膝三针联合骨刺软化丸治疗膝骨关节炎

摘要

Objective Clinical efficacy of knees three needleswith bony spurs soften pillin treatingknee joint osteoarthritiswas observed. Methods 135 patients were randomly divided into treatmentgroup and control group 1 and group 2 by random number table. 45 cases for each group,treatment group was treated with Celecoxib capsules, control group 1 was treated with knees three needles,control group 2 was treated with knees three needles withbony spurs soften pill.The treatment was for 6 weeks. Compare the knee joint osteoarthritis symptom grade quantification integral table,VAS, PSS, SF-36 scores before and after treatment. Results The total effective rate of the treatment group, control group 1 and control group 2 were 93.33%, 91.11% and 77.78%. Compare the VAS score, symptoms of quantitative integral table scoresof three groups before and after treatment.And comparedobservation group with control group 1,group 2 before and after 8-week treatment,the differences were statistically significant (P<0.05), indicating that at aspects of thesymptoms of knee joint activity function, alleviate pain, the effects of treatment groupwere better than that in control group 1, group 2; PSS scoresof treatment group after 8-week treatment were compared with control group 1 and group 2, the differences were statistically significant (P<0.05). Comprehensive integral scores of treatment group after treatment compared with control group 1 and grou-p 2, the differences were statistically significant (P<0.05). Conclusion Thecurativeeffect of knees three needles with bone spurs soften pill treating in liver and kidney deficiency and stasis type of knee osteoarthritis is remarkable, and can improve life quality.%目的 对膝三针联合骨刺软化丸治疗膝骨关节炎的临床疗效进行观察.方法 应用随机数字表把纳入的135例患者随机分为治疗组、对照组1和对照组2,3组各45例,对照组1予塞来昔布胶囊,对照组2予膝三针,治疗组予膝三针联合骨刺软化丸,共治疗6周.比较3组治疗前后膝骨性关节炎症状分级量化积分表、视觉模拟评分法(VAS)、患者满意度(PSS)、SF-36评分.结果 治疗组、对照组1和对照组2的总有效率分别是93.33%、91.11%和77.78%;3组VAS评分、症状量化积分治疗前后差值的组间比较,治疗后、治疗结束后8周,治疗组与对照组1、对照组2比较,差异具有统计学意义(P<0.05),表明在改善膝关节活动功能、减轻疼痛症状等方面治疗组效果均优于对照组1、对照组2;治疗后、8周后PSS评分,治疗组患者与对照组1和对照组2比较,差异均具有统计学意义(P<0.05).治疗组治疗后综合积分与对照组1和对照组2比较,差异均具有统计学意义(P<0.05).结论 膝三针联合骨刺软化丸治疗肝肾不足、筋脉瘀滞型膝骨关节炎疗效显著,并能提高患者生活质量.