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[1]趙軍,王慶甫.小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2018,30(02):65-68/77.
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小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年02期
頁碼:
65-68/77
欄目:
臨床報道
出版日期:
2018-02-20

文章信息/Info

作者:
趙軍1王慶甫2
1.甘肅省中醫(yī)院,甘肅 蘭州 730050; 2.北京中醫(yī)藥大學(xué)第三附屬醫(yī)院,北京 100029
關(guān)鍵詞:
骨關(guān)節(jié)炎 髕股關(guān)節(jié) 小刀針 功能鍛煉
摘要:
目的:觀察小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎的短期臨床療效。方法:2014年5月至2016年5月,采用小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎患者38例57膝,男12例21膝、女26例36膝。年齡45~70歲,中位數(shù)65歲。所有患者均符合美國風濕病學(xué)會修訂的膝骨關(guān)節(jié)炎診斷標準。比較治療前及治療開始后2周膝關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分、Lequence膝骨關(guān)節(jié)炎嚴重度指數(shù)評分、Insall指數(shù)、溝角、適合角、髕骨傾斜角、髕股指數(shù)、髕骨深度指數(shù)、滑車深度指數(shù)、外側(cè)髕股角和髕骨外移度。結(jié)果:治療開始后2周,患者膝關(guān)節(jié)疼痛VAS評分、Lequence膝骨關(guān)節(jié)炎嚴重度指數(shù)評分均低于治療前[(2.43±1.02)分,(6.45±1.31)分,t=4.748,P=0.000;(10.52±1.56)分,(17.25±2.01)分,t=3.895,P=0.001]; 髕骨傾斜角、適合角、髕股指數(shù)、Insall指數(shù)均小于治療前(9.10°±1.55°,9.87°±1.86°,t=6.589,P=0.035; -6.25°±3.36°,10.17°±2.35°,t=6.534,P=0.003; 1.60±0.53,1.90±0.47,t=2.837,P=0.004; 1.08±0.23,1.13±1.12,t=2.036,P=0.032); 溝角、髕骨深度指數(shù)、滑車深度指數(shù)與治療前比較,差異無統(tǒng)計學(xué)意義(138.31°±1.86°,138.25°±1.20°,t=0.891,P=0.638; 3.56±0.95,3.58±1.02,t=4.842,P=0.855; 5.23±1.52,5.19±1.13,t=0.874,P=0.753); 外側(cè)髕股角異常率(正常48膝,異常9膝,異常率15.8%)低于治療前(正常36膝,異常21膝,異常率36.8%),髕骨外移度異常率(正常52膝,異常5膝,異常率8.8%)低于治療前(正常42膝,異常15膝,異常率26.3%)。結(jié)論:小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎,在短期內(nèi)可以改善髕股關(guān)節(jié)解剖關(guān)系,明顯緩解膝關(guān)節(jié)疼痛,促進膝關(guān)節(jié)功能恢復(fù),值得臨床推廣應(yīng)用。

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更新日期/Last Update: 2018-07-02