[1]魏兵,刘国雄,全健.外敷中药膏联合关节腔内注射玻璃酸钠治疗膝骨性关节炎50例临床观察[J].甘肃中医药大学学报,2016,33(05):44-47.[doi:10.16841/j.issn1003-8450.2016.05.13]
 WEI Bing,LIU Guoxiong,QUAN Jian.Clinical observation on external application of traditional Chinese ointments plus sodium hyaluronate intra-articular injection in treating 50 cases of knee osteoarthritis[J].Journal of Gansu University of Chinese Medicine,2016,33(05):44-47.[doi:10.16841/j.issn1003-8450.2016.05.13]
点击复制

外敷中药膏联合关节腔内注射玻璃酸钠治疗膝骨性关节炎50例临床观察()
分享到:

《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
33卷
期数:
2016年05期
页码:
44-47
栏目:
临床研究与报道
出版日期:
2016-10-25

文章信息/Info

Title:
Clinical observation on external application of traditional Chinese ointments plus sodium hyaluronate intra-articular injection in treating 50 cases of knee osteoarthritis
作者:
魏兵 刘国雄 全健
陕西省中医医院骨二科, 陕西 西安 710003
Author(s):
WEI Bing LIU Guoxiong QUAN Jian
The Second Department of Orthopedics, Shaanxi TCM Hospital, Xi’an, Shaanxi, 710003, China
关键词:
中药膏外敷玻璃酸钠膝骨性关节炎临床观察
Keywords:
external application of traditional Chinese ointmentssodium hyaluronateknee osteoarthritisclinical observation
分类号:
R274.943
DOI:
10.16841/j.issn1003-8450.2016.05.13
摘要:
目的 观察外敷中药膏联合关节腔内注射玻璃酸钠治疗膝骨性关节炎(KOA)的临床疗效。方法 将130例KOA患者随机分为治疗组、对照1组和对照2组,治疗组50例采用外敷中药膏联合关节腔内注射玻璃酸钠治疗,对照1组40例采用单纯关节腔内注射玻璃酸钠治疗,对照2组40例采用单纯外敷中药膏治疗。治疗1月后对比3组患者的临床疗效及1年内总的复发情况。结果 治疗后治疗组总有效率为92.0%,明显高于对照1组(77.5%)和对照2组(75.0%),差异均有统计意义(P<0.05),对照1组与对照2组比较,差异无统计意义(P>0.05);随访1年,治疗组1年总复发率为8.7%,明显低于对照1组(32.3%)和对照2组(36.7%),差异均有统计意义(P<0.05),对照1组与对照2组比较,差异无统计意义(P>0.05)。结论 外敷中药膏联合关节腔内注射玻璃酸钠治疗KOA临床疗效显著,充分发挥了中、西医的优势,值得临床推广。
Abstract:
Objective To observe the clinical efficacy of external application with traditional Chinese ointments plus sodium hyaluronate intra-articular injection in treating knee osteoarthritis (KOA). Methods 130 cases were randomly divided into treatment group (50 cases),control group 1 (40 cases) and control group 2 (40 cases). The treatment group was treated with sodium hyaluronate intra-articular injection plus external application of traditional Chinese ointments. The control group 1 was intervened by sodium hyaluronate intra-articular injection exclusively and the group 2 was treated with traditional Chinese ointments simply. After treatment for 1 month,clinical efficacy of all groups as well as recurrence rate in 1 year were compared. Results The total effective rate of treatment group was 92.0%,much higher than that of the other two groups (77.5%,75.0%),there was a significant difference (P<0.05),but no any significance between control group 1 and control group 2 (P>0.05). All patients were followed up for 1 year,recurrence rate of treatment group was 8.7%,which was obviously lower than that of the other two groups (32.3%,36.7%),the difference was significant (P<0.05). Compared control group 1 and control group 2,there was no any difference (P>0.05). Conclusion The combined therapy is effective,taking both advantages of Chinese and Western medicine. It deserves clinical promotion.

参考文献/References:

[1] 吴汝平,赵品益.中医手法联合关节腔内注射玻璃酸钠治疗膝骨性关节炎临床分析[J].中华中医药学刊,2014,32(5):1219-1221.
[2] 中华医学会骨科学分会.骨关节炎诊治指南(2007版)[J].中华骨科杂志,2007,27(10):793-796.
[3] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:30-31.
[4] 徐卫东,吴岳嵩,张春才.骨关节炎的诊断与治疗[M].上海:第二军医大学出版社,2004:140-141.
[5] Bernardenu C,Bueki B,Liote F. Acute arthritis after intra-articular hyaluronate injection:onset of effusions without crystal[J].Ann Rheum Dis,2001,60(5):518.
[6] 凌沛学,贺艳丽,郭学平,等.透明质酸[M].北京:中国轻工业出版社,2002:137-144.
[7] 李海音,柴士花,刘天骥,等.中西医结合治疗早中期膝骨性关节炎[J].河南中医,2009,29(12):1213-1214.
[8] Bende T,Karagulle Z,Balint G P,et al.Hydrotherapy,balneotherapy,spand treatment in pain management[J].Rheumatol Int,2005,25(3):220.
[9] Codish S,Abu-Shakra M,Flusser D,et al. Mud compress therapy for the hands with rheumatoid arthritis[J].Rheumatol Int,2005,25(4):49.

相似文献/References:

[1]高春燕,林逸,华洁,等.中医干预联合玻璃酸钠关节腔注射治疗膝关节骨性关节炎45例临床观察[J].甘肃中医药大学学报,2015,32(06):32.
 GAO Chunyan,LIN Yi,HUA Jie,et al.Clinical observation of TCM therapy plus sodium hydaluronate intraarticular injection in treating 45 cases of knee osteoarthritis[J].Journal of Gansu University of Chinese Medicine,2015,32(05):32.
[2]俞斌,姚新苗.针刀微创松解结合中药内服治疗膝骨性关节炎46例临床观察[J].甘肃中医药大学学报,2016,33(03):83.[doi:10.16841/j.issn1003-8450.2016.03.27]
[3]韦家周,罗佳龙,韦新宁.玻璃酸钠注射联合中药熏洗治疗创伤性膝关节炎48例[J].甘肃中医药大学学报,2010,(05):38.
[4]黄桂林,史国号,王少波.温针灸加中药贴敷联合玻璃酸钠注射治疗膝骨性关节炎65例疗效观察[J].甘肃中医药大学学报,2012,(02):40.
[5]邢涛,汪永锋.中药热敷结合玻璃酸钠局部注射治疗肩关节周围炎32例疗效观察[J].甘肃中医药大学学报,2013,(03):44.
[6]张国英,牛彦红.中药熏蒸配合玻璃酸钠治疗膝关节骨性关节炎疗效观察[J].甘肃中医药大学学报,2011,(02):39.
[7]任学通,张怡,刘婷,等.微创关节冲洗联合关节腔内注射给药治疗膝骨性关节炎50例临床观察[J].甘肃中医药大学学报,2017,34(02):85.[doi:10.16841/j.issn1003-8450.2017.02.23]

备注/Memo

备注/Memo:
收稿日期:2015-10-20。
作者简介:魏兵(1976-),男,主治医师,在读硕士研究生。研究方向:中医骨科。
更新日期/Last Update: 1900-01-01