,and the knee joints were treated wtih local point catgut embedding and the sodium hyaluronate injection. In the control group,there were 60 patients with 78 knees to be cured,and the knee joints were treated with pure sodium hyaluronate injection. According to the HSS score before the treatment,5 weeks,3 months and half a year after treatment,the instant,short and long-term effects were evaluated. Results： Five weeks after treatment,the effective rate in treatment group was 60% and that of the control group was 53. 3%,and there was no statistically significant difference. Three months after treatment,the effective rate in treatment and control group were respectively 70% and 45%,and there was statistically significant difference. Half a year after the treatment,the effective rates of treatment group and control group were respectively 76. 7 % and 35%,and the difference was statistically significant. Conclusion： Both the pure injection of sodium hyaluronate and the combination of local acupoint catgut embedding and the sodium hyaluronate injection have certain effects on the osteoarthritis of the knees. The instant effects are no significantly different,but in the short and long term,the effect of the acupoint catgut embedding therapy combined with sodium hyaluronate injected into articular cavity shows better effectiveness than the simple intro-articular injection of sodium hyaluronate.