基于“痛痹解结”的射频联合臭氧治疗膝骨性关节炎疗效和软组织张力特征分析  

Analysis of Effect and Soft Tissue Tension Characteristics of Radio Frequency Combined with Ozone in Treatment of KOA Based on “Relieving Pain” Method

作　　者：刘爱峰[1] 巩树伟 张宇[1] LIU Aifeng;GONG Shuwei;ZHANG Yu(Orthopaedic Department,the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;Tianjin University of TCM,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院骨伤科,天津300391 [2]天津中医药大学,天津300193

出　　处：《辽宁中医杂志》2020年第11期92-96,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81873316,81102607,81673994);天津市卫生和计划生育委员会中医、中西医结合科研专项课题(2017118)。

摘　　要：目的观察基于"痛痹解结"的射频联合臭氧治疗膝骨性关节炎(KOA)的临床疗效并分析"痛痹解结"的射频联合臭氧治疗KOA对膝关节周围局部软组织张力的特征。方法将膝关节骨性关节炎60例患者,随机分成治疗组与对照组各30例,两组均给予基础治疗。治疗组30例在基础治疗上予痛点射频联合关节腔臭氧注射治疗,对照组在基础治疗上予针灸推拿治疗,观察VAS疼痛评分、骨关节炎指数WOMAC评分,在治疗结束后根据WOMAC评分的改善率评价临床治疗效果。并对患者治疗前、治疗后对膝关节周围不同位点软组织张力进行测定并记录。结果治疗后4周的VAS、WOMAC评分组间比较差异有统计学意义(P<0.05)。VAS、WOMAC评分在两组患者间、不同时间点、时间点和分组的交互作用均具有统计学意义(P<0.05)。两组患者膝周不同位点治疗前、治疗后FDD值,经比较差异均具有统计学意义(P<0.05)。两组患者膝关节周围不同位点治疗后FDD值,经比较差异均无统计学意义(P>0.05)。结论基于"痛痹解结"的射频联合臭氧注射与针灸推拿治疗KOA均能对患者膝关节疼痛、功能改善产生积极影响。同时使膝关节周围软组织张力降低,改善力学微环境。为临床诊治和科学研究KOA提供定量评价方法。Objective To observe the clinical efficacy of radio frequency combined with ozone in the treatment of KOA based on "relieving pain" method and analyze the characteristics of local soft tissue tension around the knee joint treated with "relieving pain" method by radio frequency combined with ozone.Methods Sixty patients with KOA were randomly divided into the treatment group and the control group.In the treatment group,30 patients were treated with radio-frequency pain points combined with ozone injection of joint cavity except for basic treatment,while in the control group,acupuncture and massage were used except for the basic treatment.VAS pain score and WOMAC score of osteoarthritis index were observed.The soft tissue tension around the knee joint was measured and recorded before and after treatment.Results There were statistically significant differences in VAS and WOMAC scores 4 weeks after treatment(P<0.05).The interaction of VAS and WOMAC scores between patients of the two groupsat different time pointswas statistically significant(P<0.05).FDD values before and after treatment at different gengular sites in the two groups were statistically significant(P<0.05).FDD values after treatment at different sites around the knee joints in the two groups were not statistically significant(P>0.05).Conclusion Radio frequency combined with ozoneand acupuncture and massage therapy based on "relieving pain" method canhave positive effects on knee pain and function improvement of patients.Meanwhile,the soft tissue tension around the knee joint was reduced and the mechanical micro-environment was improved.It provides a quantitative evaluation method for clinical diagnosis,treatment and scientific research of KOA.

关 键 词：射频 臭氧 膝关节骨性关节炎 软组织张力 

分 类 号：R684.3[医药卫生—骨科学]