[1]宋阳春,孙奎,朱俊琛,等.针刀配合肌力平衡手法治疗膝骨关节炎的临床研究[J].中医正骨,2012,24(09):20-23.
　SONG Yang-chun*,SUN Kui,ZHU Jun-chen,et al.Clinical study on the curative effect of needle knife therapy combined with muscle strength balance manipulation on knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(09):20-23.
点击复制

针刀配合肌力平衡手法治疗膝骨关节炎的临床研究()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年09期
页码:
20-23
栏目:
临床研究
出版日期:
2012-09-30

文章信息/Info

Title:
Clinical study on the curative effect of needle knife therapy combined with muscle strength balance manipulation on knee osteoarthritis
作者:
宋阳春; 孙奎; 朱俊琛; 吴三兵
安徽中医学院附属针灸医院,安徽 合肥 230061
Author(s):
SONG Yang-chun*; SUN Kui; ZHU Jun-chen; WU San-bing.*
Acupuncture Hospital Affiliated to Anhui University of Traditional Chinese Medicine,Hefei 230061,Anhui,China
关键词:
骨关节炎; 膝 小刀针 肌肉骨骼手法 治疗; 临床研究性
Keywords:
Osteoarthritis; knee;  Small knife needle;  Musculoskeletal manipulations;  Therapies; investigational
摘要:
目的:研究针刀配合肌力平衡手法治疗膝骨关节炎的临床疗效。方法:将符合要求的107例膝骨关节炎患者随机分为2组,治疗组55例,对照组52例。治疗组采用针刀配合肌力平衡手法治疗,对照组单纯采用针刀治疗,共治疗4周。分别于治疗前和治疗后采用WOMAC骨关节炎指数对患者的临床疗效进行评定。结果:①关节疼痛积分。治疗前2组患者关节疼痛积分比较,差异无统计学意义(t=0.410,P=0.683); 治疗后2组患者关节疼痛积分均减小(t=3.132,P=0.002; t=3.073,P=0.003); 2组患者治疗前后关节疼痛积分差值比较,差异无统计学意义(t=0.405,P=0.686)。②关节僵硬积分。治疗前2组患者关节僵硬积分比较,差异无统计学意义(t=0.186,P=0.853); 治疗组治疗后关节僵硬积分明显减小(t=2.081,P=0.039),对照组治疗前后关节僵硬积分比较,差异无统计学意义(t=0.165,P=0.869)。③关节功能障碍积分。治疗前2组患者关节功能障碍积分比较,差异无统计学意义(t=0.404,P=0.687); 治疗后2组患者关节功能障碍积分均减小(t=3.714,P=0.001; t=2.503,P=0.014),治疗组减小更明显(t=5.207,P=0.000)。结论:针刀配合肌力平衡手法能明显缓解膝骨关节炎患者的关节疼痛及僵硬症状,改善关节功能,是治疗膝骨关节炎的有效方法,值得临床推广应用。
Abstract:
Objective:To study the clinical curative effect of needle knife therapy combined with muscle strength balance manipulation on knee osteoarthritis(KOA).Methods:One hundred and seven patients with KOA met the requirements were randomly divided into 2 groups,55 cases in treatment group,while the others in the control group.Patients in the treatment group were administrated with needle knife therapy combined with muscle strength balance manipulation,while the others in the control group were administrated with needle knife therapy only,for consecutive 4 weeks.The clinical curative effects were evaluated according to WOMAC osteoarthritis index before and after the treatment respectively.Results:①Joint pain scores:there was no statistical difference in joint pain scores between the 2 groups before the treatment(t=0.410,P=0.683).Joint pain scores of patients in the 2 groups were all reduced after the treatment(t=3.132,P=0.002; t=3.073,P=0.003).There was no statistical difference between the 2 groups in the decreasing degree of joint pain scores(t=0.405,P=0.686).②Joint stiffness scores:there was no statistical difference in joint stiffness scores of patients between the 2 groups before the treatment(t=0.186,P=0.853).Joint stiffness scores of patients in the treatment group were reduced significantly after the treatment(t=2.081,P=0.039),while there was no statistical difference in joint stiffness scores between pretreatment and post-treatment for control groups(t=0.165,P=0.869).③Joint dysfunction scores:there was no statistical difference in joint dysfunction scores between the 2 groups before the treatment(t=0.404,P=0.687).Joint dysfunction scores of patients in the 2 groups were all reduced after the treatment(t=3.714,P=0.001; t=2.503,P=0.014),and scores of the treatment group were reduced more significantly(t=5.207,P=0.000).Conclusion:The therapy of needle knife combined with muscle strength balance manipulation can significantly relieve the joint pain and stiffness symptoms for patients with KOA and improve their joint functions,so it is an effective method in the treatment of KOA,and it is worthy of popularizing in clinic.

参考文献/References:

[1] 中华医学会骨科学分会.骨关节炎诊治指南(2007版)[J].中华骨科杂志,2007,27(10):793-796.
[2] Bellamy N,Buchanan WW,Goldsmith CH,et al.Validation study of WOMAC:a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee[J].J Rheumatol,1988,15(12):1833-1840.
[3] 陈裔英,沈红星,付本升.膝关节骨性关节炎患者接受针刀治疗后不同阶段的运动处方[J].中国组织工程研究与临床康复,2008,6(24):4773-4776.
[4] 王常海,李峰.针刀“动态平衡”理论在膝骨性关节炎中的探讨[J].中华中医药学刊,2007,25(1):73-75.
[5] 秦谊,李峰,刘清国,等.针刀松解法治疗膝骨性关节炎的机理[J].中国康复理论与实践,2010,16(4):397-398.
[6] 王庆甫,祁印泽,李俊海,等.小针刀疗法对膝骨性关节炎局部疼痛、肿胀的影响[J].中医正骨,2008,20(1):21-22.
[7] 郭燕梅,王秋华,朱才兴,等.膝骨关节炎患者伸肌肌力与疼痛和功能状况的关系[J].中国康复理论与实践,2010,16(1):25-26.
[8] 谢国平,刘文刚,魏凌峰,等.股四头肌耐力训练对中医治疗膝骨性关节炎疗效的影响[J].按摩与康复医学,2010,1(2):23-29.
[9] 孙奎,鲍学梅,宋阳春,等.针刺配合手法调整膝关节肌力平衡治疗膝骨性关节炎的临床对照试验[J].中国骨伤,2010,23(12):895-898.

相似文献/References:

[1]孟维娜,明立功,王新德,等.关节镜下清理联合腓骨近1/3段截骨治疗膝骨关节炎[J].中医正骨,2015,27(11):40.
[2]明立功,孟维娜,王新德,等.腓骨近端截骨治疗内侧间室膝骨关节炎的近期疗效观察[J].中医正骨,2015,27(10):25.
[3]张杰,王人彦,张玉柱.膝骨关节炎的治疗进展[J].中医正骨,2015,27(10):68.
[4]梁朝,蔡静怡,闫立,等.针刀疗法改善膝骨关节炎早期疼痛症状的疗效评价[J].中医正骨,2015,27(09):9.
　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(09):9.
[5]王建武,党建军,李强,等.四联疗法治疗膝骨关节炎[J].中医正骨,2015,27(08):44.
[6]刘红娟,郭会利,郭树农.云克联合中药治疗膝骨关节炎的护理[J].中医正骨,2015,27(08):75.
[7]陈卫衡.探索建立系统的膝骨关节炎中医临床科研范式 和理论体系[J].中医正骨,2015,27(07):1.
[8]郑春松,叶蕻芝,李西海,等.透骨消痛胶囊中补肾柔肝药和活血祛风药治疗 骨关节炎作用方式的计算机模拟比较[J].中医正骨,2015,27(07):6.
　ZHENG Chunsong,YE Hongzhi,LI Xihai,et al.Comparison of the mode of action of Bushen Rougan(补肾柔肝)drugs versus Huoxue Qufeng(活血祛风)drugs contained in Tougu Xiaotong Jiaonang(透骨消痛胶囊)for the treatment of osteoarthritis:A computer simulation study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):6.
[9]帅波,沈霖,杨艳萍,等.加味青娥丸治疗膝骨关节炎的作用机制研究[J].中医正骨,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(09):15.
[10]梅其杰,袁长深,段戡,等.壮药骨痹方烫熨联合运动疗法治疗膝骨关节炎的临床研究[J].中医正骨,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(09):27.

备注/Memo

备注/Memo:
2012-04-05收稿 2012-07-03修回
基金项目:国家中医药管理局十一五重点专病资助项目(12J1X1L116B108)
通讯作者:宋阳春 E-mail:haisu8066@163.com
更新日期/Last Update: 2012-09-30