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超激光加中药熏洗配合关节腔内注射治疗膝关节骨性关节炎43例

Clinical effect of super laser plus herbal fumigation and washing combined with intra-articular injection of sodium hyaluronate in treatment of knee osteoarthritis:a report of 43 cases

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【作者】 胡田生杨亚军胡日鹤

【Author】 HU Tian-sheng,YANG Ya-jun,HU Ri-he(Guangdong Lianzhou People’s Hospital,Lianzhou 513400,Guangdong,China)

【机构】 广东省连州市人民医院

【摘要】 目的:观察中医综合疗法治疗膝关节骨性关节炎的临床疗效。方法:将该病患者86例随机分为两组各43例,治疗组采用超激光加中药熏洗配合关节腔内注射3法综合治疗,对照组单用关节腔内注射治疗。两组均以4周为1个疗程,治疗1个疗程后比较两组疗效。结果:总有效率、显效率治疗组分别为90.69%、79.06%,对照组分别为62.7%、34.88%,两组比较,差异均有统计学意义(均P<0.01);且治疗组对病情中度及重度的患者,总有效率与显效率亦优于对照组(均P<0.01)。结论:中医综合疗法治疗膝关节骨性关节炎疗效明显优于单纯关节腔内注射玻璃酸钠,值得临床推广运用。

【Abstract】 Objective:To observe the clinical effect of traditional Chinese medicine(TCM) combination therapy in the treatment of knee osteoarthritis.Methods:A total of 86 patients with knee osteoarthritis were randomly divided into treatment group(n = 43) and control group(n = 43).The treatment group received super laser plus herbal fumigation and washing combined with intra-articular injection of sodium hyaluronate,while the control group received intra-articular injection of sodium hyaluronate alone.The course of treatment was 4 weeks in both groups.The treatment outcomes of the two groups were compared after 4 weeks of treatment.Results:The treatment group had an overall response rate of 90.69% and a marked response rate of 79.06%,versus 62.7% and 34.88% in the control group(P <0.01 for both comparisons).In addition,the moderate and severe patients in treatment group also had significantly higher overall response rate and marked response rate than the control group(P < 0.01 for both comparisons).Conclusion:TCM combination therapy has a significantly better clinical effect than intra-articular injection of sodium hyaluronate alone in the treatment of knee osteoarthritis and shows promise for clinical application.

【基金】 广东省清远市科学技术局立项课题(编号:2012B011204110)
  • 【文献出处】 湖南中医杂志 ,Hunan Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2013年05期
  • 【分类号】R684.3
  • 【被引频次】8
  • 【下载频次】64
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