[1]安加华,华全红,王海东.针刀松解术缓解膝关节病变患者疼痛及改善关节功能的效果研究▲[J].内科,2018,13(04):565-567+622.[doi:DOI:10.16121/j.cnki.cn45-1347/r.2018.04.08]
 AN Jiahua,HUA Quanhong,WANG Haidong.Effect of acupotomy on pain relief and joint function improvement in patients with knee joint disease[J].Internal Medicine of China,2018,13(04):565-567+622.[doi:DOI:10.16121/j.cnki.cn45-1347/r.2018.04.08]
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针刀松解术缓解膝关节病变患者疼痛及改善关节功能的效果研究▲()
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《内科》[ISSN:1006-6977/CN:61-1281/TN]

卷:
13卷
期数:
2018年04
页码:
565-567+622
栏目:
论著
出版日期:
2018-08-13

文章信息/Info

Title:
Effect of acupotomy on pain relief and joint function improvement in patients with knee joint disease
文章编号:
1673-7768(2018)04-0565-04
作者:
安加华1华全红2王海东3
1 甘肃省天祝藏族自治县藏医院风湿科,天祝县733299;2 天祝藏族自治县人民医院中医科,天祝县733299;3 甘肃省中医院风湿骨病科,兰州市730050
Author(s):
AN Jiahua1 HUA Quanhong2 WANG Haidong3
(1 Department of Rheumatology, Tianzhu Tibetan Autonomous County Tibetan Hospital of Gansu Province, Tianzhu 733299, China; 2 Chinese medicine department, Tianzhu Tibetan Autonomous County People′s Hospital, Tianzhu 733299, China; 3 Department of rheumatology and orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
膝关节病变治疗针刀松解术疼痛关节功能
Keywords:
Knee joint disease acupotomy pain joint function
分类号:
R 684
DOI:
DOI:10.16121/j.cnki.cn45-1347/r.2018.04.08
文献标志码:
A
摘要:
目的探讨针刀松解术缓解膝关节病变患者疼痛及改善膝关节功能的效果。方法将80例膝关节病变患者采用随机数表法分为研究组和对照组,每组40例。对照组患者应用传统针灸疗法治疗,研究组采用针刀松解术治疗,连续治疗3周。观察比较两组患者的临床疗效,评估比较两组患者治疗前后的膝关节功能、疼痛和焦虑状况;随访2年,比较两组患者治疗后的生活质量。结果研究组患者的临床疗效优于对照组,研究组患者的治疗总有效率(92.5%)显著高于对照组(67.5%),差异有统计学意义(P<0.01)。治疗3周后,两组患者的膝关节损伤及骨性关节炎转归评分(KOOS)均显著提高,研究组患者的KOOS评分显著高于对照组,差异有统计学意义(P<0.05)。治疗6个月后,两组患者的数字评分法(NRS)、焦虑视觉模拟量表(VAS-A)评分均显著降低,研究组患者的NRS、VAS-A评分显著低于对照组,差异有统计学意义(P<0.05)。研究组患者治疗后的关节炎生活质量量表2-短卷(AIMS2-SF)各维度评分显著高于对照组,差异有统计学意义(P<0.05)。结论针刀松解术治疗膝关节病变患者临床效果显著,能有效缓解患者疼痛症状、改善膝关节功能、提高生活质量。
Abstract:
ObjectiveTo explore the effect of acupotomy therapy on relieving pain in patients with knee joint disease and improving knee function. Methods80 patients with knee joint disease were divided into study group and control group by random number table, 40 cases in each group. The patients in the control group were treated with traditional acupuncture therapy, and the study group was treated with acupotomy for 3 weeks. The clinical efficacy of the two groups of patients was observed and compared. The knee function, pain and anxiety of the two groups were compared before and after treatment. The quality of life of the two groups was compared after 2 years of follow-up. ResultsThe clinical efficacy of the study group was better than that of the control group. The total effective rate of the study group (92.5%) was significantly higher than that of the control group (67.5%), and the difference was statistically significant (P<0.01). After 3 weeks of treatment, the KOOS scores of the two groups were significantly increased. The KOOS scores of the study group were significantly higher than the control group, and the difference was statistically significant (P<0.05). After 6 months of treatment, the NRS and VAS-A scores of the two groups were significantly reduced. The NRS and VAS-A scores of the study group were significantly lower than the control group (P<0.05). The scores of AIMS2-SF in the study group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). ConclusionThe clinical effect of acupotomy on patients with knee joint disease is significant, which can effectively alleviate the pain symptoms, improve the knee joint function and improve the quality of life of patients.

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备注/Memo

备注/Memo:
▲基金项目:甘肃省科技厅民生项目(1209-FCMA026)
更新日期/Last Update: 2018-08-14