余红超 孙菊 董博

    [摘要] 目的 观察针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎的临床效果。 方法 应用随机数字法将2013年9月～2015年6月在陕西中医药大学附属医院门诊和住院部治疗的120例肝肾亏虚型膝骨性关节炎患者分成治疗组和对照组，每组60例。治疗组给予针刀整体松解术配合蠲痹汤治疗，对照组单纯给予中药蠲痹汤内服， 15 d为1个疗程。1个疗程后观察两组临床疗效，并评价治疗前后两组患者视觉模拟评分(VAS)和Lysholm膝关节评分。 结果 治疗组总有效率为95.0%，对照组总有效率为81.7%，差异有统计学意义(P < 0.05)。两组治疗后VAS评分和Lysholm评分均较治疗前明显改善(P < 0.05)，且治疗组改善更明显(P < 0.05)。 结论 针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎效果显著，能明显减轻患者疼痛，提高患者膝关节功能活动度。

    [关键词] 针刀整体松解术；蠲痹汤；肝肾亏虚；膝骨性关节炎；疼痛；膝关节功能活动度

    [中图分类号] R684.3 [文献标识码] A [文章编号] 1673-7210(2017)01(c)-0169-04

    [Abstract] Objective To observe the clinical curative effect of overall acupotome lysis cooperated with Juanbi Decoction in the treatment of deficiency of liver and kidney type of knee osteoarthritis. Methods According to the method of random number table， 120 cases of patients with deficiency of liver and kidney type of knee osteoarthritis treated in Outpatient and Inpatient Department of the Affiliated Hospital of Shaanxi University of Chinese Medicine from September 2013 to June 2015 were divided into treatment group and control group， with 60 cases in each group. The treatment group was given overall acupotome lysis cooperated with Juanbi Decoction ......