[1]江海清,吴惠芳,曹 亮.弧刃针联合富血小板血浆治疗膝关节骨性关节炎的临床疗效[J].医学信息,2024,37(10):92-95.[doi:10.3969/j.issn.1006-1959.2024.10.018]
 JIANG Hai-qing,WU Hui-fang,CAO Liang.Clinical Effect of Arc-edge Needle Combined with Platelet-rich Plasma in the Treatment of Knee Osteoarthritis[J].Journal of Medical Information,2024,37(10):92-95.[doi:10.3969/j.issn.1006-1959.2024.10.018]
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弧刃针联合富血小板血浆治疗膝关节骨性关节炎的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年10期
页码:
92-95
栏目:
论著
出版日期:
2024-05-15

文章信息/Info

Title:
Clinical Effect of Arc-edge Needle Combined with Platelet-rich Plasma in the Treatment of Knee Osteoarthritis
文章编号:
1006-1959(2024)10-0092-04
作者:
江海清吴惠芳曹 亮
(余干仁和医院康复科,江西 余干 335100)
Author(s):
JIANG Hai-qingWU Hui-fangCAO Liang
(Rehabilitation Department of Yugan Renhe Hospital,Yugan 335100,Jiangxi,China)
关键词:
弧刃针富血小板血浆膝关节骨性关节炎
Keywords:
Arc-edge needlePlatelet-rich plasmaKnee jointOsteoarthritis
分类号:
R684.3
DOI:
10.3969/j.issn.1006-1959.2024.10.018
文献标志码:
A
摘要:
目的 研究弧刃针联合富血小板血浆(PRP)治疗膝关节骨性关节炎(KOA)的临床疗效。方法 选取2021年10月-2023年4月在我院就诊的60例KOA患者为研究对象,采用随机数字表法分为A组(n=20)、B组(n=20)、C组(n=20)。A组患者采用PRP注射治疗,B组采用弧刃针治疗,C组采用弧刃针+PRP治疗,比较三组患者临床疗效、疼痛(VAS)评分、骨关节炎指数(WOMAC)评分、Lysholm膝关节评分以及不良事件发生率。结果 C组治疗总有效率为95.00%,高于A组的80.00%、B组的75.00%(P<0.05);三组治疗后VAS评分均低于治疗前,且C组低于A组、B组(P<0.05);三组治疗后WOMAC均低于治疗前,且C组低于A组、B组(P<0.05);三组治疗后Lysholm评分高于治疗前,且C组高于A组、B组(P<0.05);C组不良事件发生率为5.00%,与A组的10.00%、B组的10.00%比较,差异无统计学意义(P>0.05)。结论 弧刃针联合富血小板血浆治疗膝关节骨性关节炎效果确切,可提高临床疗效,减轻患者疼痛,改善膝关节功能指标,且无严重不良事件,具有良好的有效性和安全性。
Abstract:
Objective To study the clinical efficacy of arc-edge needle combined with platelet-rich plasma (PRP) in the treatment of knee osteoarthritis (KOA).Methods A total of 60 patients with KOA who were treated in our hospital from October 2021 to April 2023 were selected as the research objects. They were divided into group A (n=20), group B (n=20) and group C (n=20) by random number table method. Group A was treated with PRP injection, group B was treated with arc-edge needle, and group C was treated with arc-edge needle+PRP. The clinical efficacy, pain (VAS) score, osteoarthritis index (WOMAC) score, Lysholm knee score and incidence of adverse events were compared among the three groups.Results The total effective rate of treatment in group C was 95.00%, which was higher than 80.00% in group A and 75.00% in group B (P<0.05). The VAS score of the three groups after treatment was lower than that before treatment, and that of group C was lower than that of group A and group B (P<0.05). After treatment, WOMAC in the three groups was lower than that before treatment, and that in group C was lower than that in group A and group B (P<0.05). The Lysholm score of the three groups after treatment was higher than that before treatment, and that of group C was higher than that of group A and group B (P<0.05). The incidence of adverse events in group C was 5.00%, which was compared with 10.00% in group A and 10.00% in group B, the difference was not statistically significant (P>0.05).Conclusion Arc-edge needle combined with platelet-rich plasma is effective in the treatment of knee osteoarthritis, which can improve the clinical efficacy, reduce the pain of patients, improve the knee joint function index, and have no serious adverse events. It has good effectiveness and safety.

参考文献/References:

[1]曹杰.运动疗法联合医用臭氧及中药热敷治疗膝骨性关节炎的临床疗效观察[J].泰山医学院学报,2021,42(4):292-294.[2]李慧霞.中医情志护理对膝骨关节炎患者SAS与SDS评分的影响[J].中医临床研究,2020,12(12):60-61.[3]都帅刚,王学昌,孔倩倩,等.弧刃针刀综合疗法治疗强直性脊柱炎的疗效及安全性[J].辽宁中医杂志,2019,46(3):602-605.[4]都帅刚,郭中华,孔倩倩,等.弧刃针刀治疗膝骨性关节炎的临床研究[J].中华中医药杂志,2018,33(4):1657-1660.[5]王慧明,王庆雷,马建华,等.中药热敷治疗老年膝关节骨性关节炎疗效观察[J].辽宁中医杂志,2022,49(6):138-142.[6]曹亮,黄矿英,江海清,等.舒筋活络散热敷联合玻璃酸钠腔内注射治疗膝关节骨性关节炎临床分析[J].中医临床研究,2022,14(2):98-100.[7]中国中西医结合学会骨伤科专业委员会.膝骨关节炎中西医结合诊疗指南[J].中华医学杂志,2018,98(45):3653-3658.[8]周亮,徐维臻,林伟长,等.自体富血小板血浆治疗Kellgren-LawrenceⅡ、Ⅲ级膝关节骨性关节炎的疗效观察[J].中国骨与关节损伤杂志,2020,35(4):407-409.[9]梁杰,卢惠苹,陈述荣,等.中药熏蒸联合肌电生物反馈疗法对膝骨性关节炎患者膝关节功能的影响[J].现代中西医结合杂志,2020,29(22):2415-2419.[10]陈艳,王大寿,孙文阳明,等.自体富血小板血浆(PRP)治疗膝关节骨性关节炎的疗效观察[J].贵州医药,2019,43(5):731-732.[11]王一帆,李小峰,罗道明,等.不同浓度富血小板血浆治疗膝关节骨性关节炎临床疗效研究[J].陕西医学杂志,2018,47(9):1113-1118.[12]刘步云,孙育良,何本祥,等.关节腔注射富血小板血浆与玻璃酸钠治疗膝关节骨关节炎的疗效比较[J].实用骨科杂志,2018,23(1):71-73.[13]付立功,陈连旭.富血小板血浆在膝关节骨关节炎治疗中的应用与临床分析[J].河北医学,2018,23(9):1463-1467.[14]Whitney KE,Liebowitz A,Bolia IK,et al.Current perspectives on biological approaches for osteoarthritis[J].Ann N Y Acad Sci,2017,1410(1):26-43.[15]王一帆,李小峰,罗道明,等.关节腔内注射自体富血小板血浆治疗膝关节骨性关节炎的临床疗效[J].广西医学,2018,39(9):1304-1308.[16]吴金甫,叶颜,陈林枫.温针灸配合中药辨证治疗膝关节骨性关节病的临床疗效[J].内蒙古中医药,2019,28(10):63-65.[17]马莉.火针联合臭氧治疗膝关节骨性关节炎的临床疗效观察[D].晋中:山西中医药大学,2020.[18]汪捷敏.拔伸松动结合经筋手法治疗膝关节骨性关节炎的临床研究[D].云南中医药大学,2020,4(1):81-84.[19]张宗仕.经筋理论指导下关节镜联合针刀治疗膝关节骨性关节炎的临床疗效观察[D].福州:福建中医药大学,2020.[20]袁莹.针刺手穴膝点治疗膝关节骨性关节炎的临床疗效评价[D].杭州:浙江中医药大学,2019.

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更新日期/Last Update: 1900-01-01