摘要
目的:观察推拿联合密集型银质针导热治疗膝骨关节炎的临床疗效。方法:选择91例轻中度膝骨关节炎患者,随机分为两组,治疗组46例,采用推拿配合密集型银质针导热治疗,对照组46例,口服双氯芬酸钠肠溶片治疗,两组均治疗30 d,于治疗前、治疗15 d、治疗结束及治疗结束后1个月评定LKSS评分。结果:治疗组有效率为93.5%,对照组有效率为86.67%,两组有效率比较,差异有统计学意义(P<0.05);两组患者治疗结束时LKSS评分均高于治疗前,差异有统计学意义(P<0.01);治疗15 d后治疗组LKSS评分低于对照组,但差异无统计学意义(P>0.05);治疗结束时治疗组LKSS评分高于对照组,差异有统计学意义(P<0.05);随访1个月需要重新接受治疗的病例数及治疗结束时LKSS评分的差值,治疗组均低于对照组(P<0.01)。结论:推拿联合密集型银质针导热治疗膝骨关节炎临床疗效显著,优于双氯芬酸钠肠溶片治疗组。
Objective： To observe the clinical effect of massage combined with heat conduction by intensive silver needle on knee osteoarthritis. Methods： 91 cases with medium knee osteoarthritis were randomized into control group（46 cases） orally given Diclofenac Sodium Enteric-coated Tablets and treatment group（46 cases） conducted massage combined with heat conduction by intensive silver needle. Both groups were treated for 30 days and the LKSS scores before,on the 15 th day,at the end and one month after the treatment were evacuated. Results： The effective rate was 93.. 5% in treatment group and 86. 67% in control group; the difference had statistical significance（ P〈0. 05）. The LKSS scores after the treatment were higher than these before the treatment in both groups; the difference had statistical significance（ P〈0. 01）. After the 15 th day of treatment,the LKSS score in treatment group became lower than that in control group,but there was no statistical difference（ P〉0. 05）. After the treatment,the LKSS score in treatment group was higher than that in control group,with statistical significance（ P〈0. 05）. After one month of follow up,the cases requiring new treatment,the LKSS score during the follow-up and that after the treatment,treatment group were lower than control group（ P〈0. 01）. Conclusion： Massage combined with heat conduction by intensive silver needle has remarkable therapeutic effect on knee osteoarthritis.
出处
《河南中医》
2015年第5期1035-1037,共3页
Henan Traditional Chinese Medicine
基金
河南省科技攻关计划项目(编号:0624410089)
关键词
膝骨关节炎
推拿
银质针
导热治疗
knee osteoarthritis
massage
silver needle
heat conduction treatment
