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目的 对膝骨关节炎 (KOA)的治疗国内尚无可靠有效的方法 ,本研究拟通过病例对照研究观察穴位注射与运动疗法治疗膝骨关节炎的临床疗效 ,探索一种确切的有效方法。方法 KOA患者 5 0例 ,分为治疗组 (试验组 ) 30例 ,对照组 2 0例。试验组用丹参注射液穴位注射和运动疗法 ,对照组用超短波治疗 ,对治疗前后临床症状和功能活动进行评估并进行统计学处理 (t检验 )。 结果两组疗效综合评估 ,治疗后治疗组显著进步 6例 ,进步 13例 ,总有效率 87% ;对照组分别为 3例 ,8例 ,5例 ,4例 ,总有效率 83%。两组膝关节的活动痛和关节痛都有显著改善 (P <0 .0 0 1) ,但在关节功能改善方面 ,试验组远远优于对照组 (P <0 .0 0 1)。结论 穴位注射和运动疗法不仅能缓解KOA患者的疼痛而且能显著改善其功能活动 ,因而是一种防治KOA的有效疗法 ,建议推广应用
Objective To treat knee osteoarthritis (KOA) in China without reliable and effective method. In this study, it is to observe the clinical efficacy of acupoint injection and exercise therapy in treating knee osteoarthritis by case control study, and to explore an exact and effective method. Methods Fifty patients with KOA were divided into treatment group (experimental group) 30 cases and control group 20 cases. The experimental group was injected with Salvia miltiorrhiza injection and exercise therapy. The control group was treated with ultrashort wave. The clinical symptoms and functional activities before and after treatment were evaluated and statistically analyzed (t-test). Results The comprehensive evaluation of the two groups of curative effects showed that in the treatment group, 6 cases improved significantly, 13 cases improved, the total effective rate was 87%. The control group were 3 cases, 8 cases, 5 cases and 4 cases. The total effective rate was 83%. The pain and joint pain were significantly improved in both groups (P <0.01), but the improvement in joint function was significantly better in the experimental group than in the control group (P <0.01). Conclusion Acupoint injection and exercise therapy can not only relieve the pain of patients with KOA but also improve their functional activities remarkably, so it is an effective therapy to prevent and treat KOA.