[1]王智明 陈文玉 王娟娟 李海玲 曹萍.三点法针刀松解髌下脂肪垫治疗膝关节疼痛的临床研究[J].中国中医骨伤科杂志,2015,23(09):22-25.
　WANG Zhiming CHEN Wenyu WANG Juanjuan LI Hailing CAO Ping.Effect of Acupotomy Lysis on Pain of Infrapatellar Fat Pad with Three Point Method[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(09):22-25.
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三点法针刀松解髌下脂肪垫治疗膝关节疼痛的临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年09期
页码:
22-25
栏目:
临床研究
出版日期:
2015-09-15

文章信息/Info

Title:
Effect of Acupotomy Lysis on Pain of Infrapatellar Fat Pad with Three Point Method
文章编号:
1005-0205(2015)09-0022-04
作者:
王智明1 陈文玉1 王娟娟1 李海玲1 曹萍1
1.甘肃省中医院白银分院风湿病科(甘肃 白银,730900)
Author(s):
WANG Zhiming1 CHEN Wenyu1 WANG Juanjuan1 LI Hailing1 CAO Ping1
1.Department of Rheumatism, Baiyin Branch of Gansu Province Hospital of Traditional Chinese Medicine,Baiyin 730900,Gansu China.
关键词:
针刀疗法;  髌下脂肪垫;  膝关节疼痛
Keywords:
three point method;  acupotomy therapy;  infrapatellar fat pad;  knee joint pain
分类号:
R684
文献标志码:
A
摘要:
目的:观察三点法针刀松解髌下脂肪垫治疗膝关节疼痛的疗效。方法:将120例膝关节疼痛患者随机分为治疗组、针刀对照组、针刺组和西药组,每组30例。治疗组行三点法针刀松解髌下脂肪垫,但不松解其它组织; 针刀对照组按照传统痛点定点,只松解病变组织,不松解髌下脂肪垫; 针刺组接受针刺治疗; 西药组口服双氯芬酸钠缓释胶囊。治疗一个疗程后观察压痛点数、疼痛分级及功能分级的变化。结果:治疗一个疗程后,各组压痛点个数均减少,疼痛分级0、Ⅰ级数及治疗组功能分级0、Ⅰ级数均提高,与治疗前比较,差异具有统计学意义(P<0.05); 针刀对照组、针刺组和西药组功能分级0、Ⅰ级数治疗后有所提高,但与治疗前比较无统计学意义(P>0.05); 治疗组与针刀对照组、针刺组及西药组比较,治疗组治疗后压痛点数、疼痛分级0、Ⅰ级数和功能分级0、Ⅰ级数变化更明显,差异有统计学意义(P<0.05)。结论:三点法针刀松解髌下脂肪垫能够有效治疗膝关节疼痛。
Abstract:
Objective: To observe the curative effect of acupotomy lysis infrapatellar fat pad with three point method to treat knee joint pain. Methods: 120 patients with knee joint pain were randomly divided into treatment group, acupotomy control group, acupuncture group and Western medicine group, 30 patients in each group. Patients in treatment group received acupotomy lysis of infrapatellar fat pad with three point method, not relaxing other tissues. The acupotomy control group received acupotomy lysis of other tissues, not relaxing infrapatellar fat pad. The acupuncture group received acupuncture treatment and the western medicine group were treated with Diclofenac Sodium Sustained Release Capsules orally. The changes of tenderness points, pain classification and functional classification was observed after a course of treatment. Results: After a course of treatment, the number of tenderness points in each group were reduced.The 0, Ⅰ progression of pain rating and function grade in treatment group were increased. The difference was statistically significant(P<0.05).The 0, Ⅰ progression of pain rating and function grade in acupotomycontrol group, acupuncture group and western medicine group were also increased,but the difference was not statistically significant(P>0.05)compared with before treatment.The change of 0, Ⅰ progression of pain rating and function grade in treatment group was statistically significant different(P<0.05)compared with the acupotomycontrol group, acupuncture group and western medicine group. Conclusion: Acupotomy lysis of infrapatellar fat pad with three point method is effective in treating knee joint pain.

参考文献/References:

[1] 周奉皋,唐小波,曾勇.髌下脂肪垫损伤与全膝痛关系的临床研究[J].中医正骨,2005,10(17):26-27.
[2] 毕胜,王福根,侯金山.兔髌下脂肪垫损伤动物模型的制备和组织病理变化[J].颈腰痛杂志,2000,21(2):109
[3] 董宏然,王全美,吴华山,等.软组织松解手术治疗顽固性髌下脂肪垫损害性慢性膝痛[J].中国疼痛医学杂志,2013,19(9):570-571.
[4] 宣蛰人.宣蛰人软组织外科学[M].上海:文汇出版社,2002:173.
[5] Bohnsack M,Hurschler C,Demirtas T,et al.Infrapatellar fat pad pressure and volume changes of the anterior compartment during knee motion:possible clinical consequences to the anterior knee pain syndrome[J].Knee Surg Sports Traumatol Arthrosc,2005,13(2):135-141.
[6] 严广斌.滑膜皱襞综合征[J/CD].中华关节外科杂志(电子版),2012,5(1):36.
[7] Bohnsack M,Meier F,Walter GF,et al.Distribution of substance- P nerves inside the infrapatellar fat pad and the adjacent synodal tissue:a neurohistological approach to anterior knee pain syndrome[J].Arch Orthop Trauma surg,2005,125(9):592-597.
[8] English A,Jones EA,Corscadden D,et al.A comparative assessment of cartilage and joint fat pad as a potential source of cells for autologous therapy development in knee osteoarthritis[J].Rheumatology(Oxford),2007,46(11):1676-1683.
[9] Clockaerts S,Bastiatmsen-Jenniskens YM,Runhaar J,et al.The infra-patellar fat pad should be considered as an active osteoarthfitie joint tissue:a narrative review[J].Osteoarthritis Cartilage,2010,18(7):876-882.
[10] Hao D,Li M,Wu Z,et al.Synovial fluid level of adiponectin correlated with levels of aggrecan degradation markers in oeteoarthritis[J].Rheomatol Int,2011,31(11):1433-1437.
[11] 沈曙晶,刘厚宁,蒋佑升.髌上滑囊炎与髌下脂肪垫炎的治疗及两者相关性的临床研究[J].实用疼痛学杂志,2008,3(4):194-196.
[12] 朱汉章,柳百智.针刀临床诊断与治疗[M].北京:人民卫生出版社,2013:44-51.

备注/Memo

备注/Memo:
收稿日期:2014-11-12
基金项目:甘肃省白银市科技计划项目(2014-2-70Y)
更新日期/Last Update: 2015-09-15