微波配合扶他林治疗膝骨关节炎疼痛的临床疗效观察(1)
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[摘要] 目的：观察微波配合扶他林治疗膝骨关节炎疼痛的临床疗效。方法：90例膝骨关节炎患者随机分为三组，微波组30例，采用微波局部照射治疗；扶他林组30例，采用扶他林乳胶剂局部涂抹治疗；微波+扶他林组30例，采用微波局部照射+扶他林乳胶剂局部涂抹联合治疗。三组治疗前后均分别采用简式McGill疼痛问卷表(SF-MPQ)测痛，用于观察患者疼痛改善率并评价疗效及安全性。结果：三组患者治疗后SF-MPQ积分均明显降低(P<0.01)，而微波+扶他林组SF-MPQ积分明显低于微波组和扶他林组(P<0.05)，并且微波+扶他林组总有效率高于微波组和扶他林组(P<0.05)。三组治疗后均未发现明显不良反应。结论：微波配合扶他林治疗膝骨关节炎疼痛具有良好的临床疗效，且简便、安全。
[关键词] 微波；扶他林；膝骨关节炎；疼痛评级指数；视觉模拟评分；现时疼痛强度评分
[中图分类号] R684 [文献标识码] A [文章编号] 1673-7210(2011)11(a)-087-02
Observation of curative effect on microwave combined with Voltaren in the treatment of the pain of knee joint osteoarthritis
WAN Wenjun, MA Chaoyang, XIONG Xiuan, GAO Guangyi
Department of Rehabilitation, Wuhan Central Hospital, Hubei Province, Wuhan 430014, China
[Abstract] Objective: To observe the clinical effect of microwave and Voltaren in the treatment of pain of knee joint osteoarthritis. Methods: 90 patients with knee joint osteoarthritis were randomly divided into microwave therapy group (n=30), Voltaren therapy group (n=30) and microwave & Voltaren therapy group (n=30). The scores of short-form McGill pain questionnaire (SF-MPQ) were examined before and after the treatment and the efficacy and safety were evaluated. Results: There were remarkable reduces in scores of SF-MPQ above three groups (P<0.01). While scores of SF-MPQ of microwave & Voltaren therapy group were lower than those of microwave therapy group and Voltaren therapy group (P<0.05), and the total effective rate of SF-MPQ of microwave & Voltaren therapy group was higher than the other two groups (P<0.05). Conclusion: There is a good clinical effect and a simple, safe way of the treatment of pain of knee joint osteoarthritis with microwave combined with voltaren therapy.
[Key words] Microwave; Voltaren; Knee joint osteoarthritis; Pain rating index; Visual analogue scale; Present pain intensity
骨性关节炎(osteoarthritis，OA)又称骨关节炎、骨关节病、退行性关节炎和增生性关节炎等，是中老年人常见、多发和比较难治的一种慢性进行性骨关节病。临床多发于膝、髋、脊柱、踝等关节，而膝关节OA的发病率高达78.5%[1]。膝关节OA以膝关节疼痛、僵硬及活动受限为主要表现，由于膝关节本身结构复杂，加上病情复杂，病程较长，因而治疗难度较大。笔者近年来应用微波配合扶他林治疗膝骨关节炎疼痛患者，安全性高，取得了满意的疗效。现报道如下：
1 资料与方法
1.1 一般资料
选择2009年9月～2010年9月在我院康复科住院或门诊的90例患者作为研究对象 ......
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