针刀松解联合手法调整肌力平衡治疗膝骨性关节炎的临床研究  

Clinical Research on Treatment of Knee Osteoarthritis by Acupotomy and Manipulative Regulation of Knee Muscle Balance

作　　者：周忠良[1] 孙奎[1] 苏国宏[1] 杨永晖[1] 刘德春[1] 

机构地区：[1]安徽中医学院附属针灸医院,合肥230061

出　　处：《中国中医骨伤科杂志》2012年第9期25-26,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察针刀松解联合手法调整肌力平衡治疗膝骨性关节炎的临床疗效。方法:将81例患者随机分为两组,治疗组41例57膝用针刀松解联合手法调整肌力平衡治疗,对照组40例56膝单纯采用手法调整肌力平衡治疗,分别治疗2个疗程后观察2组的症状、体征改善情况及综合疗效。结果:1.症状、体征分级量化评分积分比较,2组治疗前后组内比较差异均有统计学意义(P<0.01),且治疗后2组间比较治疗组优于对照组(P<0.01)。2.综合疗效:治疗组显效率明显高于对照组(P<0.01)。结论:针刀松解联合手法调整肌力平衡治疗重度膝骨性关节炎的临床疗效满意。objective：To observe the clinical effect of acupotomy combined with manipulative regulation of knee muscle balance in treating knee osteoarthritis. Methods： A total of 81 patients with knee osteoarthritis were randomly divided into two groups. In the treatment group, there were 41 patients （57 knees） who were treated with acupotomy and manipulation. In the control group, there were 40 patients （56 knees） who were treated only with manipulative regulation of knee muscle balance. The improvements of the symptoms and physical signs as well as the total curative effect were observed after 20 days＇ treatment. Results ： 1. There was significant difference in the improvements of symptoms and signs in both groups after the treatment compared with before the treatment （P〈0. 01）. There was also remarkable difference between the two groups after the treatment （P〈0.01）. 2. As for the aspect of total curative effect, the treatment group was higher than that of control group （P〈0.01）. Conclusion：Aeupotomy combined with manipulative regulation of knee muscle balance has a satisfactory clinical effect t on knee osteoarthritis.

关 键 词：膝骨性关节炎 针刀松解 手法调整 肌力平衡 

分 类 号：R684.3[医药卫生—骨科学]