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1、.518.中国骨肿瘤骨病2010年12月第9卷第6期ChinJBoneTumor&BoneDisease,December2010,Vol9,No.6.临床论著.综合疗法治疗膝关节骨性关节炎的疗效观察王同山 赵洪波 李建强 申云龙 金建武作者单位：065800，河北省文安县医院【摘要】 目的 观察综合疗法治疗膝关节骨性关节炎的疗效。方法 120例膝关节骨性关节炎患者，随机分为口服盐酸氨基葡萄糖组(Ａ组)和综合采用依托芬那酯凝胶膝部外用、微波理疗、运动疗法配合口服氨基葡萄糖等方法治疗组(Ｂ组)。Ａ组口服盐酸氨基葡萄糖，0.75g/次，２次/d，
2、疗程６周；Ｂ组口服盐酸氨基葡萄糖，0.75g/次，２次/d，疗程６周，同时用依托芬那酯凝胶膝部外用，３次/d，疗程10d、膝部微波理疗，２次/d，疗程10d、运动疗法，２次/d，疗程２个月。结果 治疗２周后Ａ组优０例，良16例，优良率26.7%；Ｂ组60例优６例，良27例，优良率55.0%。随访３个月后Ａ组优２例，良23例，优良率41.7%；Ｂ组优９例，良31例，优良率66.7%。结论 综合疗法治疗膝关节骨性关节炎安全有效，疗效明显优于单纯口服盐酸氨基葡萄糖。【关键词】 膝关节骨性关节炎；运动疗法；氨基葡萄糖；依托芬那酯凝胶doi:10.39
3、69/j.issn.1671-1971.2010.06.012ObservationontheefficacyofcompositetreatmentforkneeosteoarthitisWANGTongshan,ZHAOHongbo,LIJianqiang,etal.DepartmentofOrthopedics,HospitalofWenanCounty,Langfang,Hebei,065800,PRC【Abstract】ObjectiveToobservetheefficacyofcompositetreatmentforkneeo
4、steoarthritis.MethodsAtotalof120patientswithkneeosteoarthritisweredividedrandomlyintotwogroups:theglucosaminehydrochloridegroup(groupA)andthecompositetreatmentgroup(groupB).PatientsingroupAorallytookglucosaminehydrochloridetwicedailyfor6weeks,with0.75geachtime.Patientsingro
5、upBweretreatedwiththemethodofgroupAandusedetofenamategel3timesadayfor10days,underwentmicrowavetherapytwiceadayfor10days,andkinesiotherapytwiceadayfor2months.ResultsAfter2weeks,ingroupA,nopatientreportedexcellentresults,and16patientsreportedgoodresults.Theexcellentandgoodrat
6、ewas26.7%.IngroupB,6patientsreportedexcellentresults,and27reportedgoodresults.Theexcellentandgoodratewas55.0%.Allpatientswerefollowedupfor3months.2patientsfromgroupAreportedexcellentresults,and23reportedgoodresults.Theexcellentandgoodratewas41.7%.9patientsfromgroupBreported
7、excellentresults,and31reportedgoodresults.Theexcellentandgoodratewas66.7%.ConclusionsThecompositetreatmentofglucosaminehydrochloride,etofenamategel,microwavetherapyandkinesiotherapyissafeandeffectiveintreatingosteoarthritisofthekneejoint.Itcanrelievesymptomsandimprovejointf
8、unctions.Theefficacyofcompositetreatmentisbetterthanthatofsoleglucosaminehydrochlo
