CAJ | 학술논문

目的：观察针刀治疗膝关节半月板损伤的临床疗效。方法将100例(112膝)膝关节半月板损伤患者随机分为治疗组和对照组,每组50例。治疗组采用针刀治疗,对照组采用膝关节腔内注射玻璃酸钠注射液治疗。观察两组治疗前后膝关节周围的主要临床症状、体征及膝关节功能评分,并评价两组临床疗效。结果两组患者治疗前后主要临床症状及体征指标差值(疼痛评分,肿胀评分,活动度评分及压痛指数评分)比较,差异均具有统计学意义(P＜0.05)。两组随访时与治疗前主要临床症状及体征指标差值比较,差异均具有统计学意义(P＜0.05)。两组治疗后及随访时膝关节功能评分与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。治疗组治疗后及随访时膝关节功能评分与对照组比较,差异均具有统计学意义(P＜0.05)。治疗组治疗后优良率和总有效率分别为94.0%和100.0%,对照组分别为72.0%和98.0%,两组优良率比较,差异具有统计学意义(P＜0.05)。治疗组随访时优良率和总有效率分别为96.0%和100.0%,对照组分别为76.0%和98.0%,两组优良率比较,差异具有统计学意义(P＜0.05)。结论针刀是一种治疗膝关节半月板损伤的有效方法。
목적：관찰침도치료슬관절반월판손상적림상료효。방법장100례(112슬)슬관절반월판손상환자수궤분위치료조화대조조,매조50례。치료조채용침도치료,대조조채용슬관절강내주사파리산납주사액치료。관찰량조치료전후슬관절주위적주요림상증상、체정급슬관절공능평분,병평개량조림상료효。결과량조환자치료전후주요림상증상급체정지표차치(동통평분,종창평분,활동도평분급압통지수평분)비교,차이균구유통계학의의(P＜0.05)。량조수방시여치료전주요림상증상급체정지표차치비교,차이균구유통계학의의(P＜0.05)。량조치료후급수방시슬관절공능평분여동조치료전비교,차이균구유통계학의의(P＜0.01,P＜0.05)。치료조치료후급수방시슬관절공능평분여대조조비교,차이균구유통계학의의(P＜0.05)。치료조치료후우량솔화총유효솔분별위94.0%화100.0%,대조조분별위72.0%화98.0%,량조우량솔비교,차이구유통계학의의(P＜0.05)。치료조수방시우량솔화총유효솔분별위96.0%화100.0%,대조조분별위76.0%화98.0%,량조우량솔비교,차이구유통계학의의(P＜0.05)。결론침도시일충치료슬관절반월판손상적유효방법。
Objective To investigate the clinical efficacy of a needle knife in treating knee meniscus injury. Methods One hundred patients with knee meniscus injury (112 knee joints) were randomly allocated to treatment and control groups, 50 cases each. The treatment group received needle knife therapy and the control group, an injection of sodium hyaluronate injectio into knee joint cavity. The main clinical symptoms and signs around the knee joint were observed and the knee function score was recorded in the two groups before and after treatment. the clinical therapeutic effects were evaluated in the two groups. Results There were statistically significant differences in pre-/post-treatment main clinical symptom and sign index (pain score, swelling score, activity score and tenderness index score) difference values between the two groups (P<0.05). There were statistically significant differences in the main clinical symptom and sign index difference values at follow-up compared with before treatment between the two groups (P<0.05). There was a statistically significant differences in the knee function score after treatment and at follow-up compared with before treatment in the two groups (P<0.01,P<0.05). There was a statistically significant differences in the knee function score between the treatment and control groups after treatment and at follow-up (P<0.05). Post-treatment excellence rate and total efficacy rate were 94.0%and 100.0%, respectively, in the treatment group and 72.0%and 98.0%, respectively, in the control group. There was a statistically significant differences in post-treatment excellence rate between the two groups (P<0.05). Follow-up excellence rate and total efficacy rate were 96.0% and 100.0%, respectively, in the treatment group and 76.0% and 98.0%, respectively, in the control group. There was a statistically significant differences in follow-up excellence rate between the two groups (P<0.05). Conclusion Needle knife therapy is an effective way to treat knee meniscus injury.