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针刀配合玻璃酸钠治疗膝骨性关节炎临床观察
引用本文:王海龙.针刀配合玻璃酸钠治疗膝骨性关节炎临床观察[J].世界中西医结合杂志,2013(7):723-726.
作者姓名:王海龙
作者单位:山西大同市南郊区人民医院,山西大同037001
摘    要:目的观察针刀松解术配合膝关节腔玻璃酸钠注射等综合治疗膝骨性关节炎(KOA)的疗效。方法总结2010年3月-2012年1月KOA患者90例,根据患者的意愿和经济情况分玻璃酸钠注射组、针刀松解术组和针刀松解术加玻璃酸钠注射组。对比观察3组患者治疗前和治疗3个月后膝部功能障碍指数评分结果与综合临床疗效。结果治疗结束后,3组患者膝部功能障碍指数评分与治疗前比较差异有统计学意义(P〈0.05),针刀松解术加玻璃酸钠注射组优于其他两组(P〈0.05)。三组综合临床疗效比较,针刀松解术加玻璃酸钠注射组优于其他两组(P〈0.05)。结论针刀松解术可明显减轻关节局部症状,增加关节的活动度和稳定度,起到保护关节的作用。膝关节腔玻璃酸钠注射可有效预防关节软骨的退变,延缓关节功能的衰退。两种方法综合治疗明显优于单纯一种方法。

关 键 词:膝关节骨性关节炎  针刀松解术  玻璃酸钠注射

Clinical Observation of Knee Osteroarthritis Treated with Acupotomy and Sodium Hyaluronate
Institution:WANG Hai - long (Shanxi Datong Nanjiao District People's Hospital, Datong Shanxi 037001 )
Abstract:Objective To observe the efficacy on knee osteoarthritis (KOA) treated with the compre hensive therapy of acupotomy lysis and injection of sodium hyaluronate. Methods Ninety cases of KOA were analyzed from March 2012 to January 2012. According to patients' intention and economic situation, they were divided into a sodium hyaluronate injection group ( injection group), an acupotomy lysis group ( acupotomy group) and an acupotomy + injection group. The score of knee motor impairment index and the comprehen sive clinical efficacy were compared and observed before treatment and 3 months after treatment in the three groups. Results At the end of treatment,the score of knee motor impairment index and was different signifi cantly as compared with that before treatment in the three groups (P 〈 0.05 ). The result in the acupotomy + injection group was superior to that in the other two groups ( P 〈 0.05 ). The comprehensive clinical efficacy in the acupotomy + injection group was better than that in the other two groups ( P 〈 0.05 ). Conclusion Acupotomy lysis alleviates apparently the local joint symptoms,increases joint motor range and stability and plays the protective role to the joint. The injection of sodium hyaluronate in the knee joint can effectively pre vent from the degeneration of joint cartilage and prolong the decline of joint function. These two therapies combined together achieve the obviously superior effect than either of single therapy.
Keywords:Knee Osteoarthritis  Acupotomy Lysis  Injection of Sodium Hyaluronate
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