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1、針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床研究來源:江蘇針刀醫(yī)學(xué)網(wǎng)作者:江蘇針刀醫(yī)學(xué)網(wǎng)點(diǎn)擊:16次日期:2011-12-1922:00針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎療效顯著,其愈顯率、止痛起效時(shí)間及鎮(zhèn)痛效果均優(yōu)于電針法。此文章2011年已正式發(fā)表于中文核心期刊《南京中醫(yī)藥大學(xué)學(xué)報(bào)》第4期陳梅1施曉陽針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床研究此文章2011年已正式發(fā)表于中文核心期刊《南京中醫(yī)藥大學(xué)學(xué)報(bào)》第4期陳梅I施曉陽2顧一煌I徐斌I徐蘭鳳I董勤I王欣君I(1.南京中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院,江蘇南京210046;2.南京曉陽針刀醫(yī)學(xué)研究所,江蘇南京210006)摘要:目的觀察針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床療效。方
2、法采用完全隨機(jī)抽樣法將觀察病例分為針刀治療組60例,電針對照組60例。對兩組臨床療效、止痛起效時(shí)間及鎮(zhèn)痛效果進(jìn)行評(píng)定。結(jié)果針刀組痊愈25例(41.7%),顯效17例(28.3%),有效16例(26.7%),總有效率96.7%;電針組痊愈19例(31.7%),顯效13例(21.6%),有效22例(36.7%),總有效率90.0%;兩組愈顯率比較有顯著性差異(P<0.05),治療組止痛起效時(shí)間、鎮(zhèn)痛效果優(yōu)于對照組。結(jié)論針刀治療膝關(guān)節(jié)骨性關(guān)節(jié)炎療效顯著,其愈顯率、止痛起效時(shí)間及鎮(zhèn)痛效果均優(yōu)于電針法。關(guān)鍵詞:膝關(guān)節(jié)骨性關(guān)節(jié)炎;針刀;電針;VAS評(píng)分ClinicalStudyofTreatingK
3、neeOsteoarthritiswithAcupotomyChenMei1,ShiXiaoYang2,GuYiHuangXuBin1,XuLanFeng1,DongQin1,WangXinJun1(1.NanJingUniversityofTCM,theSecondCollegeofClinicalMedicine,Nanjing,210046,China;2.NanJingInstituteofXiaoYangAcupotomy,Nanjing,210006,China)ABSTRACT:OBJECTIVEToobservethecurativeeffectofacupotomyo
4、nKneeOsteoarthritis.METHODSThepatientswererandomlydividedintoanacupotomytreatmentgroupof60casesandanelectro-acupuncturecontrolgroupof60cases?Theclinicalcurativeeffect,thetimeofproducinganalgesiceffectandanalgesiceffectwerecomparedbetweenthetwogroups.RESULTSInacupotomygroup,25(41.7%)caseswerecured
5、,17(28.3%)caseswereobviouslyeffective,16(26.7%)caseswereeffective,thetotaleffectiveratebeing96.7%;inelectro-acupuncturegroup,19(31.7%)caseswerecured,13(21.6%)caseswereobviouslyeffective,22(36.7%)caseswereeffective,thetotaleffectiveratebeing90.0%,andthecure-markedeffectivenessratewithasignificantd
6、ifferencebetweenthetwogroups(pv0?05),thetimeofproducinganalgesiceffectandanalgesiceffectofthetreatmentgroupwerebetterthanthecontrolgroup.CONCLUSIONThecure-markedeffectivenessrate,thetimeofproducinganalgesiceffectandanalgesiceffectwerebetterinthetreatmentgroupthaninthecontrolgroup.KEYWORDS:KneeOst
7、eoarthritis;Acupotomy;Electro-acupuncture;VASscore膝關(guān)節(jié)骨性關(guān)節(jié)炎(KneeOsteoarthritis,KOA)又稱退行性膝關(guān)節(jié)病,是發(fā)牛于中老年人的常見病、多發(fā)病,尤其以中老年女性多見。臨床主要表現(xiàn)為膝關(guān)節(jié)疼痛、活動(dòng)受限、腫脹、關(guān)節(jié)積液。膝關(guān)節(jié)X線表現(xiàn)為:骨關(guān)節(jié)間隙變窄,關(guān)節(jié)軟骨面硬化,軟骨下囊性變,關(guān)節(jié)邊緣骨贅形成⑴。由于對該病的發(fā)病機(jī)理的認(rèn)識(shí)不足,故一直以來雖然治療方法很多,