上海针灸杂志
上海針灸雜誌
상해침구잡지
Shanghai Journal of Acupuncture and Moxibustion
2015年
10期
981-985
,共5页
向伟明%丁思明%黄焕强%唐吉莲%谢凤渝%颜勋%陈泽涛%张洪莲%藤清%唐歌%邓袁
嚮偉明%丁思明%黃煥彊%唐吉蓮%謝鳳渝%顏勛%陳澤濤%張洪蓮%籐清%唐歌%鄧袁
향위명%정사명%황환강%당길련%사봉투%안훈%진택도%장홍련%등청%당가%산원
膝损伤%针刀%足底步态分析%膝关节功能评分
膝損傷%針刀%足底步態分析%膝關節功能評分
슬손상%침도%족저보태분석%슬관절공능평분
Knee injury%Needle knife%Foot gait analysis%Knee function score
目的：从改善膝关节生物力学平衡的角度，观察分析针刀治疗膝关节半月板损伤的临床疗效，为临床提供治疗依据和方法。方法将符合条件的100例(112膝)膝关节半月板损伤患者按就诊顺序随机分为观察组和对照组，每组50例，分别予以针刀治疗和膝关节腔内注射玻璃酸钠注射液治疗。按足底压力分析评分及膝关节功能评分，观察评估两组患者治疗前后、随访时指标的变化情况，并评价两组临床疗效。结果观察组和对照组治疗后及随访时膝关节周围的最大负重、时间积分差值及负重比例均明显减低(P＜0.05)，观察组调整膝关节力平衡的作用优于对照组(P＜0.05)，观察组改善膝关节的功能明显优于对照组(P＜0.01)。两组患者治疗后以及随访优良率比较，观察组优良率明显高于对照组(P＜0.05)。结论针刀治疗通过松解膝关节半月板损伤患者膝关节周围的病灶软组织，改善膝关节负重不平衡，纠正膝关节周围的力学平衡，从而恢复膝关节的功能，疾病向愈，疗效确切。
目的：從改善膝關節生物力學平衡的角度，觀察分析針刀治療膝關節半月闆損傷的臨床療效，為臨床提供治療依據和方法。方法將符閤條件的100例(112膝)膝關節半月闆損傷患者按就診順序隨機分為觀察組和對照組，每組50例，分彆予以針刀治療和膝關節腔內註射玻璃痠鈉註射液治療。按足底壓力分析評分及膝關節功能評分，觀察評估兩組患者治療前後、隨訪時指標的變化情況，併評價兩組臨床療效。結果觀察組和對照組治療後及隨訪時膝關節週圍的最大負重、時間積分差值及負重比例均明顯減低(P＜0.05)，觀察組調整膝關節力平衡的作用優于對照組(P＜0.05)，觀察組改善膝關節的功能明顯優于對照組(P＜0.01)。兩組患者治療後以及隨訪優良率比較，觀察組優良率明顯高于對照組(P＜0.05)。結論針刀治療通過鬆解膝關節半月闆損傷患者膝關節週圍的病竈軟組織，改善膝關節負重不平衡，糾正膝關節週圍的力學平衡，從而恢複膝關節的功能，疾病嚮愈，療效確切。
목적：종개선슬관절생물역학평형적각도，관찰분석침도치료슬관절반월판손상적림상료효，위림상제공치료의거화방법。방법장부합조건적100례(112슬)슬관절반월판손상환자안취진순서수궤분위관찰조화대조조，매조50례，분별여이침도치료화슬관절강내주사파리산납주사액치료。안족저압력분석평분급슬관절공능평분，관찰평고량조환자치료전후、수방시지표적변화정황，병평개량조림상료효。결과관찰조화대조조치료후급수방시슬관절주위적최대부중、시간적분차치급부중비례균명현감저(P＜0.05)，관찰조조정슬관절력평형적작용우우대조조(P＜0.05)，관찰조개선슬관절적공능명현우우대조조(P＜0.01)。량조환자치료후이급수방우량솔비교，관찰조우량솔명현고우대조조(P＜0.05)。결론침도치료통과송해슬관절반월판손상환자슬관절주위적병조연조직，개선슬관절부중불평형，규정슬관절주위적역학평형，종이회복슬관절적공능，질병향유，료효학절。
ObjectiveTo observe andanalyze the clinical efficacy of needle knife treatment for knee meniscus injury from improving knee biomechanical balance and to provide a therapeutic basis and method for clinical practice.MethodOne hundred patients (112 knees) with knee meniscus injury meeting the inclusion criteria were allocated, in order of visits, to observation and control groups, 50 cases each. They were treated with a needle knife and an injection of sodium hyaluronate injectio into knee joint cavity, respectively. Changes in the indices were observed and assessed in the two groups by recording the plantar pressure analysis score and the knee function score before and after treatment and at follow-up. The clinical therapeutic effects were evaluated in the two groups.ResultThemaximum load, time integral difference value and load ratio around the knee joint decreased significantly in both observation and control groups after treatment and at follow-up (P<0.05). The regulating effect on knee joint force balance was better in theneedle knife group than in the control group (P<0.05). The improving effect on knee joint function was significantly better in the observation group than in the control group (P<0.01). The excellence rate was significantly higher in the observation groupthan in the control group after treatment and at follow-up (P<0.05).ConclusionNeedle knife treatment restores the function of the knee joint by loosing focal soft tissues around the knee joint, improving knee joint load imbalance and correcting the mechanical equilibrium around the knee joint in patient with knee meniscus injury. It has a definite curative effect on the disease.
