摘要
目的:观察以宫廷正骨术为主的疗法在膝关节骨性关节炎所致疼痛临床诊疗中的效果。方法:以2015年3月—2019年12月诊治的80例膝关节骨性关节炎患者作为观察对象,按照随机数字表法分为观察组与对照组各40例,观察组采用宫廷正骨术结合中药外洗治疗,对照组给予痛点外喷双氯芬酸钠气雾剂配合关节腔注射玻璃酸钠治疗,采用疼痛视觉模拟评分法(VAS)对2组治疗前后进行评分及记录不良反应发生情况,统计临床疗效并进行安全性评价。结果:总有效率观察组97.50%,对照组85.00%,2组临床疗效比较,差异有统计学意义(P<0.05),观察组改善膝关节骨性关节炎所致疼痛优于对照组。观察时间窗内2组不良反应发生率比较,差异有统计学意义(P<0.05),观察组不良反应发生率低于对照组。结论:2组所用治疗方法均为治疗膝关节骨性关节炎所致疼痛的有效疗法,宫廷正骨术结合中药外洗疗法优于痛点外喷双氯芬酸钠气雾剂联合关节腔注射玻璃酸钠疗法。
Objective:To observe the effect of court bonesetting method predominated in the clinical treatment of pain caused by knee osteoarthritis. Methods:A total of 80 cases of patients with knee osteoarthritis who were diagnosed and treated from March, 2015 to December, 2019 were selected as the observation subjects. The observation subjects were divided into the observation group and the control group according to the random number table method group,40 cases in each group. The observation group was treated with court bonesetting method combined with external washing with Chinese medicine,and the control group was treated with diclofenac sodium aerosol at the pain spots and intra-articular injection of sodium hyaluronate. Visual Analogue Scale(VAS) was used to score the pain before and after treatment in the two groups. The incidence of adverse reactions was recorded. The clinical effect was counted. The safety was evaluated. Results:The total effective rate was 97.50% in the observation group,and 85.00% in the control group,the difference being significant(P<0.05). The improvement of pain caused by knee osteoarthritis in the observation group was better than that in the control group. There was significant difference being found in the comparison of the incidence of adverse reactions between the two groups during the time window(P<0.05),and the incidence of adverse reactions in the observation group was lower than that in the control group. Conclusion:The treatment methods applied by the two groups were both effective in treating pain caused by knee osteoarthritis. The therapy of court bonesetting method combined with external washing with Chinese medicine has better curative effect than the therapy of diclofenac sodium aerosol at the pain spots and intra-articular injection of sodium hyaluronate.
作者
周辉
吴廷换
陈兴恺
ZHOU Hui;WU Tinghuan;CHEN Xingkai
出处
《新中医》
CAS
2021年第2期59-62,共4页
New Chinese Medicine
基金
2017年广东省中医药局面上科研项目(20172139)。
关键词
膝关节骨性关节炎
宫廷正骨术
中药外洗
疼痛
视觉模拟评分法
不良反应
Knee osteoarthritis
Court bonesetting method
External washing with Chinese medicine
Pain
Visual Analogue Scale
Adverse reactions
