[1]王剑,王庆甫,刘佩婷,等.局部封闭联合小针刀和洛芬待因片口服联合中药热敷治疗膝关节鹅足滑囊炎的疗效比较[J].中医正骨,2014,26(06):28-30.
　Wang Jian*,Wang Qingfu,Liu Peiting,et al.A clinical comparison of local blocking combined with small knife needle versus oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug for treatment of knee articular anserine bursitis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(06):28-30.
点击复制

局部封闭联合小针刀和洛芬待因片口服联合中药热敷治疗膝关 节鹅足滑囊炎的疗效比较()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年06期
页码:
28-30
栏目:
临床研究
出版日期:
2014-06-30

文章信息/Info

Title:
A clinical comparison of local blocking combined with small knife needle versus oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug for treatment of knee articular anserine bursitis
作者:
王剑1; 王庆甫1; 刘佩婷1; 时宗庭1; 龙迪和2; 石鑫超1
1.北京中医药大学第三附属医院,北京 100029; 2.北京市昌平区中西医结合医院,北京 102208
Author(s):
Wang Jian*; Wang Qingfu; Liu Peiting; Shi Zongting; Long Dihe; Shi Xinchao.*
The Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100029,China
关键词:
滑囊炎 膝关节 小刀针 封闭疗法 热敷 植物药疗法
Keywords:
Bursitis;  Knee joint;  Small knife needle;  Blocking therapy;  Hot compress;  Phytotherapy
摘要:
目的:比较局部封闭联合小针刀和洛芬待因片口服联合中药热敷治疗膝关节鹅足滑囊炎的临床疗效。方法:单侧膝关节鹅足滑囊炎患者85例,男27例,女58例; 年龄38～81岁,中位数58岁; 左侧34例,右侧51例; 病程5 d至8年,中位数11个月。按就诊顺序随机分为2组,观察组45例,对照组40例; 观察组采用局部封闭联合小针刀治疗,对照组采用洛芬待因片口服联合中药热敷治疗。分别在治疗前、治疗后(观察组为治疗后1周,对照组为治疗1周后),采用疼痛视觉模拟评分法对2组患者患膝疼痛情况进行评分,并对2组患者的疼痛评分和疗效进行比较。结果:治疗前2组患者患膝压痛、自发痛评分比较,组间差异均无统计学意义[(3.166±1.010)分,(3.019±1.069)分,t=0.402,P=0.553;(2.834±0.122)分,(2.791±0.139)分,t=0.523,P=0.326]; 治疗后2组患者患膝疼痛均有所缓解,且观察组疼痛缓解更明显,压痛和自发痛评分均低于对照组[(0.938±0.171)分,(1.990±0.630)分,t=2.256,P=0.012;(0.806±0.220)分,(1.381±0.343)分; t=1.652,P=0.036]; 参照《中医病证诊断疗效标准》膝部滑囊炎疗效评定标准评价疗效,观察组治愈16例、好转24例、未愈5例,对照组治愈8例、好转21例、未愈11例,观察组疗效优于对照组(Z=-2.131,P=0.033)。结论:局部封闭联合小针刀治疗膝关节鹅足滑囊炎,可有效减轻患膝肿胀、缓解疼痛,有利于膝关节功能恢复,疗效优于洛芬待因片口服联合中药热敷。
Abstract:
Objective:To compare the clinical curative effect of local blocking combined with small knife needle versus oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug for treatment of knee articular anserine bursitis.Methods:Eighty-five patients with unilateral knee articular anserine bursitis consisted of 27 males and 58 females,and ranged in age from 38 to 81 years(Median=58 yrs).The anserine bursitis located in left knee for 34 patients and right knee for 51 patients,and ranged in course of disease from 5 days to 8 years(Median=11 months).The patients were randomly divided into 2 groups according to registration order,45 cases in observation group,40 cases in control group.Patients in the observation group were treated with local blocking combined with small knife needle,while patients in the control group were treated with oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug.The knee pain degree were evaluated by using visual analogue scale(VAS)before the treatment and after the treatment(observation group:one week after the treatment,control group:after 1-week treatment),and the pain scores and therapeutic effects were compared between the 2 groups.Results:There were no statistical difference in the knee tenderness and spontaneous pain between the 2 groups before the treatment(3.166+/-1.010 vs 3.019+/-1.069 points,t=0.402,P=0.553; 2.834+/-0.122 vs 2.791+/-0.139 points,t=0.523,P=0.326).The knee pain were relieved after the treatment in the 2 groups,and more obvious pain relief were found in the observation group,and the scores of tenderness and spontaneous pain of the observation group were lower than those of the control group(0.938+/-0.171 vs 1.990+/-0.630 points,t=2.256,P=0.012; 0.806+/-0.220 vs 1.381+/-0.343 points,t=1.652,PSixteen patients were cured,24 improved and 5 poor in observation group,while 8 patients were cured,21 improved and 11 poor in control group.The observation group surpassed the control group in the therapeutic effect(Z=-2.131,P=0.033).Conclusion:The therapy of local blocking combined with small knife needle can effectively alleviate pain and swelling of the knee,and it is helpful to the restoration of knee joint function.Its therapeutic effect is better than that of oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug in the treatment of knee articular anserine bursitis.Sixteen patients were cured,24 improved and 5 poor in observation group,while 8 patients were cured,21 improved and 11 poor in control group.The observation group surpassed the control group in the therapeutic effect(Z=-2.131,P=0.033).Conclusion:The therapy of local blocking combined with small knife needle can effectively alleviate pain and swelling of the knee,and it is helpful to the restoration of knee joint function.Its therapeutic effect is better than that of oral application of ibuprofen-codeine phosphate tablets combined with hot compress with traditional Chinese drug in the treatment of knee articular anserine bursitis.=0.036).The therapeutic effects were evaluated according to therapeutic effect evaluation standard of knee bursitis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine

参考文献/References:

[1] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:195.
[2] 郭世绂.骨科临床解剖学[M].山东:山东科学技术出版社,2001:880.
[3] 肖智青,张雄辉,张火林,等.中药薰洗配合功能锻炼治疗创伤后膝关节功能障碍的疗效观察[J].中医正骨,2012,24(3):17-19.
[4] 乔晋琳,王健瑞.针刀疗法对L3横突综合征兔血浆血栓素B2及6-酮-前列腺素水平的影响[J].中国骨伤,2004,17(5):257.
[5] 王庆甫,祁印泽,李俊海,等.小针刀疗法对膝骨性关节炎局部疼痛肿胀的影响[J].中医正骨,2008,20(1):21.

更新日期/Last Update: 1900-01-01