| 铍针与扶他林乳胶剂治疗膝骨关节炎疼痛的病例对照研究 |
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投稿时间：2012-07-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 顾力军 |
GU Li-jun |
中国中医科学院望京医院,北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 裘兴栋 |
QIU Xing-dong |
中国中医科学院望京医院,北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
529131032@qq.com |
| 赵勇 |
ZHAO Yong |
中国中医科学院望京医院,北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 秦伟凯 |
QIN Wei-kai |
中国中医科学院望京医院,北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 董福慧 |
DONG Fu-hui |
中国中医科学院望京医院,北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第12期，第1036-1039页 |
| DOI：10.3969/j.issn.1003-0034.2012.12.016 |
| 基金项目: |
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中文摘要:
目的：观察铍针与扶他林治疗早中期膝骨关节炎疼痛的临床疗效。
方法：将67例早中期膝骨关节炎患者分为铍针治疗组34例和外用扶他林对照组33例,治疗结束1个月后随访,共60例完成随访(共脱落7例,其中治疗组4例,对照组3例).其中治疗组男5例,女25例;年龄40～68岁,平均(55.90±9.34)岁;病程0.25～1年,平均(0.87±0.34)年;对照组男6例,女24例;年龄40～70岁,平均(58.67±7.39)岁;病程0.25～2年,平均(0.93±0.60)年。治疗组采用铍针治疗,每周治疗1次,3周为1个疗程;对照组采用扶他林乳胶剂局部痛点涂抹,每日3次,3周为1个疗程。两组治疗前后通过软组织张力测试仪测量局部软组织位移值、香蕉面积,用压痛测量仪测量压痛值,用疼痛视觉模拟量表记录治疗前后的VAS评分,并评价治疗前后膝关节功能HSS评分及疗效,最后对上述结果进行统计分析。
结果：两组软组织位移值、香蕉面积、压痛测量值、主观VAS评分及HSS评分治疗前后比较差异有统计学意义,且治疗组软组织位移值、压痛值和HSS评分高于对照组,香蕉面积和VAS评分低于对照组。根据膝关节HSS评分结果及VAS疼痛指数综合评定疗效,治疗组治愈3例,显效8例,有效18例,无效1例;对照组治愈1例,显效4例,有效20例,无效5例。两组疗效比较差异无统计学意义。
结论：铍针治疗的优势在于有效降低膝骨关节炎患者局部软组织的高张力状态,进而减轻疼痛症状,改善膝关节功能。 |
| 【关键词】骨关节炎,膝 疼痛 病例对照研究 |
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| Case-control study on stiletto needle and Dichofenac Diethylammon for the treatment of knee osteoarthritis pain |
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ABSTRACT
Objective:To investigate therapeutic effects of stiletto needle and Dichofenac Diethylammon in treating knee osteoarthritis pain at early and medium-term.
Methods:Sixty-seven patients with early and medium-term knee osteoarthritis were randomly divided into two groups,34 cases in stiletto needle group (treatment group) and 33 cases in Dichofenac Diethylammon (control group). Among them,60 patients finished treatment and followed-up for 1 months (7 cases fall off totally,4 cases in treatment group and 3 cases in control group). In treatment group,there were 5 males and 25 females with a mean age of (55.90±9.34)years (ranged,40 to 68 years),the course of disease for 0.25 to 1 year,mean (0.87±0.34) years,treated by stiletto needle once a week,and 3 weeks were a course. In control group,there were 6 males and 24 females with a mean age of (58.67±7.39) years (ranged,40 to 70 years),the course of disease for 0.25 to 2 years,mean (0.93±0.60) years,treated by Dichofenac Diethylammon,three times a day for 3 weeks. Soft tissue displacement and banana area were tested by soft tissue tension tester,pressure value were measured by pressure measuring instrument,VAS score were recorded by pain visual analog scale record,HSS scoring and effects were used to evaluated and statistical analyzed.
Results:There were significant differences in tissue displacement,banana area,pressure value,VAS scoring and HSS scoring between two groups before and after treatment,and tissue displacement,pressure value,HSS scoring in treatment group were higher than control group,while banana area and VAS scoring were lower than control group. According to HSS scoring and VAS scoring,3 cases were healed,8 cases were markedly improved,18 cases were effective and 1 case was effectiveless in treatment group;while 1 case was healed,4 cases were markedly improved,20 cases were effective and 5 cases were effectiveless in control group. There was no significant meaning in therapeutic effects.
Conclusion:Stiletto needle for knee osteoarthritis pain can effectively reduce high tension of local soft tissue ,alleviate symptom of pain,and improve knee function. |
| KEY WORDS Osteoarthritis ,knee Pain Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 顾力军,裘兴栋,赵勇,秦伟凯,董福慧.铍针与扶他林乳胶剂治疗膝骨关节炎疼痛的病例对照研究[J].中国骨伤,2012,25(12):1036~1039 |
| 英文格式: | GU Li-jun,QIU Xing-dong,ZHAO Yong,QIN Wei-kai,DONG Fu-hui.Case-control study on stiletto needle and Dichofenac Diethylammon for the treatment of knee osteoarthritis pain[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(12):1036~1039 |
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