小针刀为主治疗膝骨关节炎的临床观察

发布时间：2018-04-26 04:21

本文选题：膝骨关节炎 + 小针刀　；参考：《山西医科大学》2015年硕士论文

【摘要】：目的:观察小针刀松解术配合肌力训练治疗膝骨关节炎的临床疗效,分析患者膝关节功能改善情况及治疗效果,探讨膝骨关节炎的病因、发病机理及针刀治疗的作用机理。方法:将纳入标准的60例患者,分为两组,治疗组30例,对照组30例,治疗组采用小针刀配合肌力训练,对照组采用单纯肌力训练治疗。治疗4周后,观察两组治疗前、后疼痛视觉模拟评分法(VAS)评分及膝关节Lysholm评分变化,并判定两组患者治疗后的疗效。结果:(1)治疗前两组患者膝关节功能比较,差异无统计学意义(P0.05)。(2)治疗后,治疗组和对照组患者VAS评分较治疗前明显下降、Lysholm评分较治疗前明显升高,差异有统计学意义(P0.05);治疗后两组间VAS评分、Lysholm评分比较,治疗组VAS评分明显低于对照组,Lysholm评分明显高于对照组,差异有统计学意义(P0.05)。(3)治疗组膝关节疼痛改善程度为优的患者占40%,改善程度为良的患者占40%,改善程度为中的患者占16.7%;而对照组膝关节疼痛改善程度为优的患者占20%,改善程度为良的患者占23.3%,改善程度为中的患者占43.3%,两组治疗后疗效经卡方检验分析两组总体疗效差异有显著性意义(P0.05),表明治疗组疗效优于对照组。结论:通过本研究,我们发现小针刀松解术配合肌力训练能明显改善患者膝关节功能,疗效优于单纯肌力训练。小针刀松解术操作简单,治疗时间短,缓解疼痛,改善膝关节活动度,不良反应少,值得临床应用。
[Abstract]:Objective: to observe the clinical effect of small needle knife release combined with muscle strength training in the treatment of knee osteoarthritis, to analyze the improvement of knee joint function and the therapeutic effect, and to explore the etiology, pathogenesis and action mechanism of acupuncture knife therapy for knee osteoarthritis. Methods: 60 patients were divided into two groups: treatment group (n = 30) and control group (n = 30). After 4 weeks of treatment, the visual analogue score of pain and the Lysholm score of knee joint were observed before and after treatment in both groups, and the curative effect of the two groups was evaluated. Results there was no significant difference in knee joint function between the two groups before and after treatment. After treatment, the VAS scores of the patients in the treatment group and the control group were significantly decreased and the Lysholm score was significantly higher than that before treatment. After treatment, the VAS score of the treatment group was significantly lower than that of the control group, and the VAS score of the treatment group was significantly higher than that of the control group. The difference was statistically significant (P0.05U. 3) in the treatment group, 40 patients had excellent degree of knee joint pain improvement, 40patients had good degree of improvement, 16.7patients had moderate improvement degree, and 20 patients in the control group had excellent degree of knee pain improvement. The patients with good degree of improvement accounted for 23.3G and the patients with moderate degree of improvement accounted for 43.3%. After treatment, there was a significant difference in the overall curative effect between the two groups by chi-square test, which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: through this study, we found that small needle knife loosening combined with muscle strength training can obviously improve the knee joint function of patients, and the curative effect is better than that of simple muscle strength training. The operation of small needle knife loosening is simple, the treatment time is short, the pain is alleviated, the knee joint motion is improved, and the adverse reaction is less, so it is worthy of clinical application.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R684.3

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