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[1]張靜,李炳奇,任杰.針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎的療效觀察[J].中醫(yī)正骨,2017,29(05):10-13.
　ZHANG Jing,LI Bingqi,REN Jie.Observation on the clinical curative effect of release with knife needle combined with intra-articular injection of ozone for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(05):10-13.
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針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年05期
頁碼:
10-13
欄目:
臨床研究
出版日期:
2017-05-20

文章信息/Info

Title:
Observation on the clinical curative effect of release with knife needle combined with intra-articular injection of ozone for treatment of knee osteoarthritis
作者:
張靜1; 李炳奇2; 任杰2
1.河南省漯河市第二人民醫(yī)院,河南 漯河 462000; 2.吉林省吉林中西醫(yī)結(jié)合醫(yī)院,吉林 吉林 132012
Author(s):
ZHANG Jing1; LI Bingqi2; REN Jie2
1.The Second People's Hospital of Luohe city,Luohe 462000,Henan,China. 2.Jilin combinational hospital of traditional Chinese medicine and Western medicine,Jilin 132012,Jilin,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  小刀針;  臭氧;  注射; 關(guān)節(jié)內(nèi);  臨床試驗
Keywords:
Key words osteoarthritis; knee;  small knife needle;  ozone;  injections; intra-articular;  clinical trial
摘要:
目的:觀察針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎的臨床療效。方法:將60例符合要求的膝骨關(guān)節(jié)炎患者隨機分為2組,每組30例,分別采用針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療和單純臭氧關(guān)節(jié)腔注射治療。針刀松解和臭氧關(guān)節(jié)腔注射均每周1次,共治療2次。采用明通A830L M-tone壓痛測試儀測定膝關(guān)節(jié)疼痛最明顯部位的壓痛值,壓痛值越大提示疼痛程度越輕。采用美國特種外科醫(yī)院(Hospital for Special Surgery,HSS)膝關(guān)節(jié)評價量表評定總體療效。結(jié)果:治療前2組患者的膝關(guān)節(jié)壓痛值比較,差異無統(tǒng)計學(xué)意義[(2.19±0.25)kg,(2.21±0.34)kg,t=0.348,P=0.729]; 治療結(jié)束后2組患者的膝關(guān)節(jié)壓痛值均增加(t=23.342,P=0.000; t=8.025,P=0.000); 針刀聯(lián)合臭氧治療組的壓痛值大于臭氧治療組[(3.44±0.18)kg,(2.82±0.86)kg,t=10.545,P=0.000]。治療前后不同時間點HSS評分的差異有統(tǒng)計學(xué)意義,即存在時間效應(yīng)(F=1 055.406,P=0.000); 2組患者治療前膝關(guān)節(jié)HSS評分均最低,治療結(jié)束后即刻評分均最高,然后隨時間延長評分均逐漸降低[(52.47±3.08)分,(79.83±2.39)分,(74.90±2.88)分,(70.67±2.20)分,F=895.384,P=0.000;(52.40±2.94)分,(73.33±3.65)分,(69.70±3.13)分,(66.27±3.08)分,F=784.345,P=0.000]。2組患者HSS評分總體比較,組間差異有統(tǒng)計學(xué)意義,即存在分組效應(yīng)(F=8.968,P=0.000); 除治療前外(t=0.343,P=0.733),治療結(jié)束后即刻、1個月、2個月時針刀聯(lián)合臭氧治療組的HSS評分均高于臭氧治療組(t=8.154,P=0.000; t=6.694,P=0.000; t=6.359,P=0.000)。時間因素和分組因素存在交互效應(yīng)(F=17.368,P=0.000)。結(jié)論:針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎,可在短期內(nèi)緩解關(guān)節(jié)疼痛癥狀、改善關(guān)節(jié)功能,但療效會隨時間延長逐漸減退,總體療效優(yōu)于單純臭氧關(guān)節(jié)腔注射治療。
Abstract:
ABSTRACT Objective:To observe the clinical curative effects of release with knife needle combined with intra-articular injection of ozone for treatment of knee osteoarthritis(KOA).Methods:Sixty patients with KOA were enrolled in the study and were randomly divided into 2 groups,30 cases in each group.The patients were treated with combination therapy of release with knife needle and intra-articular injection of ozone(group A)and monotherapy of intra-articular injection of ozone(group B)respectively,once a week for consecutive 2 times.The tenderness values of knee were measured at the site where the knee pain was the most obvious by using A830L M-tone tenderness-measuring apparatus,and greater tenderness values represented less pain.The total curative effects were evaluated and compared between the 2 groups by using knee rating scale established by American Hospital for Special Surgery(HSS).Results:There was no statistical difference in the tenderness values of knee between the 2 groups before the treatment(2.19+/-0.25 vs 2.21+/-0.34 kg,t=0.348,P=0.729).The knee tenderness values increased in both of the 2 groups after the end of the treatment(t=23.342,P=0.000; t=8.025,P=0.000).The knee tenderness values were greater in group A compared to group B(3.44+/-0.18 vs 2.82+/-0.86 kg,t=10.545,P=0.000).There was statistical difference in HSS scores between different timepoints before and after the treatment,in other words,there was time effect(F=1 055.406,P=0.000).The lowest HSS scores were found before the treatment and the highest HSS scores

參考文獻/References:

[1] 顧明士,張申岳,王萍,等.中老年人膝骨關(guān)節(jié)炎患病趨勢十年前后對照分析[J].上海醫(yī)藥,2013,34(4):57-59.
[2] 中華醫(yī)學(xué)會骨科學(xué)分會.骨關(guān)節(jié)炎診治指南(2007年版)[J].中華骨科雜志,2007,27(10):793-796.
[3] 中國中醫(yī)藥研究促進會骨科專業(yè)委員會,中國中西醫(yī)結(jié)合學(xué)會骨傷科專業(yè)委員會關(guān)節(jié)工作委員會.膝骨關(guān)節(jié)炎中醫(yī)診療專家共識(2015年版)[J].中醫(yī)正骨,2015,27(7):4-5.
[4] 陳輝,操石磊,張春禮.膝關(guān)節(jié)單髁置換術(shù)的研究現(xiàn)狀[J].中國矯形外科雜志,2007,7(15):525-527.
[5] 胡懷軍,趙朝鋒.小針刀松解臭氧玻璃酸鈉關(guān)節(jié)腔注射聯(lián)合中藥外敷治療膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(1):47-48.
[6] 王光濤,劉學(xué)春.小針刀配合拇指點按治療膝骨關(guān)節(jié)炎腘窩部筋節(jié)[J].中醫(yī)正骨,2016,28(1):66-67.
[7] 龐繼光.針刀醫(yī)學(xué)基礎(chǔ)與臨床[M].深圳:海天出版社,2006:24-28.
[8] 韋嵩,劉小平,陳志煌.應(yīng)用經(jīng)筋膜原理論治療類風(fēng)濕關(guān)節(jié)炎[J].北京中醫(yī)藥大學(xué)學(xué)報:中醫(yī)臨床版,2014,21(1):11-14.
[9] 鄧偉哲,王宏晶,王宇恒,等.微創(chuàng)針刀鏡治療難治性膝關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(11):42-44.
[10] 李蕓,傅志儉.臭氧治療炎性痛的應(yīng)用研究[J].中國疼痛醫(yī)學(xué)雜志,2016,22(3):168-171.
[11] 王大壽,王林,安裕文.臭氧對兔膝骨性關(guān)節(jié)炎關(guān)節(jié)沖洗液中細胞因子含量影響的實驗研究[J].中國疼痛醫(yī)學(xué)雜志,2011,17(1):59-60.
[12] 周鈺,楊曉媛,許曉冬,等.關(guān)節(jié)腔臭氧注射治療膝關(guān)節(jié)骨性關(guān)節(jié)炎對關(guān)節(jié)液中白細胞介素-1β、腫瘤壞死因子-α的影響[J].中國康復(fù)醫(yī)學(xué)雜志,2012,27(1):73-74.
[13] 姜鵬,傅志儉.醫(yī)用臭氧治療膝骨性關(guān)節(jié)炎相關(guān)機制的研究進展[J].中國疼痛醫(yī)學(xué)雜志,2015,21(7):532-535.

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通訊作者:李炳奇 E-mail:[email protected]
更新日期/Last Update: 2017-05-20