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针刀治疗膝关节创伤性滑膜炎的临床研究
引用本文:向伟明,丁思明,张秀芬,权五成,唐吉莲,杨友金,黄涣强,颜勋,曾晓宇,朱传芳,张雄.针刀治疗膝关节创伤性滑膜炎的临床研究[J].针灸临床杂志,2012(6):1-5.
作者姓名:向伟明  丁思明  张秀芬  权五成  唐吉莲  杨友金  黄涣强  颜勋  曾晓宇  朱传芳  张雄
作者单位:[1]重庆市梁平县第二人民医院,重庆405212 [2]武警北京市总队第二医院,北京100037
基金项目:重庆卫生局中医药科技项目,编号:2009-2-81
摘    要:目的:从改善膝关节力学平衡的角度,探讨针刀治疗膝关节创伤性滑膜炎的理论依据及方法,并评价临床疗效。方法:将120例膝关节创伤性滑膜炎患者,随机分为针刀组和超短波组,每组60例。针刀组每周治疗1次;超短波组每次治疗时间为20 min,隔日1次。两组均治疗3周后,用膝关节综合评定表、压痛指数、步态分析仪及张力计观察治疗前后及随访的力学平衡状态,并对比总有效率。结果:针刀组和超短波组治疗后及随访膝关节周围的临床症状值、最大负重、时间积分差值及负重、软组织的张力比例明显减低(P〈0.05),针刀组改善膝关节的临床症状值及力学不平衡状态情况优于超短波组(P〈0.05),针刀组的总有效率明显高于超短波组(P〈0.05)。结论:针刀通过松解膝周围软组织,减轻膝关节内涨应力,纠正膝关节负重不平衡,恢复膝关节创伤性滑膜炎的力平衡状态,从而改善临床症状,达到治愈的目的。

关 键 词:膝关节创伤性滑膜炎  针刀松解法  超短波  足底步态分析  软组织张力

Needle Knife Therapy in the Treatment of Traumatic Synovitis of Knee Joint
XIANG Wei-ming,DING Si-ming,△,ZHANG Xiu-fen,QUAN Wu-cheng,TANG Ji-lian,YANG You-jin,HUANG Huan-Qiang,YAN Xun,ZENG Xiao-yu,ZHU Chuan-fang,ZHANG Xiong.Needle Knife Therapy in the Treatment of Traumatic Synovitis of Knee Joint[J].Journal of Clinical Acupuncture and Moxibustion,2012(6):1-5.
Authors:XIANG Wei-ming  DING Si-ming    ZHANG Xiu-fen  QUAN Wu-cheng  TANG Ji-lian  YANG You-jin  HUANG Huan-Qiang  YAN Xun  ZENG Xiao-yu  ZHU Chuan-fang  ZHANG Xiong
Institution:1(1.The Second People’s Hospital,of Liangping County,Chongqing 405212,China; 2.The Second Hospital of Municipal Corps,Chinese Peoples’ Armed Police Forces,Beijing 100037,China)
Abstract:Objective:To discuss the theoretical references and methods of needle knife therapy in the treatment of traumatic synovitis of knee joint and evaluate its clinical effect from the perspective of improving the dynamical balance of knee joint.Methods:120 patients with traumatic synovitis of knee joint were randomly divided into the needle knife group and ultrashort wave group,with 60 cases respectively.The needle knife group received the treatment once per week;the ultrashort wave group received the treatment once every two days,with the treatment time of 20 minutes each time.After three weeks of treatment,observe the dynamical balance of knee joint before and after the treatment and of the follow-ups according to knee score scale,tenderness index,gait analyzer and tension meter,and compare the total effective rates.Results:There was a significant decrease in the clinical symptoms,max load,time integration differential and load and tension of soft tissues of knee joint after the treatment and during the follow-ups both for the needle knife group and ultrashort wave group(P〈0.05).The needle knife group was significantly better in the clinical symptoms and dynamical imbalance than the ultrashort wave group(P〈0.05),and the total effective rate of needle knife group was significantly better than that in the ultrashort wave group(P〈0.05).Conclusion:The needle knife therapy loose the soft tissues around the knee,relieves the tensile stress in the knee joint,corrects the load imbalance and recovers the dynamical balance of traumatic synovitis of knee joint in order to improve the clinical symptoms and achieve the recovery.
Keywords:Traumatic synovitis of the knee  Knife lysis method  Ultra-short wave  Foot gait analysis  Soft tissue tension
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