| 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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投稿时间：2017-02-15
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| 作者 | Author | 单位 | Address | E-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 |
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| 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 |
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| 李文华 |
LI Wen-hua |
北京上医林中医门诊有限公司, 北京 100091 |
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| 唐燕 |
TANG Yan |
北京中医药大学, 北京 100029 |
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| 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 |
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| 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） |
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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 |
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| Stiletto needle and needle-knife for influence of gravity index in treating knee osteoarthritis |
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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 |
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| 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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