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针刀松解对膝骨性关节炎足部生物力学及X线表现的影响
引用本文:张秀芬,权伍成,彭珊,王耀彬,陈天金,李丽虹. 针刀松解对膝骨性关节炎足部生物力学及X线表现的影响[J]. 武警医学, 2011, 22(10): 872-875
作者姓名:张秀芬  权伍成  彭珊  王耀彬  陈天金  李丽虹
作者单位:武警北京总队第二医院理疗科,100037;武警北京指挥学院门诊部,100012
摘    要: 目的 探讨针刀松解对膝骨性关节炎足部生物力学及X线表现的影响.方法 选择2005-07至2008-12在我院治疗的58例膝骨性关节炎患者,随机分为针刀观察组和电针对照组各29例,比较两组JOA评分、足部生物力学及X线改变.结果 两组治疗前后以及随访时的JOA评分比较具有显著性意义(P<0.01),足底压力分值比较差异有统计学意义(P<0.05),两组间得分差值比较,差异具有统计学意义(P<0.05);观察组在关节间隙变窄、髌骨外移、髌骨高位、关节腔积液方面,治疗后、随访与对照组相比,差异有统计学意义(P<0.05),而在髁间棘骨质增生和软骨下骨硬化方面的发生率无明显差别(P>0.05).结论 针刀疗法可直接松解、剥离压痛部分,将病灶消除,同时具有改变解除关节内外异常应力,促使关节的力学平衡恢复的作用,为临床治疗膝骨性关节炎提供了有效的治疗手段.

关 键 词:针刀松解  膝骨性关节炎  生物力学  X线  

Effects of acupotomy on the footplate pressure and X ray manifestations in the treatment of knee osteoarthritis
ZHANG Xiufen,QUAN Wucheng,PENG Shan,WANG Yaobin,CHEN Tianjin,LI lihong. Effects of acupotomy on the footplate pressure and X ray manifestations in the treatment of knee osteoarthritis[J]. Medical Journal of the Chinese People's Armed Police Forces, 2011, 22(10): 872-875
Authors:ZHANG Xiufen  QUAN Wucheng  PENG Shan  WANG Yaobin  CHEN Tianjin  LI lihong
Affiliation:ZHANG Xiufen~1,QUAN Wucheng~1,PENG Shan~1,WANG Yaobin~1,CHEN Tianjin~1,and LI lihong~2.1.Department of Physiotherapy,the Second Hospital of Beijing Municipal Corps,Chinese People's Armed Police Forces,Beijing 100037,China,2.Clinic of the Command College of Beijing,Chiese People's Armed Police Forces,Beijing 100012,China.
Abstract:Objective To study the effect of acupotomy being used to treat knee osteoarthritis on the footplate pressure and X ray manifestations.Methods 58 patients with knee osteoarthritis treated in this clinic from July 2005 to December 2008 were randomly divided into observation group and control group.The observation group was treated with acupotomy and the control group treated with electroacupuncture.Their JOA scores,footplate pressure and X ray manifestations were compared.Results After treatment and on revisi...
Keywords:acupotomy  knee osteoarthritis  footplate pressure  X rays  
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