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[1]梁朝,蔡靜怡,閆立,等.針刀療法改善膝骨關(guān)節(jié)炎早期疼痛癥狀的療效評價[J].中醫(yī)正骨,2015,27(09):9-14.
　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):9-14.
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針刀療法改善膝骨關(guān)節(jié)炎早期疼痛癥狀的療效評價()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年09期
頁碼:
9-14
欄目:
小針刀技術(shù)
出版日期:
2015-09-30

文章信息/Info

Title:
Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis
作者:
梁朝1; 蔡靜怡1; 閆立1; 董福慧1; 溫建民1; 余志勇2; 黃大鵬3
1.中國中醫(yī)科學(xué)院望京醫(yī)院,北京 100102;
2.湖北省襄陽市中醫(yī)醫(yī)院,湖北 襄陽 441000;
3.北京燕化醫(yī)院,北京 102500
Author(s):
LIANG Zhao1; CAI Jingyi1; YAN Li1; DONG Fuhui1; WEN Jianmin1; YU Zhiyong2; HUANG Dapeng3
1.Wangjing Hospital of China Academy Of Chinese Medical Sciences,Beijing 100102,China
2.Xiangyang Hospital of Traditional Chinese Medicine,Xiangyang 441000,Hubei,China
3.Beijing Yanhua Hospital,Beijing 102500,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  小刀針;  電針;  治療; 臨床研究性
Keywords:
osteoarthritis; knee;  small knife needle;  electroacupuncture;  therapies; investigational
摘要:
目的:評價針刀療法改善膝骨關(guān)節(jié)炎早期疼痛癥狀的療效。方法:將60例早期膝骨關(guān)節(jié)炎患者隨機分為2組,每組30例,分別采用針刀、電針治療。分別記錄并比較治療前、治療結(jié)束后和治療結(jié)束后6個月2組患者的日常生活活動能力(activities of daily living,ADL)評分。并分別于治療前和治療結(jié)束后6個月記錄并比較2組患者雙足支撐期時間、支撐期各階段時間積分比,其中支撐期各階段時間包括觸地初期(initial contact phase,ICP)、前足觸地階段(forefoot contact phase,FFCP)、全足支撐階段(foot flat phase,FFP)、前足蹬離階段(forefoot push off phase,FFPOP)。結(jié)果:①ADL評分。不同時間點間患膝ADL評分的差異有統(tǒng)計學(xué)意義(F=58.212,P=0.000)。2組患膝ADL評分的組間差異總體上有統(tǒng)計學(xué)意義(F=15.623,P=0.001)。進一步比較顯示,治療前2組患膝ADL評分的差異無統(tǒng)計學(xué)意義[(27.28±4.89)分,(26.04±5.65)分,t=0.054,P=0.971]; 治療結(jié)束后及治療結(jié)束后6個月,2組患膝ADL評分比較,組間差異均有統(tǒng)計學(xué)意義[(48.26±7.51)分,(43.94±6.72)分,t=7.976,P=0.001;(49.23±6.11)分,(44.32±8.25)分,t=9.015,P=0.000]。時間因素與分組因素存在交互效應(yīng)(F=53.201,P=0.000)。②步態(tài)測試指標(biāo)。治療結(jié)束后6個月針刀組和電針組左、右足支撐期時間均小于治療前[(791.35±135.76)分,(952.61±156.52)分,t=7.154,P=0.001;(801.24±151.88)分,(937.49±176.14)分,t=6.521,P=0.001;(808.43±136.80)分,(939.00±190.67)分,t=4.274,P=0.005;(818.81±161.01)分,(928.93±147.33)分,t=3.585,P=0.014]。治療結(jié)束后6個月,針刀組左、右足ICP、FFCP、FFP、FFPOP的百分比與治療前比較,差異均無統(tǒng)計學(xué)意義[(9.45±5.36)%,(6.73±3.56)%,t=1.446,P=0.081;(9.89±4.53)%,(7.98±4.49)%,t=1.475,P=0.076;(21.01±13.06)%,(19.59±12.31)%,t=0.986,P=0.335;(20.83±11.54)%,(18.27±10.38)%,t=1.006,P=0.319;(33.29±15.93)%,(37.47±19.31)%,t=0.846,P=0.358;(34.91±18.43)%,(39.06±14.77)%,t=0.696,P=0.494;(35.14±11.36)%,(36.63±10.81)%,t=1.104,P=0.214;(35.12±11.79)%,(34.60±10.54)%,t=0.856,P=0.349]; 電針組左、右足ICP、FFCP、FFP、FFPOP的百分比與治療前比較,差異均無統(tǒng)計學(xué)意義[(8.58±5.10)%,(11.77±7.23)%,t=1.214,P=0.095;(7.88±6.11)%,(8.48±6.39)%,t=1.024,P=0.314;(18.64±10.40)%,(20.55±15.02)%,t=0.753,P=0.427;(20.90±16.44)%,(19.76±17.47)%,t=0.987,P=0.334;(40.16±19.23)%,(35.63±20.25)%,t=0.812,P=0.363;(38.78±22.60)%,(39.25±22.08)%,t=0.631,P=0.527;(32.60±10.93)%,(32.03±12.65)%,t=0.742,P=0.449;(32.42±8.74)%,(32.49±7.33)%,t=1.005,P=0.320]。結(jié)論:針刀療法對改善膝骨關(guān)節(jié)炎早期疼痛癥狀確切有效。
Abstract:
Objective:To evaluate the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis(KOA).Methods:Sixty patients with early KOA were randomly divided into 2 groups,30 cases in each group,and the patients were treated with needle-knife therapy(needle-knife group)and electroacupuncture therapy(electroacupuncture group)respectively.The activities of daily living(ADL)were recorded and compared between the 2 groups before treatment,after treatment and at 6 months after the endof the treatment respectively.The support phase time of both feet and integral ratio of each phase were recorded and compared between the 2 groups before treatment and at 6 months after the end of the treatment respectively.The support phases included initial contact phase(ICP),forefoot contact phase(FFCP),foot flat phase(FFP)and forefoot push off phase(FFPOP).Results:There was statistical difference in the knee ADL scores between different time points(F=58.212,P=0.000).In general,there was statistical difference in the knee ADL scores between the 2 groups(F=15.623,P=0.001).Further comparison showed that there was no statistical difference in the knee ADL scores between the 2 groups before treatment(27.28+/-4.89 vs 26.04+/-5.65 points,t=0.054,P=0.971),and there was statistical difference in the knee ADL scores between the 2 groups after treatment and at 6 months after the end of the treatment(48.26+/-7.51 vs 43.94+/-6.72 points,t=7.976,P=0.001; 49.23+/-6.11 vs 44.32+/-8.25 points,t=9.015,P=0.000).There was interaction between time factor and grouping factor(F=53.201,P=0.000).The support phase time of left foot and right foot of needle-knife group and electroacupuncture group at 6 months after the end of the treatment were less than that of pre-treatment(791.35+/-135.76 vs 952.61+/-156.52 points,t=7.154,P=0.001; 801.24+/-151.88 vs 937.49+/-176.14 points,t=6.521,P=0.001; 808.43+/-136.80 vs 939.00+/-190.67 points,t=4.274,P=0.005; 818.81+/-161.01 vs 928.93+/-147.33 points,t=3.585,P=0.014).There was no statistical difference in the time percentage of ICP,FFCP,FFP and FFPOP of left foot and right foot of needle-knife group between pretreatment and 6-month-post-treatment(9.45+/-5.36% vs 6.73+/-3.56%,t=1.446,P=0.081; 9.89+/-4.53% vs 7.98+/-4.49%,t=1.475,P=0.076; 21.01+/-13.06% vs 19.59+/-12.31%,t=0.986,P=0.335; 20.83+/-11.54% vs 18.27+/-10.38%,t=1.006,P=0.319; 33.29+/-15.93% vs 37.47+/-19.31%,t=0.846,P=0.358; 34.91+/-18.43% vs 39.06+/-14.77%,t=0.696,P=0.494; 35.14+/-11.36% vs 36.63+/-10.81%,t=1.104,P=0.214; 35.12+/-11.79% vs 34.60+/-10.54%,t=0.856,P=0.349).There was no statistical difference in the time percentage of ICP,FFCP,FFP and FFPOP of left foot and right foot of electroacupuncture group between pretreatment and 6-month-post-treatment(8.58+/-5.10% vs 11.77+/-7.23%,t=1.214,P=0.095; 7.88+/-6.11% vs 8.48+/-6.39%,t=1.024,P=0.314; 18.64+/-10.40% vs 20.55+/-15.02%,t=0.753,P=0.427; 20.90+/-16.44% vs 19.76+/-17.47%,t=0.987,P=0.334; 40.16+/-19.23% vs 35.63+/-20.25%,t=0.812,P=0.363; 38.78+/-22.60% vs 39.25+/-22.08%,t=0.631,P=0.527; 32.60+/-10.93% vs 32.03+/-12.65%,t=0.742,P=0.449; 32.42+/-8.74 vs 32.49+/-7.33%,t=1.005,P=0.320).Conclusion:The needle-knife therapy does be effective for relieving knee pain in patients with early KOA.

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備注/Memo

備注/Memo:
2015-04-17收稿 2015-07-29修回
通訊作者:董福慧 E-mail:[email protected]
更新日期/Last Update: 2015-09-30