[1]程少丹 刘猛 张洋 葛程 鞠申丹 张建坡 席智杰 庞海莉 何东仪△.针刀镜治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2018,26(01):21-24.
　CHENG Shaodan LIU Meng ZHANG Yang GE Cheng JU Shendan ZHANG Jianpo XI Zhijie PANG Haili HE Dongyi.Clinical Study on the Treatment of Knee Osteoarthritis with Acupotomy Arthroscope[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(01):21-24.
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针刀镜治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年01期
页码:
21-24
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Clinical Study on the Treatment of Knee Osteoarthritis with Acupotomy Arthroscope
文章编号:
1005-0205(2018)01-0021-04
作者:
程少丹1 刘猛1 张洋1 葛程1 鞠申丹1 张建坡1 席智杰1 庞海莉1 何东仪1△
1上海市光华中西医结合医院,上海市中医药研究院中西医 结合关节炎研究所(上海,200052) △通信作者 E-mail:dongyihe@medmail.com.cn
Author(s):
CHENG Shaodan1 LIU Meng1 ZHANG Yang1 GE Cheng1 JU Shendan1 ZHANG Jianpo1 XI Zhijie1 PANG Haili1 HE Dongyi1△
1Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200052,China.
关键词:
针刀镜;  膝骨关节炎;  临床研究
Keywords:
Keywords: acupotomy arthroscope;  knee osteoarthritis;  clinical study
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察针刀镜治疗膝骨关节炎的临床疗效。方法:选取膝骨关节炎患者150例,按随机数字表法分为针刀镜治疗组和针刀对照组,每组各75例。治疗组局部麻醉后,采用针刀镜经外膝眼及内膝眼实施粘连松解等操作,同时进行持续关节灌洗。术毕缝合切口,关节腔注入防粘连医用几丁糖2 mL.术后每2～3 d予术口换药,10 d后拆线。对照组经内、外膝眼及局部压痛点进行针刀松解,松解后局部拔火罐吸出皮下瘀血,关节腔注入防粘连医用几丁糖2 mL,针眼输液贴保护,1 d内避免湿水,保持干燥。记录两组患者治疗操作时间及住院时间。治疗前及治疗后1个月采用WOMAC(西安大略和麦克马斯特大学)骨性关节炎指数评价两组患者关节疼痛、关节僵硬、日常活动功能受限情况。结果:治疗组平均操作时间(22.8±0.5)min,对照组平均操作时间(20.1±0.6)min,差异有统计学意义(P<0.05)。治疗组平均住院(7.1±0.5)d,对照组平均住院(10.2±0.4)d,差异有统计学意义(P<0.01)。治疗组治疗前膝关节疼痛积分、关节僵硬积分和日常活动功能受限评分分别为(15.5±0.5)分、(6.5±0.6)分和(58.5±2.5)分,治疗后各项积分分别为(3.3±0.4)分、(1.4±0.6)分和(20.1±2.3)分,治疗前后差异有统计学意义(P<0.01)。对照组治疗前膝关节疼痛积分、关节僵硬积分和日常活动功能受限评分分别为(15.6±0.03)分、(6.4±0.4)分和(59.1±0.3)分,治疗后各项积分分别为(8.1±0.5)分、(3.8±0.4)分和(30.2±0.2)分,治疗前后差异有统计学意义(P<0.05)。治疗后,两组患者膝关节疼痛积分、关节僵硬积分和日常活动功能受限评分比较,差异均有统计学意义(P<0.05)。结论:针刀镜治疗膝骨关节炎临床疗效肯定,患者关节疼痛、关节僵硬及日常活动功能受限程度显著减轻,且具损伤小、术后恢复快、住院时间短等优势,值得临床推广。
Abstract:
Abstract Objective:To observe the clinical effect of acupotomy arthroscope in the treatment of knee osteoarthritis.Methods:All 150 patients with knee osteoarthritis were randomly divided into two groups according to the number table,the treatment group with acupotomy arthroscope and the control group with acupotomy,with 75 cases in each group.After the local anesthesia in the treatment group,the treatment was performed by using acupotomy arthroscope:adhesion release and other operations through the external and internal knee eyes; meanwhile making continuous joint irrigation.The cut was sutured after operation,and anti-adhering medical chitosan 2 mL was injected into the articular cavity.After the operation,dressing was changed each 2～3 d and stitches was taken out 10 d later.In the control group,the internal and external knee eyes,and other local pain points were performed by acupotomy loosening.After local subcutaneous blood stasis was released by cupping,and anti-adhering medical chitosan 2 mL was injected into the articular cavity.Then the needle holes were protected with infusion plaster,and avoiding water and keeping dry for one day.The operation time and hospitalization time of two groups were recorded.Before and after treatment in one month,the internationally recognized WOMAC(University of Western Ontario and McMaster University)osteoarthritis index was used to evaluate the joint pain,joint stiffness,and daily functional limitations in the two groups.Results:The average operation time was(22.8±0.5)mins and(20.1±0.6)mins in the treatment group and control group respectively(P<0.05).The average hospitalization time was(7.1±0.5)ds and(10.2±0.4)ds in the treatment group and control group respectively(P<0.01).The knee pain score,the joint stiffness score,and the score of limitation of daily activity function were(15.5±0.5)scores,(6.5±0.6)scores,and(58.5±2.5)scores respectively before treatment,and which were(3.3±0.4)scores,(1.4±0.6)scores,and(20.1±2.3)scores respectively after treatment in the treatment group(P<0.01).The knee pain score,the joint stiffness score,and the score of limitation of daily activity function were(15.6±0.03)scores,(6.4±0.4)scores,and(59.1±0.3)scores respectively before treatment,and which were(8.1±0.5)scores,(3.8±0.4)scores,and(30.2±0.2)scores respectively after treatment in the control group(P<0.05).Conclusion:The clinical efficacy of acupotomy arthroscope for treating knee osteoarthritis is effective.The degree of joint pain,joint stiffness and the limitation of daily activities in patients were significantly reduced.It is the advantages of less injury,faster postoperative recovery,shorter hospitalization time,which is worthy for clinical promotion.

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备注/Memo

备注/Memo:
基金项目:上海市进一步加快中医药事业发展三年行动计划 (2014-2016年)建设项目(ZY3-FWMS-2-1003, ZY3-LCPT-1-1003,ZY3-LCPT-1-1009) 上海市卫计委科研课题(2016LP049,201740205) 上海市长宁区卫生和计划生育委员会科研课题 (20144Y016) 上海市长宁区青年中医医师培养计划项目 (2015CNQNZY001) 上海市长宁区“光华卓越PI工程”项目 (2016-01,2016-05)
更新日期/Last Update: 2018-01-15