[1]余红超 康武林 陈坤 王占魁 董博 杨进 袁普卫 刘德玉 李堪印 梁永胜.长安医学关中李氏骨伤学术流派“辨位施法、针刀整体治疗”膝骨关节炎的临床研究[J].陕西中医药大学学报,2022,(06):014-18.[doi:10.13424/j.cnki.jsctcm.2022.06.003]
 YU Hongchao KANG Wulin CHEN Kun WANG Zhankui DONG Bo YANG Jin YUAN Puwei LIU Deyu LI Kanyin LIANG Yongsheng.Clinical Study on Knee Osteoarthritis of Guan Zhong LI’s School of Orthopedic Trauma in Chang’an Medical School “Differentiating Position and Applying Method, Treating Knee with Needle Knife as A Whole”[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(06):014-18.[doi:10.13424/j.cnki.jsctcm.2022.06.003]
点击复制

长安医学关中李氏骨伤学术流派“辨位施法、针刀整体治疗”膝骨关节炎的临床研究
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2022年06期
页码:
014-18
栏目:
三秦医药
出版日期:
2023-09-14

文章信息/Info

Title:
Clinical Study on Knee Osteoarthritis of Guan Zhong LI’s School of Orthopedic Trauma in Chang’an Medical School “Differentiating Position and Applying Method, Treating Knee with Needle Knife as A Whole”
文章编号:
2096-1340(2022)06-0014-05
作者:
余红超1 康武林1 陈坤1 王占魁1 董博1 杨进1 袁普卫1 刘德玉1 李堪印1 梁永胜2
1.陕西中医药大学附属医院,陕西 咸阳 712000;
2.靖边县中医医院,陕西 榆林 718500
Author(s):
YU Hongchao1 KANG Wulin1 CHEN Kun1 WANG Zhankui1 DONG Bo1 YANG Jin1 YUAN Puwei1 LIU Deyu1 LI Kanyin1 LIANG Yongsheng2
1.Affiliated Orthopedic Department of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;
2.Jingbian County Hospital of Traditional Chinese Medicine,Shaanxi Yulin 718500,China
关键词:
长安医学关中李氏骨伤流派辨位施法针刀整体治疗膝骨关节炎临床研究
Keywords:
Chang’an Medical School of LI’s Bone Trauma in GuanzhongDifferentiating position and applying methodNeedle knife holistic treatmentKnee osteoarthritisClinical studies
分类号:
R684.3
DOI:
10.13424/j.cnki.jsctcm.2022.06.003
文献标志码:
A
摘要:
目的 观察长安医学关中李氏骨伤学术流派“辨位施法、针刀整体治疗”膝骨关节炎的临床疗效。方法 将陕西中医药大学院附属医院门诊和住院部自2018年12月—2020年12月共160例膝骨关节炎患者应用随机数字法分成治疗组和对照组,每组均 80例。治疗组:辨位施法、针刀整体治疗配合常规中药热敷、理疗等基础治疗;对照组:常规中药热敷、理疗等基础治疗;治疗14 d 1个疗程后观察两组临床疗效,并评价治疗前后两组患者疼痛(VAS)和骨关节炎指数(WOMAC)评分。结果 治疗组总有效率为97.5%,对照组总有效率为850%,治疗后两组的VAS评分和WOMAC评分均较治疗前有明显改善(P<0.05),治疗组改善更明显(P<005)。结论 “辨位施法、针刀整体治疗”膝骨关节炎疗效显著,明显的减轻了患者疼痛和提高膝关节功能活动,值得推广应用。
Abstract:
Objective To observe the clinical effect of the Guan Zhong Li School of Chang’an Medical School of Osteoarthritis on knee osteoarthritis,which is characterized by “positioning and manipulation,needle knife holistic treatment”.Methods A total of 160 patients with knee osteoarthritis in the outpatient and inpatient departments of the Affiliated Hospital of Shaanxi University of Chinese Medicine from December 2018 to December 2020 were randomly divided into treatment group and control group with 80 patients in each group.The treatment group:position differentiation,needle knife holistic treatment combined with traditional Chinese medicine hot compress,physiotherapy and other basic treatments;Control group:routine Chinese medicine hot compress,physical therapy and other basic treatment;After 14 days and one course of treatment,observe the clinical efficacy of the two groups,and evaluate the scores of pain (VAS) and osteoarthritis index (WOMAC) of the two groups before and after treatment.Results The total effective rate was 97.5% in the treatment group and 85.0% in the control group.After treatment,the VAS score and WOMAC score in both groups were significantly improved compared with those before treatment (P<0.05),and the improvement in the treatment group was more significant (P<0.05).Conclusion The treatment of knee osteoarthritis with the method of position discrimination and needle knife as a whole has a significant effect,which significantly reduces the pain of patients and improves the functional activities of the knee joint,and is worth popularizing.

参考文献/References:

[1]陆小香,徐迪,林强,等.早期阶段性康复干预对老年膝关节骨性关节炎患者全关节置换术后下肢疼痛及功能的影响[J].中国康复医学杂志,2019,34(3):273-279.
[2]赵明雷,白跃宏,张颖,等.小针刀治疗膝骨关节炎的研究进展[J].河北中医,2017,39(12):1908-1912.
[3]吴文飞.分析中医微创小针刀疗法治疗膝关节骨性关节炎的疗效[J].中国社区医师,2017,33(21):96,98.
[4]牛时季.小针刀疗法治疗膝关节骨性关节炎的临床观察[J].新疆中医药,2014,32(4):43-45.
[5]常英,常红,刘亚彬,等.小针刀治疗膝关节骨性关节炎60例[J].山东中医杂志,2014,33(7):557-558.
[6]陈定家,刘军.中医骨伤科临床诊疗指南·膝痹病(膝骨关节炎)[J].康复学报,2019,29(3):1-7.
[7]中国中医药研究促进会骨伤科分会.膝骨关节炎中医诊疗指南(2020年版)[J].中医正骨,2020,32(10):2-3.
[8]中国针灸学会.循证针灸临床实践指南:膝骨关节炎[M].北京:中国中医药出版社,2015:5-8.
[9]李金溢,陈洁洁,陈金龙,等.小针刀联合玻璃酸钠治疗膝关节骨性关节炎的Meta分析[J].湖南中医杂志,2019,35(4):130-135.
[10]刘盈,艾金伟,刘羽,等.小针刀与透明质酸治疗膝骨性关节炎的有效性:网状Meta分析[J].湖北医药学院学报,2016,35(2):157-164.
[11]余红超,孙菊,董博,等.针刀整体松解术配合蠲痹汤治疗肝肾亏虚型膝骨性关节炎临床观察[J].中国医药导报,2017,14(3):169-172.
[12]毛鹏,张毅,杨利英,等.细银质针导热联合羧甲基壳多糖关节内注射治疗膝骨性关节炎[J].中国疼痛医学杂志,2018,24(11):847-850.
[13]陈国华,邵建赟,何健,等.成人大骨节病膝关节生物力学测量与WOMAC评分的多重回归分析[J].中华地方病学杂志,2018,37(3):186-191.
[14]欧国峰,刘继华,董博,等.小针刀闭合性松解术治疗膝关节骨性关节炎研究进展[J].山东中医杂志,2017,36(1):85-88.
[15]陈红,朱红坤,瞿群威,等.针刀松解术治疗膝骨性关节炎临床对照观察[J].湖北中医杂志,2015,37(4):66-67.
[16]卢笛,徐卫星,丁伟国,等.C形臂X线引导下针刀切断脊神经后内侧支治疗腰椎关节突骨关节炎的病例对照研究[J].中国骨伤,2013,26(3):214-217.
[17]李锋,朱蔚琳,张行.针刀微创疗法联合神经阻滞治疗慢性膝关节侧副韧带炎60例临床观察[J].山东医药,2015,55(17):38-39.
[18]陈禹兆.小针刀治疗膝关节骨性关节炎的临床疗效观察[D].广州:广州中医药大学,2018.
[19]钟伟华,庞向华.改良小针刀疗法改善早期膝骨性关节炎患者膝关节功能临床观察[J].辽宁中医药大学学报,2013,15(2):113-115.
[20]马建华,王庆雷.超声中频穴位导药联合玻璃酸钠注射对膝骨性关节炎患者IL-1β、TNF-α的影响及疗效[J].武警医学,2018,29(10):949-952.

备注/Memo

备注/Memo:
国家中医临床研究基地业务建设第二批科研专项(JDZX2015279);关中李氏骨伤流派传承工作室资助项目(2018-40);刘德玉全国名老中医传承工作室(2018-293);三秦学者创新团队项目(1410170084);陕西省重点科技创新团队项目(2013KCT-026)
更新日期/Last Update: 2022-11-28