膝关节退行性骨关节炎常见压痛点的临床观察  

The Clinical Study of Common Tenderness Points on the Knee Joint in Degenerative Osteoarthritis

作　　者：曾广南[1] 冯沃君[1] 胡永祥[1] 李义凯[1] 

机构地区：[1]南方医科大学中医药学院,骨伤推拿硕士研究生广州510515

出　　处：《中国中医骨伤科杂志》2007年第11期18-20,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察膝关节退行性骨关节炎患者常见膝部压痛点的分布规律及临床特征,为临床诊治提供依据。方法:对30例膝关节退行性骨关节炎的患者进行仔细的膝部按压检查,确定膝部痛点的分布情况和疼痛量化评分。结果:膝关节退行性骨关节炎的痛点主要分布在髌尖、收肌结节、鹅足部和腘窝等膝关节内侧处,其中以髌尖及收肌结节压痛最明显且发生率最高,此2处痛点的疼痛量化评分与其它痛点相比差异有显著性(P<0.05)。膝关节内侧的疼痛发生率及严重程度都明显高于外侧(P<0.05)。结论:膝关节退行性骨关节炎患者的痛点有其分布规律及特征,在诊疗中这些痛点的重要性值得重视。Objective： Distribution and clinical features of tenderness points of knee were studied on the degenerative osteoarthritis, in order to provide evidences for treatment and diagnosis. Methods： The tenderness points and its distributions were determined by finger press carefully on their knees in 30 cases with degenerative osteoarthritis. The pain condition was assessed by VAS. Results： The distribution or knee tenderness in the osteoarthritis was in the interior region area such as in apex of patella, adductor tubercle, pes anserinus, popliteal fossa and et al. The points of the most painful and highest incidence rate were apex of patella and adductor tubercle. There was a significant difference in the scales of VAS between these two tenderness points and other tenderness points （P〈0. 05）, and also between the inerior region and outward region （P〈0. 05）. Conclusion： Tenderness of degenerative osteoarthritis has its distribution law and feature. The importance of tenderness points should be considered seriously during diagnosis and treatment.

关 键 词：膝关节 痛点 退行性骨关节炎 

分 类 号：R684.304[医药卫生—骨科学]