[1]赵军,王庆甫.小针刀疗法结合功能锻炼治疗Kellgren-LawranceⅢ级膝骨关节炎[J].中医正骨,2018,30(02):65-68/77.
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小针刀疗法结合功能锻炼治疗Kellgren-LawranceⅢ级膝骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年02期
页码:
65-68/77
栏目:
临床报道
出版日期:
2018-02-20

文章信息/Info

作者:
赵军1; 王庆甫2
1.甘肃省中医院,甘肃 兰州 730050; 2.北京中医药大学第三附属医院,北京 100029
关键词:
骨关节炎; 膝;  髌股关节;  小刀针;  功能锻炼
摘要:
目的:观察小针刀疗法结合功能锻炼治疗Kellgren-LawranceⅢ级膝骨关节炎的短期临床疗效。方法:2014年5月至2016年5月,采用小针刀疗法结合功能锻炼治疗Kellgren-LawranceⅢ级膝骨关节炎患者38例57膝,男12例21膝、女26例36膝。年龄45～70岁,中位数65岁。所有患者均符合美国风湿病学会修订的膝骨关节炎诊断标准。比较治疗前及治疗开始后2周膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、Lequence膝骨关节炎严重度指数评分、Insall指数、沟角、适合角、髌骨倾斜角、髌股指数、髌骨深度指数、滑车深度指数、外侧髌股角和髌骨外移度。结果:治疗开始后2周,患者膝关节疼痛VAS评分、Lequence膝骨关节炎严重度指数评分均低于治疗前[(2.43±1.02)分,(6.45±1.31)分,t=4.748,P=0.000;(10.52±1.56)分,(17.25±2.01)分,t=3.895,P=0.001]; 髌骨倾斜角、适合角、髌股指数、Insall指数均小于治疗前(9.10°±1.55°,9.87°±1.86°,t=6.589,P=0.035; -6.25°±3.36°,10.17°±2.35°,t=6.534,P=0.003; 1.60±0.53,1.90±0.47,t=2.837,P=0.004; 1.08±0.23,1.13±1.12,t=2.036,P=0.032); 沟角、髌骨深度指数、滑车深度指数与治疗前比较,差异无统计学意义(138.31°±1.86°,138.25°±1.20°,t=0.891,P=0.638; 3.56±0.95,3.58±1.02,t=4.842,P=0.855; 5.23±1.52,5.19±1.13,t=0.874,P=0.753); 外侧髌股角异常率(正常48膝,异常9膝,异常率15.8%)低于治疗前(正常36膝,异常21膝,异常率36.8%),髌骨外移度异常率(正常52膝,异常5膝,异常率8.8%)低于治疗前(正常42膝,异常15膝,异常率26.3%)。结论:小针刀疗法结合功能锻炼治疗Kellgren-LawranceⅢ级膝骨关节炎,在短期内可以改善髌股关节解剖关系,明显缓解膝关节疼痛,促进膝关节功能恢复,值得临床推广应用。

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更新日期/Last Update: 2018-07-02