[1]吴楚升 陈仰聪 吴庆林 纪少丰 刘少灿.膝关节牵引器治疗膝骨性关节炎50例[J].中国中医骨伤科杂志,2021,29(03):55-58.
　WU Chusheng CHEN Yangcong WU Qinglin JI Shaofeng LIU Shaocan.Clinical Study on the Treatment for Knee Osteoarthritis by Knee Traction Device[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(03):55-58.
点击复制

膝关节牵引器治疗膝骨性关节炎50例()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年03期
页码:
55-58
栏目:
临床报道
出版日期:
2021-03-15

文章信息/Info

Title:
Clinical Study on the Treatment for Knee Osteoarthritis by Knee Traction Device
文章编号:
1005-0205(2021)03-0055-04
作者:
吴楚升 陈仰聪 吴庆林 纪少丰 刘少灿
1汕头市第二人民医院中医骨伤科(广东 汕头,515041)
Author(s):
WU Chusheng CHEN Yangcong WU Qinglin JI Shaofeng LIU Shaocan
1Department of Orthopedics and Traumatology of Traditional Chinese Medicine of Shantou Second People’s Hospital,Shantou 515041,Guangdong China.
关键词:
膝骨性关节炎;  自制膝关节牵引器;  效果
Keywords:
knee osteoarthritis;  self-made knee joint retractor;  efficacy
分类号:
R684.3
文献标志码:
B
摘要:
目的:探究本院自制膝关节牵引器治疗膝骨性关节炎的临床研究效果。方法:选取2019年5月至2020年5月本院收治的膝骨性关节炎患者100例,按照随机数字表简单随机分为膝关节牵引器组与手法牵引组(各50例)。于3个月后观察两组患者疼痛程度、膝关节功能、生活质量、TNF-α和IL-1水平及疗效差异。结果:重复测量结果显示:两组患者治疗前后VAS评分、JOA评分、AIMS2-SF评分,TNF-α和IL-1水平在时点、时点与组别交互间比较差异均有统计学意义(P<0.05),简单效应LSD-t成对比较结果显示,从时点角度分析,两组患者治疗后VAS评分、TNF-α,IL-1水平均显著低于治疗前,JOA评分及AIMS2-SF评分均显著高于治疗前,差异有统计学意义(P<0.05); 组间方面,治疗前两组患者VAS评分、JOA评分及AIMS2-SF评分,TNF-α和IL-1水平比较,差异无统计学意义(P>0.05),治疗后膝关节牵引器组VAS评分、TNF-α和IL-1水平明显低于手法牵引组,JOA评分和AIMS2-SF评分明显高于手法牵引组,差异有统计学意义(P<0.05)。等级秩和检验结果显示:两组整体疗效差异无统计学意义(P>0.05),但疗效总有效例数膝关节牵引器组高于手法牵引组,差异有统计学意义(P<0.05)。结论:膝关节牵引器用于临床治疗膝骨性关节炎疗效明显,能有效缓解患者疼痛程度,降低TNF-α和IL-4水平,促进膝关节功能恢复,提高患者生活质量,值得临床推广应用。
Abstract:
To explore the clinical efficacy of self-made knee traction device in the treatment of knee osteoarthritis.Methods:100 patients with knee osteoarthritis were selected from May 2019 to May 2020.According to the random number table,it was divided into knee traction group and manual traction group with 50 cases in each.The pain degree,knee function,quality of life,TNF-α,IL-1 level and curative efficacy of the two groups were observed after three months.Results:The results of repeated measurements showed that the VAS score,JOA score,AIMS2-SF score and TNF-α,IL-1 level of the two groups before and after treatment were statistically significant at time points and groups interaction(P<0.05).Comparison of simple effects LSD-t pairs showed,from a point of view,that the VAS score and TNF-α,IL-1 level of the two groups were significantly lower than those before treatment,and the JOA score AIMS2-SF score were significantly higher than before treatment(P<0.05). From the inter-group perspective,there was no significant difference in VAS score,JOA score,AIMS2-SF score and TNF-α,IL-1 level between the two groups before treatment(P>0.05); The VAS score and TNF-α,IL-1 level of the knee traction group after treatment were significantly lower than that of the manual traction group; JOA score and AIMS2-SF score were significantly higher than those of manual traction group(P<0.05). Grade rank sum test showed that there was no significant difference in overall curative efficacy between the two groups(P>0.05). However,the total effective cases of knee traction group were higher than that of manual traction group(P<0.05). Conclusion:Knee joint tractor is an effective method in clinical treatment of knee osteoarthritis. It can effectively relieve the pain degree of patients,reduce the level of TNF-α,IL-4 and promote the recovery of knee joint function and the quality of life of patients which is worthy of clinical promotion.

参考文献/References:

[1] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.
[2] 邵玉霞,梅轶芳,张志毅.运动疗法在膝骨关节炎治疗中的研究进展[J].中华内科杂志,2017,56(2):147-149.
[3] 杨菁,刘梅,杨春静,等.下肢骨牵引患者应用持续质量改进模式的效果[J].实用临床医药杂志,2018,22(8):69-72.
[4] 高辉,陈震东.下肢牵引架辅助下前侧微创入路全髋关节置换术治疗髋部疾病的近期疗效[J].中华创伤骨科杂志,2017,19(5):450-453.
[5] 蔡雪花,许新建,汤栋生,等.便携独立式下肢牵引装置的设计[J].中国医学装备,2018,15(1):12-14.
[6] 张志强,白伟杰,郑利群.刘氏毫火针治疗膝关节骨性关节炎的临床研究[J].针灸临床杂志,2017,33(5):52-54.
[7] 郭文娟,叶飞,孙红红,等.老年膝关节骨性关节炎患者应用等离子关节镜手术联合牛蒡子汤的治疗效果及对JOA评分的影响[J].河北医药,2019,41(8):1183-1185.
[8] 燕勇,董博,杨改琴.电针“筋结点”治疗膝关节骨性关节炎的临床研究[J].中国中医骨伤科杂志,2017,25(1):23-25.
[9] 董宪传,孙芳芳,杨永菊,等.中药熥熨外治法治疗膝关节骨性关节炎临床研究[J].辽宁中医药大学学报,2017,19(9):19-21.
[10] JAMSHIDI A,PELLETIER J P,MARTEL-PELLETIER J,et al.Machine-learning-based patient-specific prediction models for knee osteoarthritis[J].Nature Reviews:Rheumatology,2019,15(1):49-60.
[11] LIU S C,QIAO X F,TANG Q X,et al.Therapeutic efficacy of extracorporeal shock wave combined with hyaluronic acid on knee osteoarthritis[J].Medicine,2019,98(8):14589.
[12] 王晶,胡敏霞.肌骨超声技术观察针刀治疗膝骨关节炎患者的临床效果与影像学变化[J].医学影像学杂志,2018,28(9):1544-1547.
[13] 张合,赵洪波,曹成明,等.双束和单束重建前交叉韧带对膝关节稳定性和膝关节退变的前瞻性随机对照研究[J].河北医科大学学报,2018,39(1):44-48.
[14] 徐俊杰,李业海,梁俊升,等.牵引床与手法牵引闭合复位PFNA内固定治疗老年股骨粗隆间骨折的比较[J].中国骨与关节损伤杂志,2018,33(2):130-133.
[15] 邓玉金,谢芳.热敏灸联合中药外敷治疗膝关节骨性关节炎临床研究[J].中医学报,2017,32(3):473-476.

备注/Memo

备注/Memo:
基金项目:汕头市科技计划医疗卫生类别项目(190323215268062)
更新日期/Last Update: 2021-03-15