小针刀舒筋理刺结筋病灶点结合玻璃酸钠注射治疗膝骨关节炎的效果

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Abstract Objective To observe the clinical effect of small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection in the treatment of knee osteoarthritis. Methods A total of 120 patients with knee osteoarthritis admitted to Qinhuangdao Traditional Chinese Medicine Hospital, Hebei Province from January 2018 to January 2020 were selected and divided into A, B and C groups according to the random number table method, with 40 patients in each group. During the treatment, 15 patients fell off, including eight patients in group B and seven patients in group C, and 105 patients were finally treated. Group A was treated with small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection. Group B was treated with small needle knife relieve sinew and regulate spur pathological jiejing points. Group C was treated with sodium hyaluronate injection. Small needle knife treatment was performed once a week for four times in total, and intra-articular injection of sodium hyaluronate was performed once a week for five times in total. Visual analogue scale (VAS) score, WOMAC osteoarthritis index score, and clinical efficacy of the three groups were compared before and after treatment. Results WOMAC osteoarthritis index and VAS score after treatment were both lower than those before treatment, and WOMAC osteoarthritis index and VAS score in group A were lower than those in group B and C, and group B was lower than that in group C, with statistically significant differences (all P ＜ 0.05). The total effective rate of group A was significantly higher than that of group B and group C, and the total effective rate of group B was significantly higher than that of group C, with statistically significant differences (all P ＜ 0.05). Conclusion Small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection into articular cavity in the treatment of knee osteoarthritis is effective.

Key words： Knee osteoarthritis Pathological jiejing points Small needle knife relieve sinew and regulate spur Sodium hyaluronate

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	GUO Yunling1 LI Rui2 WANG Lei3 FU Cong1

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GUO Yunling1 LI Rui2 WANG Lei3 FU Cong1. Effect of small needle knife relieve sinew and regulate spur pathological jiejing points combined with sodium hyaluronate injection in the treatment of knee osteoarthritis[J]. 中国医药导报, 2020, 17(36): 172-176.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I36/172

[1] 周明旺，王晓萍，李盛华.中医药在膝骨性关节炎治疗中的应用现状[J].中国中医骨伤科杂志，2015，23（4）：75-78.
[2] 薛浩，刘岩，冉博，等.膝关节骨性关节炎治疗现状[J].医学综述，2018，24（2）：321-325.
[3] 刘广宇，张杰，张晓峰，等.针刀配合手法治疗对兔膝关节炎关节软骨形体结构的影响[J].环球中医药，2018，11（11）：1657-1661.
[4] 何海军.经筋理论对针刀治疗膝骨关节炎的指导意义[J].中国医药导报，2016，13（33）：165-168.
[5] 王弘德，李升，陈伟，等.《骨关节炎诊疗指南（2018年版）》膝关节骨关节炎部分的更新与解读[J].河北医科大学学报，2019，40（9）：993-995.
[6] 薛立功，张海荣.经筋理论与临床疼痛诊疗学[M].北京：中国中医药出版社，2002，525-537.
[7] Wewers ME，Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena [J]. Res Nurs Health，1990，13（4）：227-236.
[8] Bellamy N. Pain assessment in osteoarthritis：Experience with the WOMAC osteoarthritis Index [J]. Semin Arthritis Rheum，1989，18（4 Suppl 2）：14-17.
[9] 郑筱萸.中药新药临床研究指导原则[M].北京：中国医药科技出版社，2002，349-353.
[10] 谢占清，崔立民，王玉双，等. 结筋病灶点的解剖实质辨析[J].环球中医药，2019，12（10）：1569-1570.
[11] 岳建兴、陈莉秋，张春侠.膝骨关节炎经筋病变分布规律的临床研究[J].上海针灸杂志，2016，35（4）：457-459.
[12] Moskowitz，Roland W.骨关节炎诊断与治疗[M].谢利民，北京：人民卫生出版社，2008：296.
[13] 王潆彬，董宝强，王树东.足太阳经筋型膝骨性关节炎从腰论治诊疗思路[J].长春中医药大学学报，2017，33（6）：919-922.
[14] 刘建成，董宝强，张文静，等.基于经筋理论的银质针治疗膝骨性关节炎53例临床观察[J].江西中医药大学学报，2018，30（1）：55-58.
[15] 朱汉章.小针刀疗法[M].北京：中国中医药出版社，1992， 55-87.
[16] 王永成，吴海贺，张新宇，等.胫骨内侧残留骨赘对活动平台单髁膝关节置换术后疗效的影响[J].骨科临床与研究杂志，2019，4（6）：339-342.
[17] 吴绳国.关节镜下关节清理术治疗膝骨关节炎疗效探析[J].亚太传统医药，2010，6（11）：125-126.
[18] 吴祖亮.影响膝关节骨性关节炎患者实施关节镜下骨赘清理术的相关因素[J].数理医药学杂志，2016，29（1）：130-131.
[19] 袁普卫，杨威，康武林，等.骨性关节炎发病机制研究进展[J].中国骨质疏松杂志，2016，22（7）：902-906.
[20] 葛恒清，韦晔，葛恒君.针刀配合骨减压治疗膝骨性关节炎骨内高压临床研究进展[J].中医临床研究，2017，9（24）：98-100.
[21] 陈巧凤，吴珊鹏.骨内高压的发病机制及诊断治疗[J].医学综述，2007，13（9）：701-702.
[22] 欧志聪，余璟玮.中药熏洗联合玻璃酸钠对膝骨性关节炎的疗效及对相关细胞因子的影响[J].中医临床研究，2016，8（23）：26-29.
[23] 马志刚，郭立平，张建宁，等.不同分子质量玻璃酸钠注射骨关节炎兔关节液内相关因子的变化[J].中国组织工程研究，2020，24（5）：694-698.
[24] 刘瑞，陈娟，张艳宁，等.关节腔注射联合超短波在骨关节炎患者中的应用效果[J].中国医药导报，2019，16（33）：74-77.
[25] 刘圣星，王隆辉，韩贵宾.依托考昔片联合玻璃酸钠注射液治疗膝关节骨性关节炎的临床研究[J].中国临床药理学杂志，2019，35（3）：235-237.