| 穴位穿针联合Ilizarov技术矫形治疗中老年膝骨关节炎 |
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投稿时间：2019-02-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘锋卫 |
LIU Feng-wei |
洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopedic-Traumatological of Henan Province(Henan Provincial Orthopedic Hospital), Luoyang 471002, Henan, China |
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| 赵园园 |
ZHAO Yuan-yuan |
洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopedic-Traumatological of Henan Province(Henan Provincial Orthopedic Hospital), Luoyang 471002, Henan, China |
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| 任飞 |
REN Fei |
洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopedic-Traumatological of Henan Province(Henan Provincial Orthopedic Hospital), Luoyang 471002, Henan, China |
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| 秦泗河 |
QIN Si-he |
国家康复医院, 北京 100176 |
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| 刘礼初 |
LIU Li-chu |
佛山市中医院, 广东 佛山 528000 |
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| 杨海韵 |
YANG Hai-yun |
佛山市中医院, 广东 佛山 528000 |
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| 张东卫 |
ZHANG Dong-wei |
北京中医药大学, 北京 100029 |
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| 冯峰 |
FENG Feng |
洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopedic-Traumatological of Henan Province(Henan Provincial Orthopedic Hospital), Luoyang 471002, Henan, China |
fengshuanggen5105@163.com |
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| 期刊信息：《中国骨伤》2019年，第32卷，第5期，第401-406页 |
| DOI：10.3969/j.issn.1003-0034.2019.05.003 |
| 基金项目: |
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中文摘要:
目的：探讨穴位穿针联合Ilizarov技术矫形治疗中老年膝骨关节炎的临床疗效。
方法：自2015年3月至2016年2月，采用胫骨截骨并行Ilizarov技术矫形治疗原发性膝骨关节炎患者76例，男24例，女52例；年龄56~75岁，平均61.4岁；病程3~17年，平均5.2年。38例采用穴位穿针外固定（穴位穿针组），38例采用解剖穿针外固定（解剖穿针组）。术前双下肢全长X线片示胫骨内翻畸形，内侧膝关节间隙变窄，外侧间隙增大。体表测量患膝下肢力线内移，KSS膝功能评分降低。所有患者膝关节内侧疼痛、屈伸活动可，保守治疗2年以上。
结果：术后两组患者下肢力线均得到矫正，截骨端均愈合良好。未见截骨不愈合、下肢矫正不到位或畸形复发等。75例患者术后3、6、12、24个月随访，两组患者术前、术后6、12、24个月膝关节活动度测量结果变化差异无统计学意义（F=1.346，P>0.05）。两组术后3个月复查KSS疼痛与总分比较，差异有统计学意义，穴位穿针组优于解剖穿针组（P<0.05）；术后12个月KSS评分比较，差异无统计学意义（P>0.05）。
结论：穴位穿针组在术后调整过程中，通过Ilizarov环形外固定支架上的钢针持续拉紧，在穴位区形成一个潜在的针刺作用，术后佩戴外固定矫正支架的3个月内，膝骨关节炎膝痛症状快速、持续有效缓解方面，明显优于解剖穿针组。 |
| 【关键词】骨关节炎,膝 针刺穴位 解剖穿针 伊利扎罗夫技术 |
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| Acupoint puncture combined with Ilizarov technique for the treatment of elderly paitents with knee osteoarthritis |
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ABSTRACT
Objective:To explore the clinical effect of acupoint puncture combined with Ilizarov technique in the treatment of knee osteoarthritis in the elderly.
Methods:From March 2015 to February 2016,76 patients with primary knee osteoarthritis were treated with tibial osteotomy acupoint puncture grouop and Ilizarov technique anatomical puncture group,including 24 males and 52 females,aged 56 to 75 years old with an average of 61.4 years old,and a course of 3 to 17 years with an average of 5.2 years. Among them,38 cases were treated with external fixation of acupoint puncture needle and 38 cases were treated with external fixation of anatomical puncture needle. Preoperative full-length X-ray of both lower limbs showed tibial varus deformity,narrowing of medial knee joint space and enlargement of lateral knee joint space. The force line of the affected knee and lower limb was moved inward by body surface measurement,and the KSS knee function score was decreased. Symptoms included medial knee pain,flexion and extension,and conservative treatment for more than 2 years.
Results:The lower limb force lines of both groups were corrected and the osteotomy ends healed well. No nonunion of osteotomy,inadequate correction of lower limbs or recurrence of deformity were found. Seventy-five patients were followed up for 3,6,12 and 24 months after operation. There was no significant difference in knee joint mobility between the two groups before operation and on 6,12,24 months after operation(F=1.346,P>0.05). There were significant difference in KSS pain and total score between the two groups at 3 months after operation,acupoint puncture group was better than anatomical puncture group(P<0.05);there was no significant difference in KSS score at 12 months after operation(P>0.05).
Conclusion:The acupoint puncture group formed a potential acupuncture effect in the acupoint area by continuously tightening the steel needle on Ilizarov ring external fixator during the post-operative adjustment. Within three months after wearing external fixator,the knee pain symptoms of knee osteoarthritis were relieved rapidly,continuously and effectively,which was significantly better than that of the anatomical puncture group. |
| KEY WORDS Osteoarthritis,knee Acupuncture points Anatomic puncture Ilizarov technique |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘锋卫,赵园园,任飞,秦泗河,刘礼初,杨海韵,张东卫,冯峰.穴位穿针联合Ilizarov技术矫形治疗中老年膝骨关节炎[J].中国骨伤,2019,32(5):401~406 |
| 英文格式: | LIU Feng-wei,ZHAO Yuan-yuan,REN Fei,QIN Si-he,LIU Li-chu,YANG Hai-yun,ZHANG Dong-wei,FENG Feng.Acupoint puncture combined with Ilizarov technique for the treatment of elderly paitents with knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(5):401~406 |
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