[1]楚向东 张为宝 李志鹏 昝强 袁普卫.针刀结合手法和热敷治疗膝骨性关节炎的临床研究[J].现代中医药,2021,(02):087-92.[doi:10.13424/j.cnki.mtct.2021.02.019]
 CHU Xiang - dong,ZHANG Wei - bao,LI Zhi - peng,et al.Clinical Efficacy of Acupotomy Combined with Manipulation and Hot Compress in The Treatment of Knee Osteoarthritis[J].Modern Traditional Chinese Medicine,2021,(02):087-92.[doi:10.13424/j.cnki.mtct.2021.02.019]
点击复制

针刀结合手法和热敷治疗膝骨性关节炎的临床研究()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年02期
页码:
087-92
栏目:
出版日期:
2021-03-20

文章信息/Info

Title:
Clinical Efficacy of Acupotomy Combined with Manipulation and Hot Compress in The Treatment of Knee Osteoarthritis
文章编号:
1672-0571(2021)02-0087-06
作者:
楚向东 1张为宝 1李志鹏 2昝强 1袁普卫 1
1.陕西中医药大学附属医院,陕西咸阳712000;
2.陕西中医药大学,陕西咸阳712046
Author(s):
CHU Xiang - dong 1 ZHANG Wei - bao 1 LI Zhi - peng 2 ZAN Qiang 1 YUAN Pu - wei 1
1. Affiliated hospital of Shaanxi Xianyang university of traditional Chinese medicine, Shaanxi Xianyang 712000, China;
2. Shaanxi University of traditional Chinese medicine, Shaanxi Xianyang 712000, China
关键词:
小针刀推拿手法热敷膝关节炎临床疗效
Keywords:
Small needle knife Massage manipulation Hot compress Knee arthritis Clinical efficacy
分类号:
R245.3
DOI:
10.13424/j.cnki.mtct.2021.02.019
文献标志码:
A
摘要:
目的观察小针刀结合手法和热敷治疗膝关节骨性关节炎的临床疗效?方法将2017年06月—2019年06月符合研究条件的120例膝骨性关节炎患者随机分为对照组和观察组?对照组采用玻璃酸钠常规治疗;观察组选用小针刀结合手法和热敷治疗?结果治疗组的总有效率为96.7%,优于对照组的78.3%?两组患者的VAS评分,在治疗后第1个月末均明显减低,治疗组优于对照组,但差异无统计学意义(P>0.05),治疗后第3?7?12个月末治疗组VAS评分明显优于对照组,差异有统计学意义(P<0.05)?两组患者的WOMAC评分,在治疗后第1?3?7?12个月末均较治疗前改善,但治疗组明显优于对照组,差异有统计学意义(均P<0.05)?结论小针刀结合手法和热敷治疗KOA具有良好的缓解疼痛?改善功能的效果,疗效确切,值得推广?
Abstract:
Objective To observe the clinical efficacy of small needle knife combined with manipulation and hot compress in the treatment of knee osteoarthritis. Methods From June 2017 to June 2019, 120 patients with knee osteoarthritis were randomly divided into control group and observation group. The control group was treated with sodium hyaluronate; the observation group was treated with small needle knife combined with manipulation and hot compress. Results The total effective rate of the treatment group was 96. 7%, which was better than 78. 3% of the control group. The VAS scores of the two groups were significantly lower at the end of the first month after treatment, and the treatment group was better than the control group, but the difference was not statistically significant ( P > 0. 05) . The VAS scores of the treatment group were significantly better than the control group at the end of the 3rd, 7th and 12th month after treatment, and the difference was statistically significant ( P < 0. 05) . WOMAC scores of the two groups were improved at the end of the 1st, 3rd, 7th and 12th month after treatment, but the treatment group was significantly better than the control group, the difference was statistically significant ( P < 0. 05) . Conclusion Small needle knife combined with manipulation and hotcompress in the treatment of KOA has a good effect in relieving pain and improving function, with definite curative effect, which is worthy of promotion.Objective To observe the clinical efficacy of small needle knife combined with manipulation and hot compress in the treatment of knee osteoarthritis. Methods From June 2017 to June 2019, 120 patients with knee osteoarthritis were randomly divided into control group and observation group. The control group was treated with sodium hyaluronate; the observation group was treated with small needle knife combined with manipulation and hot compress. Results The total effective rate of the treatment group was 96. 7%, which was better than 78. 3% of the control group. The VAS scores of the two groups were significantly lower at the end of the first month after treatment, and the treatment group was better than the control group, but the difference was not statistically significant ( P > 0. 05) . The VAS scores of the treatment group were significantly better than the control group at the end of the 3rd, 7th and 12th month after treatment, and the difference was statistically significant ( P < 0. 05) . WOMAC scores of the two groups were improved at the end of the 1st, 3rd, 7th and 12th month after treatment, but the treatment group was significantly better than the control group, the difference was statistically significant ( P < 0. 05) . Conclusion Small needle knife combined with manipulation and hotcompress in the treatment of KOA has a good effect in relieving pain and improving function, with definite curative effect, which is worthy of promotion.

参考文献/References:

[1]郑晓芬.骨关节炎发病机制和治疗的最新进展[J].中国组织工程研究,2017,21(20):3255-3262.
[2] Sarzi - Puttini P, Cimmino MA, Scarpa R, et al. Osteoarthritis: an overview of the disease and its treatment strategies. Semin Arthritis Rheum. 2005,35( 1) :1 -10.
[3]吴军发,吴毅,胡永善.关节置换术后并发症的预防和康复治疗[J].中国康复医学杂志,2002,17(6):364-366.
[4]袁普卫,杨威,康武林,等.骨关节炎的康复治疗研究进展[J].风湿病与关节炎,2016,5(2):63-67.
[5]吴玖斌,李蒙,谢雁鸣,等.膝关节骨性关节炎当代中医学术团队研究[J].北京中医药大学学报,2016,39(6):516-519.
[6]中华医学会风湿病学分会.骨关节炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(6):416-419.
[7]国家中医药管理局医政司22个专业95个病种中医诊疗方案(合订本)[M].北京:中国中医药出版社,2012:131-132.
[8]潘刘英.中西医结合治疗膝关节骨性关节炎临床观察[J].中华中医药学刊,2013,29(3):682-684.
[9] Roos E M. Strategies for the prevention of knee osteoarthritis[ J] . Nature Reviews Rheumatology,2016,12( 2) :92-101
[10] Berenbaum F. New horizons and perspectives in the treatment of osteoarthritis[ J] . Arthritis Res Ther,2008,10Suppl 2: S1.
[11]刘德玉.膝骨关节炎的中西医结合防治新模式[J].中医正骨,2016,28(9):1-4.
[12]袁普卫,杨威,康武林,等.骨关节炎的康复治疗研究进展[J].风湿病与关节炎,2016,5(2):63-67.
[13] LI Hui, ZHOU Chengyang, WANG Zhonghua. Clinical study on combination therapy of needle - knife and physical & breathing exercises for treatment of knee osteoarthritis[ J] . The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28( 4) :1 -5.
[14]陈小刚.中医理筋手法与小针刀疗法在筋伤疾病治疗中的协同应用[J].中医正骨,2017,29(5):14-15.
[15]陈斌,袁普卫,李小群,等.中药热敷配合补肾益气中药治疗膝骨性关节炎的临床观察[J].辽宁中医杂志,2017,44(1):91-93.
[16] Nelson A E. Osteoarthritis year in review 2017: clinical [ J] . Osteoarthritis & Cartilage,2018,26( 3) :319 -325.
[17]周帅,张伟,王彤,等.针刀疗法对膝骨关节炎兔胫骨前肌表面肌电与肌腱生物力学行为的影响[J].北京中医药大学学报,2018,41(8):675-680.
[18]刘乃刚,于佳妮,胡波,等.针刀对膝骨关节炎兔软骨细胞磷酸化黏着斑激酶?磷酯酰肌醇-3激酶?聚集蛋白聚糖基因及蛋白表达的影响[J].针刺研究,2018,43(4):221-225.
[19]王丽娟,史晓伟,张伟,等.针刀干预对膝骨关节炎兔股四头肌肌腱拉伸力学的影响[J].中国骨伤,2019,32(5):462-468.
[20]张伟.针刀疗法对KOA兔软骨基质降解及AKT-GSK3β?CyclinD1-CDK4/6通路的影响[D].北京:北京中医药大学,2019:27-30.
[21]王翔,刘顺怡,石瑛,等.针刀松解术治疗膝骨关节炎的临床观察[J].中国骨伤,2016,29(4):345-349.
[22]王庆甫,祁印泽,李俊海,等.小针刀疗法改善膝骨性关节炎患者膝关节功能的临床观察[J].北京中医药大学学报,2008,15(4):14-17.
[23]孔涵,陈小丽,冯启廷,等.推拿对膝骨关节炎的作用机制研究进展[J].按摩与康复医学,2018,9(8):2-5.
[24]李西海,林木南,洪昆达,刘献祥.揉膝推髌点穴法联合奥泰灵治疗瘀血阻滞型膝骨性关节炎79例临床研究[J].中医杂志,2012,53(10):853-856.
[25]陈杨,侯晓丹,银子涵,等.近20年针灸治疗膝骨性关节炎证型用穴特点分析[J].山西中医,2018,34(10):47-49.
[26]李建华,龚利,房敏,等.推拿对膝骨关节炎患者膝屈伸肌肌张力的影响[J].中国骨伤,2011,24(7):575-577.
[27]袁普卫,殷继超,楚向东,等.中药热敷散治疗膝骨关节炎的临床观察[J].中国民族民间医药,2009,18(24):115.
[28]郝阳泉,楚向东.刘德玉教授治疗膝骨性关节炎的整体诊治策略[J].陕西中医学院学报,2011,34(6):19.
[29]王燕良.中药熏洗治疗膝关节骨性关节炎疗效观察[J].西南军医,2012,14(1):49.

相似文献/References:

[1]张双明,李巧霞.小针刀治疗胸腰椎骨折术后不完全性脊髓损伤 20例[J].现代中医药,2019,(05):091.[doi:10.13424/j.cnki.mtcm.2019.05.028]
[2]李军义1 罗振强2.小针刀配合手法治疗颈性眩晕45例疗效观察[J].现代中医药,2019,(04):037.[doi:10.13424/j.cnki.mtcm.2019.04.011]
[3]侯筱文.针刀配合手法治疗腰三横突综合征 383例疗效观察[J].现代中医药,2017,(06):042.[doi:10.13424/j.cnki.mtcm.2017.06.016]
[4]张 艳* * 张 岚 王国柱*** 姚 洁 孙 菊 董 博 刘德玉 袁普卫 欧国峰 方 晴.耳穴压豆结合小针刀治疗人工髋关节置换术后便秘患者的临床观察[J].现代中医药,2017,(06):096.[doi:10.13424/j.cnki.mtcm.2017.06.036]

备注/Memo

备注/Memo:
基金项目:国家中医药管理局中医药科研项目(JDZX2015279);陕西省重点科技创新团队项目(2013KCT-26);陕西省名中医昝强传承工作室建设项目(2019009)
通讯作者:张为宝,主治医师?E-mail:273998171@qq.com
更新日期/Last Update: 2021-03-26