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目的:对几种常用的中西医治疗膝骨性关节炎方法进行比较。总结治疗本病较为有效的治疗方法。方法:选择2007年10月～2009年10月在重庆三峡医专附二院针灸科就诊的膝关节骨性关节炎患者180例,均同意接受分组治疗,并随机按应用的不同治疗方法分为西药组、中药蜡疗组、臭氧治疗组、综合治疗组4组。各组患者分别于治疗前及治疗后2、4、8和12周进行膝关节综合评分(36-0),包括静息痛、运动痛、关节压痛、肿胀、活动度、行走能力6项,分数越高症状越轻。结果:西药组、中药蜡疗组、臭氧治疗组三者治疗后近期疗效较好,但远期疗效一般;综合治疗组近期评分2周在28.62±2.42,4周达31.20±3.04,8周和12周膝关节综合评分为30.64±2.29和28.87±2.46,保持在较高水平,表明该组疗效满意,近期和远期疗效稳定。结论:膝关节治疗方法较多,中西医结合综合治疗可以减少由于长期服用非甾体类消炎止痛药所引起的不良反应,近期及远期疗效满意,是较为理想的治疗方法。
OBJECTIVE: To compare several commonly used methods of treating osteoarthritis of the knee osteoarthritis. Summary of the treatment of the disease is more effective treatment. Methods: From October 2007 to October 2009 in Chongqing Three Gorges Hospital attached acupuncture treatment of knee osteoarthritis 180 patients were agreed to receive group therapy, and randomized according to the application of different treatment methods are divided into Western medicine group, traditional Chinese medicine wax treatment group, ozone treatment group, comprehensive treatment group 4 groups. The knee scores of all groups were evaluated before treatment and at 2, 4, 8 and 12 weeks after treatment (36-0), including resting pain, exercise pain, joint tenderness, swelling, mobility and walking ability The higher the score the less symptoms. Results: The short-term curative effect of western medicine group, traditional Chinese medicine wax treatment group and ozone treatment group after treatment was good, but the long-term curative effect was general; the recent comprehensive treatment group score was 28.62 ± 2.42 for 4 weeks and reached 31.20 ± 3.04 for 8 weeks and The comprehensive scores of knee joint at 12 weeks were 30.64 ± 2.29 and 28.87 ± 2.46, which were kept at a high level, which showed that the group had satisfactory curative effect and stable curative effect in the short and long term. Conclusion: There are many ways to treat knee joint. Integrative Chinese and Western medicine can reduce side effects caused by long-term use of non-steroidal anti-inflammatory and analgesic drugs. Satisfactory short-term and long-term efficacy are the ideal treatment.