Wang Yong, Yang Aimin, Dai Shuai
Department of Outpatient, Shanghai Fullway Healthcare Shanghai City, China.
Department of Pain Clinic, Shanghai Punan Hospital Shanghai City, China.
Am J Clin Exp Immunol. 2021 Aug 15;10(2):48-55. eCollection 2021.
To investigate the efficacy of traditional Chinese medicine acupotomy combined with platelet-rich plasma (PRP) in the treatment of early and middle osteoarthritis.
Eighty cases of early and middle knee joint pain patients admitted in our hospital were selected in this retrospective study. They were divided into the control group and observation group according to treatment methods, with 40 cases in each group. The control group was treated with PRP, and the observation group was treated with acupotomy + PRP. Clinical response rate, visual analogue scale (VAS) pain score, Lequesne score, Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index and SF-36 quality of life score were compared between the two groups.
The total clinical response rate in the observation group was higher than that in control group (P<0.01). VAS pain score, knee joint WOMAC index and Lequesne score in the two groups after treatment were lower than those before treatment, and those in the observation group were lower than those in the control group (all P<0.05). SF-36 quality of life score was significantly higher in the observation group than in the control group (all P<0.001).
Acupotomy combined with PRP in the treatment of early and middle osteoarthritis can relieve pain and improve joint function, which is worthy of clinical promotion.
探讨中医针刀联合富血小板血浆（PRP）治疗早中期骨关节炎的疗效。
本回顾性研究选取我院收治的80例早中期膝关节疼痛患者。根据治疗方法将其分为对照组和观察组，每组40例。对照组采用PRP治疗，观察组采用针刀+PRP治疗。比较两组的临床有效率、视觉模拟评分法（VAS）疼痛评分、Lequesne评分、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）以及SF-36生活质量评分。
观察组的总临床有效率高于对照组（P<0.01）。两组治疗后的VAS疼痛评分、膝关节WOMAC指数和Lequesne评分均低于治疗前，且观察组低于对照组（均P<0.05）。观察组的SF-36生活质量评分显著高于对照组（均P<0.001）。
针刀联合PRP治疗早中期骨关节炎可缓解疼痛，改善关节功能，值得临床推广。
