针刀治疗膝骨性关节炎的临床应用效果分析
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摘要
目的总结并归纳针刀治疗膝骨性关节炎的临床应用效果。方法本文挑选我院60例膝骨性关节炎患者,挑选自2018年2月至2019年2月,将其纳入本研究。按照随机分组的方式将患者分为对照组和观察组,分别为30例,分组方式选择计算机表法。对照组给予患者膝关节腔内注射玻璃酸钠治疗,观察组则以小针刀疗法进行治疗。两组患者均持续治疗1个月,观察患者治疗情况,比较两组临床治疗效果以及治疗前后患膝平地行走时的疼痛程度和动态足底压力时间积分变化情况。结果治疗前,两组患膝平地行走时VAS评分和动态足底压力时间积分比较,组间数据经统计软件检验展示出P>0.05的结局,两组无分析意义,可比;治疗后,以小针刀疗法进行治疗的观察组在治疗总有效率以及治疗前后患膝平地行走时VAS评分和动态足底压力时间积分方面,均远优于对照组,组间数据经统计软件检验展示出P<0.05的结局,两组存在分析意义。结论在膝骨性关节炎患者的治疗中,针刀治疗的效果远优于西药治疗,可缓解患者疼痛情况,降低足底压力时间积分,改善患者临床症状。
Objective To summarize the clinical effects of acupotomology in the treatment of knee osteoarthritis. Methods Sixty patients with knee osteoarthritis in our hospital were selected from February 2018 to February 2019 and included in this study.According to the way of random grouping, the patients were divided into control group and observation group, 30 cases respectively.The grouping method was computer table method. The control group was treated with intra-articular injection of sodium hyaluronate,while the observation group was treated with small needle knife therapy. Two groups of patients were treated for one month. The treatment conditions were observed. The clinical effects, pain degree and dynamic plantar pressure time integral changes of knee walking before and after treatment were compared between the two groups. Results Before treatment, VAS score and dynamic plantar pressure time integral of knee walking were compared between the two groups. Statistical software test showed that the results of the two groups were P>0.05. There was no significant difference between the two groups. After treatment, the observation group treated with small needle knife therapy was much better than the control group in terms of total effective rate of treatment, VAS score and dynamic plantar pressure time score during flat walking of the knee before and after treatment. The results of P<0.05 between the two groups were demonstrated by statistical software test, indicating the significance of analysis in the two groups. Conclusion In the treatment of patients with knee osteoarthritis, the effect of acupotomology is far better than that of western medicine, which can alleviate the pain of patients, reduce the foot pressure time integral, and improve the clinical symptoms of patients.
Objective To summarize the clinical effects of acupotomology in the treatment of knee osteoarthritis. Methods Sixty patients with knee osteoarthritis in our hospital were selected from February 2018 to February 2019 and included in this study.According to the way of random grouping, the patients were divided into control group and observation group, 30 cases respectively.The grouping method was computer table method. The control group was treated with intra-articular injection of sodium hyaluronate,while the observation group was treated with small needle knife therapy. Two groups of patients were treated for one month. The treatment conditions were observed. The clinical effects, pain degree and dynamic plantar pressure time integral changes of knee walking before and after treatment were compared between the two groups. Results Before treatment, VAS score and dynamic plantar pressure time integral of knee walking were compared between the two groups. Statistical software test showed that the results of the two groups were P>0.05. There was no significant difference between the two groups. After treatment, the observation group treated with small needle knife therapy was much better than the control group in terms of total effective rate of treatment, VAS score and dynamic plantar pressure time score during flat walking of the knee before and after treatment. The results of P<0.05 between the two groups were demonstrated by statistical software test, indicating the significance of analysis in the two groups. Conclusion In the treatment of patients with knee osteoarthritis, the effect of acupotomology is far better than that of western medicine, which can alleviate the pain of patients, reduce the foot pressure time integral, and improve the clinical symptoms of patients.
引文
[1]朱定钰,吴明霞.小针刀治疗膝骨关节炎临床疗效观察及机制研究[J].中国卫生标准管理,2017,8(15):86-88.
[2]余红超,孙菊,董博,等.针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎临床观察[J].中国医药导报,2017,14(3):169-172.
[3]沈剑荣.小针刀治疗膝骨关节炎的临床疗效观察[J].临床医药文献电子杂志,2017,4(32):6173-6174.
[4]黄贵伟.针刀松解术康复治疗膝关节骨性关节炎62例疗效观察[J].中国社区医师,2017,33(4):141-142.
[5]欧国峰,刘继华,董博,等.小针刀闭合性松解术治疗膝关节骨性关节炎研究进展[J].山东中医杂志,2017,36(1):85-88.
[2]余红超,孙菊,董博,等.针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎临床观察[J].中国医药导报,2017,14(3):169-172.
[3]沈剑荣.小针刀治疗膝骨关节炎的临床疗效观察[J].临床医药文献电子杂志,2017,4(32):6173-6174.
[4]黄贵伟.针刀松解术康复治疗膝关节骨性关节炎62例疗效观察[J].中国社区医师,2017,33(4):141-142.
[5]欧国峰,刘继华,董博,等.小针刀闭合性松解术治疗膝关节骨性关节炎研究进展[J].山东中医杂志,2017,36(1):85-88.