风湿病与关节炎
風濕病與關節炎
풍습병여관절염
Rheumatism and Arthritis
2015年
10期
10-13
,共4页
骨关节炎,膝%针刀松解%整复%小夹板固定
骨關節炎,膝%針刀鬆解%整複%小夾闆固定
골관절염,슬%침도송해%정복%소협판고정
osteoarthritis,knee%stereoarthrolysis with needle knife%restoration%small splint ifxation
目的：观察针刀松解配合手法整复及小夹板固定治疗膝骨关节炎的临床疗效。方法：将116例（142膝）膝骨关节炎患者随机分为治疗组58例（74膝）和对照组58例（68膝）。治疗组采用针刀松解配合手法整复及小夹板固定治疗，对照组采用美洛昔康、仙灵骨葆口服治疗；治疗组为每单侧膝治疗1次为1个疗程，对照组2周为1个疗程。1个疗程后进行疗效评定，采用疼痛视觉模拟评分法（VAS）、Lysholm膝关节评分标准分析两组患者治疗前后各项评分。结果：治疗组脱落3例（4膝），对照组脱落2例（2膝）。治疗组临床治愈32膝，显效20膝，有效15膝，无效3膝，总有效率为95.71%；对照组临床治愈8膝，显效13膝，有效19膝，无效26膝，总有效率为60.61%。两组比较，差异有统计学意义（P <0.05）。治疗后，两组VAS评分和Lysholm评分均有改善（P <0.05），且治疗组优于对照组（P <0.05）。结论：针刀松解配合手法整复及小夹板固定治疗对膝骨关节炎有较好的临床效果。
目的：觀察針刀鬆解配閤手法整複及小夾闆固定治療膝骨關節炎的臨床療效。方法：將116例（142膝）膝骨關節炎患者隨機分為治療組58例（74膝）和對照組58例（68膝）。治療組採用針刀鬆解配閤手法整複及小夾闆固定治療，對照組採用美洛昔康、仙靈骨葆口服治療；治療組為每單側膝治療1次為1箇療程，對照組2週為1箇療程。1箇療程後進行療效評定，採用疼痛視覺模擬評分法（VAS）、Lysholm膝關節評分標準分析兩組患者治療前後各項評分。結果：治療組脫落3例（4膝），對照組脫落2例（2膝）。治療組臨床治愈32膝，顯效20膝，有效15膝，無效3膝，總有效率為95.71%；對照組臨床治愈8膝，顯效13膝，有效19膝，無效26膝，總有效率為60.61%。兩組比較，差異有統計學意義（P <0.05）。治療後，兩組VAS評分和Lysholm評分均有改善（P <0.05），且治療組優于對照組（P <0.05）。結論：針刀鬆解配閤手法整複及小夾闆固定治療對膝骨關節炎有較好的臨床效果。
목적：관찰침도송해배합수법정복급소협판고정치료슬골관절염적림상료효。방법：장116례（142슬）슬골관절염환자수궤분위치료조58례（74슬）화대조조58례（68슬）。치료조채용침도송해배합수법정복급소협판고정치료，대조조채용미락석강、선령골보구복치료；치료조위매단측슬치료1차위1개료정，대조조2주위1개료정。1개료정후진행료효평정，채용동통시각모의평분법（VAS）、Lysholm슬관절평분표준분석량조환자치료전후각항평분。결과：치료조탈락3례（4슬），대조조탈락2례（2슬）。치료조림상치유32슬，현효20슬，유효15슬，무효3슬，총유효솔위95.71%；대조조림상치유8슬，현효13슬，유효19슬，무효26슬，총유효솔위60.61%。량조비교，차이유통계학의의（P <0.05）。치료후，량조VAS평분화Lysholm평분균유개선（P <0.05），차치료조우우대조조（P <0.05）。결론：침도송해배합수법정복급소협판고정치료대슬골관절염유교호적림상효과。
Objective:To observe the clinical curative effect of stereoarthrolysis and manipulative restoration with needle knife and small splint ifxation in the treatment of knee osteoarthritis.Methods:116 patients (142 knees) with knee osteoarthritis were randomly divided into a treatment group(58 cases with 74 knees) and a control group(58 cases with 68 knees).Patients in the treatment group were treated by stereoarthrolysis and manipulative restoration with needle knife and small splint fixation,while those in the control group with meloxicam and Xianling gubao Capsule(仙灵骨葆胶囊).Unilateral knee being treated once in the treatment group was one course,while two weeks in the control group was one course.After a course of treatment,the efifcacy was evaluated and the scores of the two groups were analyzed by VAS(visual analogue scales) and Lysholm knee scores.Results:Disarticulation happened in 3 cases in the treatment group(4 knees),while in 2 cases in the control group(2 knees).In the treatment group,32 knees were cured,20 knees were markedly improved, 3 knees were effective,and 15 knees were invalid,the total effective rate being 95.71%;while in the control group, 8 knees were cured,13 knees were markedly improved,19 knees were effective,and 26 knees were invalid,the total effective rate being 60.61%.The difference between the two groups was statistically signiifcant (P <0.05).After treatment,VAS score and Lysholm score of the two groups were improved(P <0.05),the treatment group being better than the control group(P <0.05).Conclusion:Stereoarthrolysis and restoration with needle knife and manipulative small splint ifxation have a better clinical effect on the treatment of knee osteoarthritis.
