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[1]陳長賢,仲衛(wèi)紅,賴傳仕,等.針刀松解術聯(lián)合南少林站樁功鍛煉治療早期膝骨關節(jié)炎的臨床研究[J].中醫(yī)正骨,2022,34(02):19-23.
　CHEN Changxian,ZHONG Weihong,LAI Chuanshi,et al.A clinical study of needle-knife release combined with southern Shaolin standing stake exercises for treatment of early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(02):19-23.
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針刀松解術聯(lián)合南少林站樁功鍛煉治療早期膝骨關節(jié)炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年02期
頁碼:
19-23
欄目:
臨床研究
出版日期:
2022-02-20

文章信息/Info

Title:
A clinical study of needle-knife release combined with southern Shaolin standing stake exercises for treatment of early knee osteoarthritis
作者:
陳長賢1; 仲衛(wèi)紅2; 賴傳仕1; 翁文水1; 林思雄1; 楊原芳1; 唐桂東1; 廖偉東1; 李培潮1; 劉有限1; 許中源1
1.泉州市正骨醫(yī)院,福建 泉州 362000; 2.福建中醫(yī)藥大學附屬康復醫(yī)院,福建 福州 350003
Author(s):
CHEN Changxian1; ZHONG Weihong2; LAI Chuanshi1; WENG Wenshui1; LIN Sixiong1; YANG Yuanfang1; TANG Guidong1; LIAO Weidong1; LI Peichao1; LIU Youxian1; XU Zhongyuan1
1.Quanzhou Orthopedic-Traumatological Hospital,Quanzhou 362000,Fujian,China 2.Rehabilitation Hospital affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,Fujian,China
關鍵詞:
骨關節(jié)炎;  膝;  髕股關節(jié);  針刀療法;  站樁功;  臨床試驗
Keywords:
osteoarthritis; knee;  patellofemoral joint;  acupotomy therapy;  standing stake exercise;  clinical trial
摘要:
目的:觀察針刀松解術聯(lián)合南少林站樁功鍛煉治療早期膝骨關節(jié)炎的臨床療效。方法:將60例早期膝骨關節(jié)炎患者隨機分為2組,每組30例。南少林站樁功組采用針刀松解術聯(lián)合南少林站樁功鍛煉治療,股四頭肌鍛煉組采用針刀松解術聯(lián)合股四頭肌肌力鍛煉治療。針刀松解術每周治療1次,共治療2次; 針刀松解術后第2天分別開始南少林站樁功鍛煉和股四頭肌肌力鍛煉,連續(xù)鍛煉2周。分別于治療前、治療結束后,采用膝部疼痛視覺模擬量表(visual analogue scale,VAS)評價患膝疼痛程度,采用西安大略和麥克馬斯特大學骨關節(jié)炎指數(shù)(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)評分評價患膝功能,并于治療結束后按照自擬標準評價總體療效。結果:①膝部疼痛VAS評分。治療前2組患者的膝部疼痛VAS評分比較,差異無統(tǒng)計學意義[(4.54±1.03)分,(4.64±1.22)分,t=0.759,P=0.451]; 治療結束后南少林站樁功組的膝部疼痛VAS評分低于股四頭肌鍛煉組[(1.75±0.77)分,(2.35±1.31)分,t=-5.976,P=0.000],2組患者的膝部疼痛VAS評分均較治療前降低(t=13.360,P=0.000; t=6.020,P=0.000)。②WOMAC評分。治療前2組患者的WOMAC評分比較,差異無統(tǒng)計學意義[(25.42±5.63)分,(25.56±5.29)分,t=-0.686,P=0.493]; 治療結束后南少林站樁功組的WOMAC評分低于股四頭肌鍛煉組[(13.28±5.40)分,(16.75±4.33)分,t=-0.725,P=0.000],2組患者的WOMAC評分均較治療前降低(t=-23.456,P=0.000; t=-23.745,P=0.000)。③總體療效。治療結束后,南少林站樁功組治愈9例、顯效14例、有效5例、無效2例,股四頭肌鍛煉組治愈2例、顯效5例、有效17例、無效6例; 南少林站樁功組的總體療效優(yōu)于股四頭肌鍛煉組( R^-南少林站樁功組=22.28,R^-股四頭肌鍛煉組=38.72,Z=-3.819,P=0.000)。結論:針刀松解術聯(lián)合南少林站樁功鍛煉治療早期膝骨關節(jié)炎,可以有效減輕膝關節(jié)疼痛,改善膝關節(jié)功能,總體療效優(yōu)于針刀松解術聯(lián)合股四頭肌肌力鍛煉。
Abstract:
Objective:To observe the clinical outcome of needle-knife release combined with southern Shaolin standing stake exercises for treatment of early knee osteoarthritis(KOA).Methods:Sixty patients with early KOA were enrolled in the study and were randomly divided into group A and group B,30 cases in each group.The patients in group A were treated with needle-knife release and southern Shaolin standing stake exercises,while the ones in group B with needle-knife release and quadriceps femoris muscle strength exercises.The needle-knife release was performed once a week for consecutive 2 times,followed by 2-week southern Shaolin standing stake exercises and quadriceps femoris muscle strength exercises respectively on day 2 after the needle-knife release.The knee pain degree and knee function were evaluated by using knee pain visual analogue scale(VAS)and Western Ontario and McMaster Universities osteoarthritis index(WOMAC)score before the treatment and after the end of the treatment respectively,and the total outcome were evaluated according to the self-made evaluation standards after the end of the treatment.Results:①There was no statistical difference in knee pain VAS score between the 2 groups before the treatment(4.54±1.03 vs 4.64±1.22 points,t=0.759,P=0.451).The knee pain VAS score was lower in group A compared to group B after the end of the treatment(1.75±0.77 vs 2.35±1.31 points,t=-5.976,P=0.000),and it decreased in the 2 groups after the end of the treatment compared to pre-treatment(t=13.360,P=0.000; t=6.020,P=0.000).②There was no statistical difference in WOMAC score between the 2 groups before the treatment(25.42±5.63 vs 25.56±5.29 points,t=-0.686,P=0.493).The WOMAC score was lower in group A compared to group B after the end of the treatment(13.28±5.40 vs 16.75±4.33 points,t=-0.725,P=0.000),and it decreased in the 2 groups after the end of the treatment compared to pre-treatment(t=-23.456,P=0.000; t=-23.745,P=0.000).③After the end of the treatment,9 patients were cured,14 good,5 fair and 2 poor in group A; while 2 ones were cured,5 good,17 fair and 6 poor in group B.The total outcome was better in group A compared to group B(R^-group A=22.28,R^-group B=38.72,Z=-3.819,P=0.000).Conclusion:Needle-knife release combined with southern Shaolin standing stake exercises can effectively relieve knee pain and improve knee function in treatment of early KOA,and its total outcome is better than that of needle-knife release combined with quadriceps femoris muscle strength exercises.

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備注/Memo

備注/Memo:
基金項目:國家中醫(yī)藥管理局中醫(yī)藥循證能力建設項目(2019XZZX-GK001)
通訊作者:仲衛(wèi)紅 E-mail:[email protected]
更新日期/Last Update: 2022-02-20