[1]任树军 任明辉 王墉琦 张乐鑫 张宇△.局部封闭配合针刀治疗痰湿阻滞型膝关节滑膜皱襞综合征48例[J].中国中医骨伤科杂志,2016,24(12):38-41.
　REN Shujun REN Minghui WANG Yongqi ZHANG Lexin ZHANG Yu.Effect of Acupuncture Knife Treating 48 cases of Phlegm Stagnation Type of Knee Synovial Plica Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(12):38-41.
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局部封闭配合针刀治疗痰湿阻滞型膝关节滑膜皱襞综合征48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12期
页码:
38-41
栏目:
临床研究
出版日期:
2016-12-05

文章信息/Info

Title:
Effect of Acupuncture Knife Treating 48 cases of Phlegm Stagnation Type of Knee Synovial Plica Syndrome
作者:
任树军1 任明辉2 王墉琦2 张乐鑫2 张宇3△
Author(s):
REN Shujun1 REN Minghui2 WANG Yongqi2 ZHANG Lexin2 ZHANG Yu3△
1The First Hospital,Affiliated to Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China; 2Graduate School of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China; 3The Second Clinical Medicine College,Inner Mongolia University of Nationalities,Yakeshi 022150,Inner Mongolia China.
关键词:
膝关节滑膜皱襞;  针刀治疗;  痰湿阻滞型;  临床研究
Keywords:
knee synovial plica;  acupuncture therapy;  phlegm stagnation type;  clinical research
分类号:
R684.3
文献标志码:
A
摘要:
目的:分析对比针刀治疗痰湿阻滞型膝关节滑膜皱襞综合征的临床疗效。方法:按照随机数字表法,将98例滑膜皱璧综合征患者随机分为针刀组和封闭组,分别为48例和50例。其中针刀组48例采用局部麻醉后小针刀治疗; 封闭组50例采用局部封闭治疗。两组治疗1个月后采用视觉模拟评分法(VAS)和Lysholm膝关节评分标准来评定病人的临床疗效。结果:1)两组治疗前VAS评分比较,差异无统计学意义[(6.60±0.13)分,(6.98±0.14)分]。治疗一个疗程后两组VAS评分比较,差异有统计学意义[(2.10±0.14)分,(3.00±0.15)分]。针刀组治疗前后VAS疼痛评分结果为,t=34.530,P<0.01(α=0.05)。封闭组治疗前后VAS疼痛评分结果,t=32.929,P<0.01(α=0.05),针刀组和封闭组治疗前后差异有统计学意义(P<0.05)。2)两组治疗前Lysholm膝关节功能指数评分比较,差异无统计学意义[(47.02±2.41)分,(45.00±4.50)分]。治疗一个疗程后两组Lysholm膝关节功能指数评分比较,差异有统计学意义[(77.48±4.94)分,(67.04±4.42)分]。针刀组治疗前后比较,t=23.686,P<0.05; 封闭组疗前后比较,t=13.582,P<0.05,差异有统计学意义。3)针刀组临床治愈20例,显效17例,有效7例,无效4例; 封闭组临床治愈13例,显效12例,有效14例,无效11例。经统计学Ridit分析,R=2.629,P=0.010,差异有统计学意义,针刀组的优良率明显高于封闭组。结论:局部封闭配合针刀治疗痰湿阻滞型膝关节滑膜皱襞综合征效果优于单纯局部封闭治疗,值得临床应用推广。
Abstract:
Objective:To detect the curative effect of acupuncture knife for treating phlegm stagnation type of knee synovial plica syndrome. Methods:According to the random number table,98 cases with synovial plica syndrome were randomly divided into acupuncture knife group(48 cases)and closed injection group(50cases). The visual analogue score(VAS)and the knee score of Lysholm standard were used for evaluating the clinical efficacy of two groups two months after treatment. Results:1)The VAS score of acupuncture knife group and closed injection group were not significantly different at baseline(6.60±0.13,6.98±0.14). After a course of treatment,the VAS score of two groups were both significantly different compared to baseline(2.10±0.14,3.00±0.15,P<0.05). 2)The Lysholm knee score of above two groups were not significantly different at baseline(47.02±2.41,45.00±4.50). After a course of treatment,the Lysholm knee score of two groups were both significantly different compared to baseline(77.48±4.94,67.04±4.42,P<0.05).3)In the acupuncture knife group,20 cases were cured,17 cases were markedly effective,7 cases were effective,and 4 cases were invalid. In the closed injection group,13 cases were cured,12 cases were markedly effective,14 cases were effective,and 11 cases were invalid. The statistical analysis of Ridit,R=2.629,P=0.010. The excellent rate of acupuncture knife group was significantly higher than the closed injection group. Conclusion: The effect of acupuncture knife for treating phlegm stagnation type of knee synovial plica syndrome is better than closed injection treatment,it is worthy for clinical application.

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备注/Memo

备注/Memo:
1黑龙江中医药大学附属第一医院(哈尔滨,150040) 2黑龙江中医药大学研究生学院 3内蒙古民族大学第二临床医学院 内蒙古林业总医院 △通信作者 E-mail:30114233@qq.com
更新日期/Last Update: 2016-12-01