针刀结合中药热敷疗法治疗膝关节骨性关节炎临床观察-柴忠.pdf

第 1 8 卷 ?第 8 期 辽 宁 中 医 药 大 学 学 报 Vol. 18 No. 8 2016 年 8 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Aug .，2016 DOI：10.13194/j.issn.1673-842x.2016.08.076 · 针灸推拿 · 针刀结合中药热敷疗法治疗膝关节骨性关节炎临床观察 柴忠，李可畏 （辽宁中医药大学附属第二医院，辽宁 沈阳 110034） 摘? 要：目的：针刀松解治疗结合中药热敷疗法治疗膝关节骨性关节炎的近远期临床疗效观察。方法：将64 例膝关节骨性关节炎患者随机分为观察组和对照组，每组32例，观察组采用小针刀松解治疗结合中药热敷疗法，对 照组采用单纯针灸治疗，观察和比较两组患者近远期疗效。结果：经过2个疗程治疗，观察组近期临床疗效明显优 于对照组，有显著差异（P0.01）；3个月后，观察组远期临床疗效也明显优于对照组，治疗组复发率6.45%，对照组 25.90%有显著差异（P0.01）。结论：针刀松解治疗结合中药热敷疗法治疗膝关节骨性关节炎较单纯针灸手法治疗 获得更好的效果。 关键词：针刀；中药热敷；膝关节骨性关节炎 中图分类号：R454.5；R684.3 文献标志码：A 文章编号：1673-842X??(2016) 08-?0239-??03 Clinical Observation of Needle Knife Combined with Chinese Herbal Medicine Heat Spreading Therapy on Treating Knee Osteoarthritis CHAI Zhong1，LI Kewei2 （Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110034，Liaoning，China） Abstract：Objective：Clinical observation of needle knife combined with Chinese herbal medicine heat spreading therapy on treating knee osteoarthritis. Methods：64 knee osteoarthritis sufferers were divided into observation group and control group in random，each 32 sufferers. The observation group was used small needle knife loosed solution treatment combining with Chinese herbal medicine heat spreading therapy. The control group was treated with acupuncture. Observe and compare two groups curative effect. Results：After two treatments，clinical curative effect of the observation group ob