针刀配合中药熏蒸治疗KOA膝关节屈曲挛缩的临床观察

发布时间：2018-07-31 17:09

【摘要】：目的通过观察针刀配合中药熏蒸法对膝关节骨性关节炎导致的膝关节屈曲挛缩的临床治疗效果,探讨针刀对KOA膝关节屈曲挛缩的膝关节屈曲角度与KOA症状、体征的影响,探讨针刀治疗KOA膝关节屈曲挛缩的作用机制及其对改善KOA症状、体征的影响。方法将符合纳入标准的黑龙江中医药大学第一附属医院骨三科临床60例住院患者随机划分为观察组和对照组,观察组以针刀松解配合中药熏蒸法进行治疗,对照组采用推拿手法配合中药熏蒸组进行对比治疗,两周为一个治疗周期。治疗前后对两组患者膝关节伸直位X线侧位片屈曲角度、VAS疼痛表和Lequene-Mery膝关节骨性关节炎严重程度评分表进行观察。结果运用针刀配合中药熏蒸治疗KOA膝关节屈曲挛缩,患者的临床症状、体征具有不同的改善程度,与治疗前比较存在差异,具有统计学意义(P0.05)；膝关节伸直位X线侧位片屈曲角度改善明显,差异显著,具有统计学意义(P0.01)。结论经针刀配合中药熏蒸治疗后患者膝关节屈曲角度、疼痛、肿胀、晨僵、行走能力明显改善,针刀配合中药熏蒸对改善KOA膝关节屈曲挛缩方面具有较好的针对性及较高的临床应用价值。
[Abstract]:Objective To observe the therapeutic effect of needle knife combined with traditional Chinese medicine fumigation on knee joint flexion contracture caused by osteoarthritis of knee joint, and to explore the effect of acupotomy on flexion angle of knee joint and KOA symptoms and signs of KOA knee joint contracture, and explore the mechanism of acupotomy for flexion contracture of KOA knee and to improve the symptoms of KOA. Methods 60 patients who were hospitalized in the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine were randomly divided into the observation group and the control group. The observation group was treated with Acupotomy and traditional Chinese medicine fumigation. The control group was treated with massage and Chinese medicine fumigation group, and two weeks was one of the two groups. Treatment cycle. Before and after treatment, the lateral flexion angle of knee joint position of two groups of patients, VAS pain meter and Lequene-Mery knee osteoarthritis severity score were observed. Results the Acupotomy combined with Chinese medicine fumigation treatment of KOA knee flexion contracture, the clinical symptoms and signs of the patients had different improvement degree, and the treatment and treatment were different. There was a significant difference before treatment (P0.05); the flexion angle of the lateral X-ray position of the knee joint was obviously improved, the difference was significant (P0.01). Conclusion the knee flexion angle, pain, swelling, morning stiffness, walking ability of the patients after acupuncture combined with Chinese medicine fumigation were obviously improved, and the Acupotomy combined with Chinese medicine fumigation. Improving the flexion contracture of KOA knee joint has better pertinence and higher clinical application value.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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