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膝骨性关节炎经筋证型分布规律研究及其生物力学机理分析
引用本文:王常海,栗彦芳,李峰,张蓉,施延昭.膝骨性关节炎经筋证型分布规律研究及其生物力学机理分析[J].中医药学刊,2010(5):970-974.
作者姓名:王常海  栗彦芳  李峰  张蓉  施延昭
作者单位:[1]河南中医学院基础医学院,河南郑州450008 [2]北京中医药大学基础医学院,北京100082 [3]第二炮兵总医院中医科,北京100088 [4]RSsean中国实验室,北京100084
基金项目:国家重点基础研究发展计划(937计划)资助项目(2005CB523307); 高等学校优秀青年教师教学科研奖励计划(教育部0100108); 教育部科技成果(360-09-10130493-03); 中国人民解放军2009年度科技进步三等奖(2009-3-219-3)
摘    要:目的:研究膝骨性关节炎经筋证型的分布规律,并探讨经筋证型的生物力学机理。方法:选取70例膝骨性关节炎(KOA)患者共102个患膝,采用手触诊法,统计经筋病灶点出现频次和经筋证型出现比率。结果:膝骨性关节炎患者存在足阳明经筋、足少阳经筋、足三阴经筋3种单一经筋证型和多种复合证型,其中足阳明经筋证型出现最多;随着疾病发展,出现了较多足太阳经筋复合证型。结论:KOA经筋证型的出现与膝关节解剖学结构和其生物力学特性密切相关,研究结果既为临床治疗打下基础,也为开展KOA经筋辨证的生物力学现代研究提供了理论依据。

关 键 词:膝骨性关节炎  经筋辨证

The Research of the Distribution of Channel Alteration of Knee Osteoarthritis and the Discussion of the Biomechanical Mechanism of the Disease
WANG Chang-hai,LI Yan-fang,LI Feng,ZHANG Rong,SHI Yan-zhao.The Research of the Distribution of Channel Alteration of Knee Osteoarthritis and the Discussion of the Biomechanical Mechanism of the Disease[J].Study Journal of Traditional Chinese Medicine,2010(5):970-974.
Authors:WANG Chang-hai  LI Yan-fang  LI Feng  ZHANG Rong  SHI Yan-zhao
Institution:1.School of Basic Medical Science,Henan College of Traditional Chinese Medicine,Zhengzhou 450008,Henan,China;2.School of Basic Medical Science,Beijing University of Chinese Medicine,Beijing 100082,China;3.Department of Traditional Chinese Medicine,Second Artillery General Hospital,Beijing 100088,China;4.Rscan China Laboratory,Beijing 100084,China)
Abstract:Objective:study the distribution of knee osteoarthritis,and discuss the biomechanical mechanism of the channel alteration disease.Methods:select 70 patients of knee osteoarthritis( KOA) and 102 sick knees,take the touching method,comparing the number of the channel alteration lesion and the rate of the channel alteration disease.Result:knee osteoarthritis have channel sinew in Foot Yangming、Foot Shaoyang,and Foot Sanyin.and many composition channel alteration,and the most frequent atmosphere is channel sinew of Foot Yangming,with the development of the disease,many channel sinew of Foot Taiyang complicated syndromes occur.Conclusion:the occurrence of KOA has the close relationship with the structure of the knee anatomy and the character of the biomechanics,the results of the research not only lay the foundation of the clinical treatment but also provide the theoretical basis of the development of the modern research of biomechanics of KOA.
Keywords:knee osteoarthritis  channel sinew syndromes
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