针刺研究2011，Vol.36Issue(5)：373-376,4.
温针配合玻璃酸钠关节内注射治疗膝关节骨性关节炎随机对照观察
Randomized Controlled Clinical Trails for Treatment of Knee Osteoarthritis by Warm Acupuncture Combined with Intra-articular Injection of Sodium Hyaluronate
张玉森 1王子轩2
作者信息
- 1. 青岛市市立医院中医科,,青岛266011
- 2. 青岛市市立医院介入放射科,青岛266011
- 折叠
摘要
Abstract
Objective To observe the synergism of warm acupuncture combined with intra-articular injection of sodium hya-luronate on knee osteoarthritis (KOA). Methods A total of 179 KOA outpatients were randomized into warm acupuncture group (n = 90) and control group (n = 89) according to a randomized numeral table. Warm acupuncture (needle warmed by moxibus-tion) was applied to Zusanli (ST 36). Xuehai (SP 10), Yinlingquan (SP 9), Nèix7yǎn(EX-LE 4), etc. From the second day on after intra-articular injection of sodium hyaluronate (2 mL, once a week for 5 weeks). Sodium hyaluronate intra-articular injection was given to the patients alone in the control group. Knee joint motor function was scaled before, 2 weeks (W) and 5 W after the therapy. The patients' quality of life was determined by using "Arthritis Impact Measurement Scale" before and 5 W after the therapy. Results In comparison with pre-therapy, the knee-joint motor function scores of both control group and acupuncture group were increased progressively and significantly 2 W and 5 W after the therapy. Both the knee-joint motor function score and the therapeutic effective rate of the acupuncture group were significantly higher than those of the control group (P<0. 001, P<0. 05). After the therapy, the scores of the Arthritis Impact Measurement Scale were significantly improved in both groups (P<0. 01), and that of the acupuncture group was obviously lower than that of the control group (P<0. 01). Conclusion Warm acupuncture combined with intra-articular injection of sodium hyaluronate is an effective therapy for knee osteoarthritis.关键词
膝关节骨性关节炎/温针疗法/玻璃酸钠/关节内注射Key words
Knee osteoarthritis/ Warm acupuncture/ Sodium hyaluronate/ Intra-articular injection分类
医药卫生引用本文复制引用
张玉森,王子轩..温针配合玻璃酸钠关节内注射治疗膝关节骨性关节炎随机对照观察[J].针刺研究,2011,36(5):373-376,4.
