[1]阚丽丽,王海东△,刘安国,等.闭合减压刺骨术治疗膝关节退行性变35例[J].中国中医骨伤科杂志,2016,24(09):29-32.
　KAN Lili,WANG Haidong,LIU Anguo,et al.35 Cases of Closure Bone Puncture Decompression on Knee Joint Degeneration[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(09):29-32.
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闭合减压刺骨术治疗膝关节退行性变35例
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年09期
页码:
29-32
栏目:
临床研究
出版日期:
2016-09-01

文章信息/Info

Title:
35 Cases of Closure Bone Puncture Decompression on Knee Joint Degeneration
文章编号:
1005-0205(2016)09-0029-04
作者:
阚丽丽1;  王海东1△;  刘安国2
1.甘肃省中医院风湿骨病科(兰州,730050)
2.甘肃中医药大学针灸推拿学院
△.通信作者 E-mail:Whaidong5895@163.com
Author(s):
KAN Lili1;  WANG Haidong1△;  LIU Anguo2
1.The Rheumatism Department,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;
2.The College of Acupuncture and Massage,Gansu University of Traditional Chinese Medicine,Lanzhou 730050,China.
关键词:
膝关节退行性变;  骨痹;  刺骨术;  闭合减压
Keywords:
arthralgia;  bi syndrome of bone;  nip-operation;  bone puncture;  closure decompression
分类号:
R274.9
文献标志码:
A
摘要:
目的:评价闭合减压刺骨术治疗膝关节退行性变的临床疗效; 方法:纳入膝关节退行性变患者70例,采用临床随机对照研究方法,将患者分为闭合骨减压组和对照组各35例。闭合骨减压组行刺骨减压治疗,隔日1次,共治疗4周。对照组接受双氯芬酸二乙胺软膏涂擦患处治疗,每日1次,疗程4周。两组患者分别在治疗前后利用膝关节功能评分(AKSS量表)、膝关节主动屈伸度、髌骨被动活动度、满意度调查等综合评价两种干预措施治疗本病的临床疗效,并比较疗效的优越性。结果:70例患者依从性较高,无脱落病例。两组患者治疗后AKSS评分明显提高、膝关节主动屈伸度、髌骨被动活动度显著改善,在症状缓解方面,闭合减压刺骨术明显优于药物贴敷治疗组(P<0.05)。治愈率方面,骨减压组的临床有效率达到88.6%,药物贴敷治疗组患者治愈率为77.1%,提示闭合减压刺骨术的临床有效率明显优于药物治疗组(P<0.05)。结论:闭合减压刺骨术能够在短期内改善膝关节退行性变患者的疼痛症状,显著提高患者的膝关节活动能力,其临床治愈率高,疗效优于双氯芬酸二乙胺软膏涂擦治疗,同时避免了使用NSAIDs类药物的不良反应及并发症,安全性较高,值得推广和应用。
Abstract:
Objective:To evaluate the clinical effect of bone puncture decompression on knee joint degeneration. Methods:70 cases of knee degenerative changes were divided into closed bone decompression group and control group,35 cases in each group. Closed bone decompression group underwent a decompression treatment,1 every other day,a total of 4 weeks of treatment. The control group received diclofenac two ethylamine ointment treatment,1 time daily for 4 weeks.Some index were evaluated such as the knee function score(AKSS scale),active flexion and extension degree of the knee joint,patella passive mobility and satisfaction degree in the two groups of patients before and after treatment. Results:70 cases of patients with high dependence,no shedding cases. After treatment,the AKSS score of the two groups was significantly improved,the active flexion and extension of the knee and the active patella were significantly improved. In the relief of symptoms,the closed bone puncture decompression was significantly better than the drug treatment group(P<0.05). The clinical cure rate of the bone decompression group reached 88.6%,and the cure rate was 77.1%,which indicated that the clinical cure rate of the closed decompression was better than the drug treatment group(P<0.05). Conclusions:Closed bone puncture decompression can rapidly improve the pain symptoms of patients with degenerative knee joint,and significantly improve the patient's knee joint activity. At the same time,it avoid the adverse reactions and complications of the use of NSAIDs drugs,and is worthy of promotion and application in the future.

参考文献/References:

[1] 蒋昭霞,王自平.刺骨术治疗膝骨关节炎临床观察[J].安徽中医药大学学报,2015:34(2):37-39.
[2] 于长志,许学猛,刘文刚,等.膝退行性骨关节病中药注射疗法文献质量评价[J].中医正骨,2008,20(5):19-20.
[3] 钱定军,成吴,向一鸣.中药熏洗辅助关节镜清理治疗膝骨关节炎的Meta分析[J].中国组织工程研究与临床康复,2011,15(26):4813-4816.
[4] 冯巍,封彦齐.膝骨性关节炎的治疗进展[J].贵阳中医学院学报,2010,32(2):87-88.
[5] 李春娥,董建文,王文波.膝关节骨性关节炎熏洗方用药规律文献研究[J].西部中医药,2015,28(3):97-100.
[6] 杨绍春.COX-2抑制剂与NSAID联合PPI治疗骨关节病消化道不良反应的META分析[J].山东医药,2014,54(4):70-72.
[7] 叶铄,甄平,贾小云.膝骨性关节炎临床治疗进展[J].中国中医骨伤科杂志,2015,23(2):76-80.
[8] 林木南,林艳红,陈立典,等.针刀治疗膝骨性关节炎的有限元分析[J].中国中医骨伤科杂志,2015,23(11):18-23.
[9] 王燕良.中药熏洗治疗膝关节骨性关节炎疗效观察[J].西南军医,2012,14(1):48-49.
[10] 陈清汉,许振华,刘家勇,等.膝部疼痛与骨内压关系的临床研究[J].中华骨科杂志,1996,16(1):25-27.
[11] Badalamente MA,Cherney SB.Periosteal and vascular innervations of the human patella in degenerative joint disease[J].Semin Arthritis Rheum,1989,18(4):61-66.
[12] 金晓飞,郭长青,刘福水.针刀治疗膝骨关节炎力学信号传导机制探讨[J].中国中医基础医学杂志,2011,17(12):1363-1370.
[13] 吕帅洁,孙齐,杜文喜,等.小针刀治疗膝骨关节炎的研究进展[J].中医正骨,2014,26(1):49-51.
[14] 张康乐,膝退行性骨关节病与透明质酸钠的临床研究[J].中国综合临床,1998,14(6):520-522.
[15] 张蓉,李峰,王常海,等.经筋理论在膝关节骨性关节炎发病机制及治疗中的作用[J].中国康复医学杂志,2007,22(7):644-646.
[16] 陈学明,卢森桂,唐焕章.钻孔减压治疗早期退行性膝关节炎[J].中国矫形外科杂志,2000,7(2):8-9.
[17] 赵平,耿家金,程加峰,等.髌骨钻孔减压改善全膝关节置换术后膝前疼痛[J].临床骨科杂志,2014,17(3):277-280.

更新日期/Last Update: 2016-09-15