铍针与针刀治疗膝骨关节炎对重心指数影响的临床观察
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作者Author单位AddressE-Mail
顾力军 GU Li-jun 中国中医科学院望京医院关节一科, 北京 100102 Department of Laboratory, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China  
张斌 ZHANG Bin 中国中医科学院望京医院关节一科, 北京 100102 Department of Laboratory, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China  
李文华 LI Wen-hua 北京上医林中医门诊有限公司, 北京 100091  
唐燕 TANG Yan 北京中医药大学, 北京 100029  
董福慧 DONG Fu-hui 中国中医科学院望京医院关节一科, 北京 100102 Department of Laboratory, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China fuhuidong@263.net 
期刊信息:《中国骨伤》2017年,第30卷,第12期,第1091-1096页
DOI:10.3969/j.issn.1003-0034.2017.12.004
基金项目:中国中医科学院基本科研业务费自主选题项目(编号:ZZ0708084)
中文摘要:

目的:观察铍针松解与针刀松解治疗膝骨关节炎对患者双足负重的影响。

方法:将113例早中期KOA患者采用随机数字表法分为铍针组(38例)、针刀组(38例)和扶他林组(37例)。其中铍针组男13例,女25例,平均年龄(55.87±7.72)岁,采用铍针治疗,每周治疗1次,2周为1个疗程;针刀组男11例,女27例,平均年龄(57.11±7.07)岁,采用针刀治疗,每周治疗1次,2周为1个疗程;扶他林乳胶剂组男12例,女25例,平均年龄(57.62±8.08)岁,采用扶他林乳胶剂3~5 cm涂抹膝关节疼痛部位,每日3次,2周为1个疗程。另取正常人36例为正常组,男11例,女25例,平均年龄(55.28±7.55)岁,不进行任何治疗。治疗前后分别以重力四格秤测量双足前后四点负重的方法来观察3组患者双足负重情况,测算重心到原点的距离d值,并以d值为观察指标,以JOA膝骨关节炎疗效标准进行临床疗效评价。

结果:5例患者脱落,其中铍针组2例、针刀组2例、扶他林组1例。其余108例患者获得随访,时间28~35 d,平均30 d,均未出现不良反应。各组患者治疗前及治疗后1个月与正常组d值组间比较,差异均有统计学意义(P<0.05),各组患者治疗前与治疗后1个月d值组内比较,差异均有统计学意义(P<0.05),且治疗后较治疗前d值均减小。参照JOA膝骨关节炎疗效标准评价临床疗效,治疗前及治疗后1个月各组患者JOA评分比较差异无统计学意义(P>0.05);各组患者治疗前与治疗后1个月JOA评分组间比较,差异有统计学意义(P<0.05)。

结论:铍针松解、针刀松解及扶他林乳胶剂外用治疗早中期KOA患者后,治疗后重心更接近原点、负重情况得到改善。四格秤测试KOA患者治疗前后重心的变化简便易行。
【关键词】骨关节炎,膝  针刺疗法  小刀针  铍针  重心指数
 
Stiletto needle and needle-knife for influence of gravity index in treating knee osteoarthritis
ABSTRACT  

Objective: To explore stiletto needle and needle-knife for influence of double sufficient weight in treating knee osteoarthritis patients.

Methods: One hundred and thirteen early and medium term knee osteoarthritis patients were randomly divided into three groups,including stiletto needle group(38 cases),needle-knife group (38 cases) and voltaren group (37 cases). In stiletto needle group,there were 13 males and 25 females with an average of(55.87±7.72) years old,treated by stiletto needle once a week,and 2 weeks were a course;there were 11 males and 27 females in needle-knife group with an average of(57.11±7.07) years old,treated by acupotome once a week,and 2 weeks were a course; there were 12 males and 25 females in voltaren group with an average age of(57.62±8.08) years old,treated by votalin emulsion smearing 3 to 5 cm on painful area of knee joint,three times a day for 2 weeks;36 patients in normal group,including 11 males and 25 females with a mean age of (55.28±7.55) years old,treated with nothing. Gravitational four lattice used to measure bipedal back and forth load before and after treatment in further observe weight-bearing situation among three groups,d value,which was the distance from center of gravity to original point,was measured as a obvervational index,JOA score was used to evaluate clinical effect.

Results: Five patients were fall out,including 2 patients in stiletto needle group,2 patients in needle-knife group and 1 patient in voltaren group. Other 108 patients were followed-up from 28 to 35 d with an average of 30 d,and without untoward effect. There was significant difference in d value between treatment group and control group at 1 month after treatment(P<0.05);there was significant difference in d value among treatment group at 1 month after treatment(P>0.05),and d value was decreased before treatment than that of after treatment. There was no significant difference in JOA score among treatment group after treatment at 1 month(P<0.05);while had significant difference between groups(P>0.05) after treatment at 1 month.

Conclusion: Stiletto needle,needle-knife and voltaren for the treatment of knee osteoarthritis at early and middle stage,center of gravity is closer to original point,and weight-bearing is improved. It is a easy method of four lattice to measure change of weight-bearing in KOA patients after treatment.
KEY WORDS  Osteoarthritis,knee  Acupuncture therapy  Small knife needle  Stiletto needle  Gravity index
 
引用本文,请按以下格式著录参考文献:
中文格式:顾力军,张斌,李文华,唐燕,董福慧.铍针与针刀治疗膝骨关节炎对重心指数影响的临床观察[J].中国骨伤,2017,30(12):1091~1096
英文格式:GU Li-jun,ZHANG Bin,LI Wen-hua,TANG Yan,DONG Fu-hui.Stiletto needle and needle-knife for influence of gravity index in treating knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(12):1091~1096
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