摘要
目的:观察以银质针肌肉导热疗法为主联合外敷治疗早期膝骨关节炎(Knee osteoarthritis,KOA)的临床疗效和安全性。方法:纳入85例早期KOA患者(Kellgren-LawrenceⅠ级或Ⅱ级)。给予在膝关节采用银质针肌肉导热疗法治疗,每周2次,共治疗2周。每次银质针治疗结束后均在患膝前侧外敷天柏金黄散。治疗后评定疗效,进行西安大略和麦克马斯特大学OA指数疼痛项目评分、僵硬项目评分及躯体功能项目评分。结果:本研究治愈28例,好转53例,无效4例,总有效率为95.29%。与治疗前比较,治疗后本组患者的疼痛项目评分、僵硬项目评分及躯体功能项目评分均降低(P <0.01)。研究过程各患者无明显不良反应。结论:以银质针肌肉导热疗法为主联合外敷的治疗方案可有效减轻早期KOA患者的疼痛症状,增加关节活动度,减轻关节功能障碍对患者日程生活的影响,短期疗效显著,并发症较少。
Objective:To observe the clinical effect and safety of the therapy of muscular thermal conductivity of silver needle combined with external application for early knee osteoarthritis(KOA).Methods:A total of 85 cases of patients with early KOA of Kellgren-Lawrence Grade I or II were selected.The knee joints of patients were treated with the therapy of muscular thermal conductivity of silver needle twice a week for two weeks.Each time the knees were given external application of Tianbai Jinhuang powder after the therapy of muscular thermal conductivity of silver needle.After treatment,the clinical effect was assessed and the scores of the pain,stiffness and physical function in the Western Ontario and McMaster Universities Osteoarthritis Index were observed.Results:In this study,28 cases were cured,53 cases were improved,and4 cases were ineffective,the total effective rate being 95.29%.After treatment,the scores of pain,stiffness and physical function were decreased when compared with those before treatment(P<0.01).There were no obvious adverse reactions in all patients during the study.Conclusion:The therapy of muscular thermal conductivity of silver needle combined with external application for patients with early KOA,can effectively alleviate the pain symptoms of them,increase the joint mobility,and reduce the impact of joint dysfunction on their life,whose short-term curative effect is significant and complications are few.
作者
李晓乐
徐大星
陈文超
LI Xiaole;XU Daxing;CHEN Wenchao
出处
《新中医》
CAS
2019年第4期215-217,共3页
New Chinese Medicine
关键词
膝骨关节炎
银质针
导热疗法
天柏金黄散
外敷
Knee osteoarthritis
Silver needle
Tianbai Jinhuang powder
Therapy of thermal conductivity
External application
