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[1]王運(yùn)超,于秋深,金國(guó)強(qiáng),等.針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療膝骨關(guān)節(jié)炎臨床療效的Meta分析[J].中醫(yī)正骨,2023,35(06):36-43,48.
　WANG Yunchao,YU Qiushen,JIN Guoqiang,et al.Clinical outcomes of needle-knife therapy combined with knee intra-articular injection of drugs for treatment of knee osteoarthritis:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(06):36-43,48.
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針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療膝骨關(guān)節(jié)炎臨床療效的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年06期
頁碼:
36-43,48
欄目:
文獻(xiàn)研究
出版日期:
2023-06-20

文章信息/Info

Title:
Clinical outcomes of needle-knife therapy combined with knee intra-articular injection of drugs for treatment of knee osteoarthritis:a meta-analysis
作者:
王運(yùn)超; 于秋深; 金國(guó)強(qiáng); 李勁松; 李家平; 朱勇; 姚卓立
(上海市黃浦區(qū)中西醫(yī)結(jié)合醫(yī)院,上海 200010)
Author(s):
WANG Yunchao; YU Qiushen; JIN Guoqiang; LI Jinsong; LI Jiaping; ZHU Yong; YAO Zhuoli
Shanghai Huangpu District Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200010,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  針刀療法;  注射; 關(guān)節(jié)內(nèi);  透明質(zhì)酸;  臭氧;  專題Meta分析
Keywords:
osteoarthritis; knee;  acupotomy therapy;  injections; intra-articular;  hyaluronic acid;  ozone;  meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)的臨床療效。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、維普網(wǎng)、萬方數(shù)據(jù)庫(kù)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、PubMed、Embase、Web of Science和Cochrane Library中關(guān)于針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療KOA的對(duì)比研究文獻(xiàn),檢索時(shí)限均為建庫(kù)至2022年10月31日。試驗(yàn)組采用傳統(tǒng)針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療,對(duì)照組僅采用關(guān)節(jié)腔內(nèi)注射藥物治療。依據(jù)文獻(xiàn)檢索及篩選方案篩選出符合要求的文獻(xiàn)后,由2名研究人員分別獨(dú)立進(jìn)行數(shù)據(jù)提取和質(zhì)量評(píng)價(jià)。采用Revman5.4軟件進(jìn)行Meta分析。結(jié)果:共檢索到367篇文獻(xiàn),最終納入11篇文獻(xiàn),共涉及1601例患者,其中試驗(yàn)組800例,對(duì)照組801例。Meta分析結(jié)果顯示,試驗(yàn)組有效率、Lysholm膝關(guān)節(jié)評(píng)分高于對(duì)照組[RR=1.21,95%CI(1.16,1.25),P=0.000; MD=6.01,95%CI(3.82,8.20),P=0.000],膝關(guān)節(jié)疼痛視覺模擬量表評(píng)分、西安大略和麥克馬斯特大學(xué)骨關(guān)節(jié)炎指數(shù)評(píng)分低于對(duì)照組[MD=-1.17,95%CI(-1.24,-1.09),P=0.000; MD=-6.94,95%CI(-8.31,-5.56),P=0.000]。結(jié)論:針刀聯(lián)合關(guān)節(jié)腔內(nèi)注射藥物治療KOA的臨床療效優(yōu)于單純關(guān)節(jié)腔內(nèi)注射藥物。
Abstract:
Objective:To systematically review the clinical outcomes of needle-knife therapy combined with knee intra-articular injection of drugs for treatment of knee osteoarthritis(KOA).Methods:All controlled clinical trial articles about clinical outcomes of needle-knife therapy combined with knee intra-articular injection of drugs for treatment of KOA included from database establishing to October 31,2022 were retrieved from the China National Knowledge Internet,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,PubMed,Embase,Web of Science and Cochrane Library through computer.The patients in experiment group were treated with conventional needle-knife therapy combined with knee intra-articular injection of drugs,while the ones in control group merely with knee intra-articular injection of drugs.The articles were retrieved and screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of research in the articles was evaluated using bias risk assessment tools recommended by Cochrane handbook independently by the same two researchers,and if any disagreement was found between them,discussion was conducted or another researcher was invited for making a final decision,and then a Meta-analysis was conducted by using Revman5.4 software.Results:Three hundred and sixty-seven articles were searched out.After screening,11 articles(1601 patients)were included in the final analysis,800 patients in experiment group and 801 ones in control group.The results of Meta-analysis revealed that the clinical effective rate and Lysholm knee score were higher,while the knee pain visual analogue scale(VAS)score and Western Ontario and McMaster Universities osteoarthritis index(WOMAC)score were lower in experiment group compared to control group(RR=1.21,95%CI(1.16,1.25),P=0.000; MD=6.01,95%CI(3.82,8.20),P=0.000; MD=-1.17,95%CI(-1.24,-1.09),P=0.000; MD=-6.94,95%CI(-8.31,-5.56),P=0.000).Conclusion:The needle-knife therapy combined with knee intra-articular injection of drugs has better clinical outcomes compared to knee intra-articular injection of drugs alone in treatment of KOA.

參考文獻(xiàn)/References:

[1] 中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)關(guān)節(jié)外科學(xué)組.骨關(guān)節(jié)炎診療指南(2018年版)[J].中華骨科雜志,2018,38(12):705-715.
[2] BIJLSMA J W,BERENBAUM F,LAFEBER F P.Osteoarthritis:an update with relevance for clinical practice[J].Lancet,2011,377(9783):2115-2126.
[3] TANG X,WANG S,ZHAN S,et al.The prevalence of symptomatic knee osteoarthritis in China:results from the China Health and Retirement Longitudinal Study[J].Arthritis Rheumatol,2016,68(3):648-653.
[4] 中國(guó)中西醫(yī)結(jié)合學(xué)會(huì)骨傷科專業(yè)委員會(huì).膝骨關(guān)節(jié)炎中西醫(yī)結(jié)合診療指南[J].中華醫(yī)學(xué)雜志,2018,98(45):3653-3658.
[5] 中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)關(guān)節(jié)外科學(xué)組,中國(guó)醫(yī)師協(xié)會(huì)骨科醫(yī)師分會(huì)骨關(guān)節(jié)炎學(xué)組,國(guó)家老年疾病臨床醫(yī)學(xué)研究中心(湘雅醫(yī)院),等.中國(guó)骨關(guān)節(jié)炎診療指南(2021年版)[J].中華骨科雜志,2021,41(18):1291-1314.
[6] 石捷,秦世昌,陳柱杰,等.針刀配合玻璃酸鈉治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床研究[J].廣西醫(yī)學(xué),2006,28(5):656-658.
[7] 韓艷,周文芳,吳云剛,等.針刀療法聯(lián)合玻璃酸鈉治療40例膝骨關(guān)節(jié)炎的臨床研究[J].中華全科醫(yī)學(xué),2016,14(2):215-216.
[8] 劉曉強(qiáng),婁強(qiáng).序貫式綜合治療早中期膝骨關(guān)節(jié)炎的臨床研究[J].山西醫(yī)藥雜志,2015,44(13):1468-1470.
[9] 陳瑩,謝碧玉.小針刀聯(lián)合玻璃酸鈉治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的近遠(yuǎn)期療效觀察[J].現(xiàn)代醫(yī)院,2015,15(7):74-75.
[10] 馮彥輝,郝丹,俎志勇.小針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔內(nèi)注射治療膝關(guān)節(jié)骨性關(guān)節(jié)炎[J].河南醫(yī)學(xué)研究,2020,29(8):1389-1391.
[11] 謝妮娜,羅書躍.小針刀合關(guān)節(jié)腔注射治療早中期膝骨關(guān)節(jié)炎40例臨床觀察[J].湖南中醫(yī)雜志,2021,37(1):73-75.
[12] 鄧?yán)?胡偉民,蔡雪平,等.觀察針刀聯(lián)合關(guān)節(jié)腔內(nèi)臭氧注射治療膝骨性關(guān)節(jié)炎臨床療效及對(duì)炎性因子水平的影響[J].湖北中醫(yī)藥大學(xué)學(xué)報(bào),2020,22(3):86-89.
[13] 吳順林,熊巍,鄧志亨,等.觀察玻璃酸鈉關(guān)節(jié)腔注射配合小針刀松解治療膝骨關(guān)節(jié)炎的臨床療效[J].醫(yī)學(xué)信息,2016,29(18):404-405.
[14] 陳述芳,王開強(qiáng),張華梅.關(guān)節(jié)腔注射聯(lián)合小針刀治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)藥導(dǎo)報(bào),2017,23(23):87-90.
[15] 郭志明.玻璃酸鈉聯(lián)合針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎療效觀察[J].實(shí)用中醫(yī)藥雜志,2017,33(3):273-274.
[16] 余志勇,梁朝,洪軍,等.玻璃酸鈉結(jié)合針刀療法對(duì)早期膝骨性關(guān)節(jié)炎軟組織張力的影響[J].北京中醫(yī)藥大學(xué)學(xué)報(bào)(中醫(yī)臨床版),2010,17(6):29-32.
[17] 朱漢章.針刀醫(yī)學(xué)體系概論[J].中國(guó)工程科學(xué),2006,8(7):1-15.
[18] 郭珈宜,李峰,馮亦冉.重視膝骨關(guān)節(jié)炎中醫(yī)診療,科學(xué)選擇中醫(yī)非藥物療法——《膝骨關(guān)節(jié)炎中醫(yī)診療指南(2020年版)》解讀[J].中醫(yī)正骨,2022,34(4):1-3.
[19] 張帆,周勝利,周奕璇.膝骨關(guān)節(jié)炎中醫(yī)外治研究進(jìn)展[J].陜西中醫(yī),2022,43(6):814-816.
[20] 章奇,閆麗超,郎伯旭.針刺配合微針刀治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2019,31(5):44-46.
[21] 葛海雅,鄢來軍,張燕,等.超聲引導(dǎo)下針刀松解術(shù)治療膝骨關(guān)節(jié)炎的有效性和安全性Meta分析[J].中醫(yī)正骨,2020,32(10):42-46.
[22] 張洪贊,許書貞,曹玉舉,等.針刀結(jié)合下肢皮牽引治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2019,31(1):57-59.
[23] 趙軍,王慶甫.小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級(jí)膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2018,30(2):65-68.
[24] 中國(guó)醫(yī)師協(xié)會(huì)關(guān)節(jié)外科工作委員會(huì).醫(yī)用幾丁糖在關(guān)節(jié)腔注射應(yīng)用的專家共識(shí)(2018版)[J].中華關(guān)節(jié)外科雜志(電子版),2018,12(2):290-292.
[25] SHETH U,SIMUNOVIC N,KLEIN G,et al.Efficacy of autologous platelet-rich plasma use for orthopaedic indications:a meta-analysis[J].J Bone Joint Surg Am,2012,94(4):298-307.

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　LIANG Zhao,CAI Jingyi,YAN Li,et al.Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):9.
[15]王建武,黨建軍,李強(qiáng),等.四聯(lián)療法治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(08):44.
[16]劉紅娟,郭會(huì)利,郭樹農(nóng).云克聯(lián)合中藥治療膝骨關(guān)節(jié)炎的護(hù)理[J].中醫(yī)正骨,2015,27(08):75.
[17]陳衛(wèi)衡.探索建立系統(tǒng)的膝骨關(guān)節(jié)炎中醫(yī)臨床科研范式 和理論體系[J].中醫(yī)正骨,2015,27(07):1.
[18]帥波,沈霖,楊艷萍,等.加味青娥丸治療膝骨關(guān)節(jié)炎的作用機(jī)制研究[J].中醫(yī)正骨,2015,27(07):15.
　SHUAI Bo,SHEN Lin,YANG Yanping,et al.Study on the mechanism of action of Jiawei Qing'e Wan(加味青娥丸)for the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):15.
[19]梅其杰,袁長(zhǎng)深,段戡,等.壯藥骨痹方燙熨聯(lián)合運(yùn)動(dòng)療法治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):27.
　MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):27.
[20]王丹輝,張燕,劉麗娟,等.重組人Ⅱ型腫瘤壞死因子受體-抗體融合蛋白 關(guān)節(jié)腔注射聯(lián)合中藥薰洗治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):31.
　WANG Danhui,ZHANG Yan,LIU Lijuan,et al.Clinical study on intra-articular injection of TypeⅡrecombinant human tumor necrosis factor receptor-Fc fusion protein combined with Chinese herbal steaming and washing therapy for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):31.

備注/Memo

備注/Memo:
基金項(xiàng)目:上海市基層名老中醫(yī)專家傳承工作室建設(shè)項(xiàng)目(2020JCGZS-011) 通訊作者:姚卓立 E-mail:[email protected]
更新日期/Last Update: 1900-01-01