关刺配合电针及中药封包治疗膝骨关节炎临床研究
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R274.9;R246.2

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重庆市万州区科技计划指导项目(wzstc-z2017015)


Clinical Study on Joint Needling Combined with Electroacupuncture and Chinese Herbal Package for Knee Osteoarthritis
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    摘要:

    目的:观察关刺配合电针及中药封包治疗膝骨关节炎(KOA) 的临床疗效。方法:选取100 例KOA 患者,按就诊顺序编号随机分为观察组与对照组,每组50 例。观察组给予关刺配合电针及中药封包治疗,对照组给予硫酸氨基葡萄糖胶囊联合洛索洛芬钠片治疗。比较2 组临床疗效及不良反应,观察2 组治疗前后症状积分、视觉模拟评分法(VAS) 评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC) 评分的变化。结果:观察组总有效率为96.0%,高于对照组的80.0%,差异有统计学意义(P<0.05)。治疗后,2 组症状积分、VAS 评分及WOMAC 评分均较治疗前降低(P<0.01),观察组症状积分、VAS 评分及WOMAC 评分均低于对照组(P<0.01)。观察组不良反应发生率为0,低于对照组的16.0%,差异有统计学意义(P<0.05)。结论:关刺配合电针及中药封包治疗KOA,能明显改善患者的临床症状和体征,疗效优于硫酸氨基葡萄糖胶囊联合洛索洛芬钠片治疗,且安全性较高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of joint needling combined with electroacupuncture and Chinese herbal package on knee osteoarthritis(KOA). Methods:A total of 100 KOA patients were randomly divided into the observation group and the control group according to the order of visit,50 cases in each group. The observation group was given joint needling combined with electroacupuncture and Chinese herbal package, and the control group was given glucosamine sulfate capsules combined with loxoprofen sodium tablets. The clinical effect and adverse reactions were compared between the two groups,and the changes of scores of symptom,Visual Analogue Scale(VAS) and Osteoarthritis Index of Western Ontario and McMaster University(WOMAC) were observed before and after treatment. Results:The total effective rate was 96.0% in the observation group, higher than that of 80.0% in the control group, the difference being significant(P<0.05). After treatment,the scores of symptom,VAS and WOMAC in the two groups were decreased when compared with those before treatment(P<0.01);the above three scores in the observation group were lower than those in the control group(P< 0.01). The incidence of adverse reactions in the observation group was 0,lower than that of 16.0% in the control group,the difference being significant(P<0.05). Conclusion: The therapy of joint needling combined with electroacupuncture and Chinese herbal package for KOA patients, can significantly improve the clinical symptoms and signs, whose the curative effect is better than glucosamine sulfate capsules combined with loxoprofen sodium tablets,with greater safety.

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胡万生,骆春霞,谭万钦,汪英,唐小丽,熊玉兰,程海燕.关刺配合电针及中药封包治疗膝骨关节炎临床研究[J].新中医,2021,53(3):131-135

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  • 在线发布日期: 2021-02-03
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