小针刀配合运动疗法治疗膝骨关节炎的临床研究(1)
【摘 要】目的：观察小针刀配合运动疗法治疗膝骨关节炎的临床疗效。方法：将98例膝骨关节炎患者按入院先后顺序随机分为治疗组和对照组，每组49例。对照组运用低周波理疗，指导患者运动锻炼、自我管理；治疗组采用小针刀治疗，同样指导患者运动锻炼。2组均以2周为1个疗程。分别于治疗前及治疗后2，4，12周采用西安大略和麦马斯特大学骨关节炎指数(WOMAC)评分和视觉模拟评分法(VAS)评分评估2组患者膝关节功能、疼痛的改善情况。结果：治疗后2，4，12周，2组WOMAC评分、VAS评分与治疗前比较均有显著下降，差异有统计学意义(P < 0.01)。治疗后2，4，12周，2组WOMAC评分比较，差异有统计学意义(P < 0.01或P < 0.05)；治疗后2周，2组VAS评分比较，差异有统计学意义(P < 0.05)。结论：小针刀配合运动锻炼治疗膝骨关节炎能明显改善患者临床症状，值得临床推广应用。
【关键词】 骨关节炎，膝；小针刀；运动疗法；随机对照
Clinical Study on the Treatment of Knee Osteoarthritis with Needle Knife Combined with Exercise Therapy
FAN Yi-ming，GUO Jia-yi，LI Feng，ZHANG Kang-le，SUN Qian-kun，GUO Yan-xing
【ABSTRACT】Objective：To observe the clinical curative effect of needle knife combined with exercise therapy in the treatment of knee osteoarthritis.Methods：Ninety eight cases with knee osteoarthritis were randomly divided into a treatment group and a control group according to the order of admission，with 49 cases in each group.The control group was treated with low frequency therapy， patients were instructed to exercise and self management；while the treatment group was treated with needle knife， also guide the exercise of patients.Both groups were treated for 2 weeks as a course of treatment.Respectively before and after treatment in 2，4，12 weeks，WOMAC score and VAS score was used to evaluate the improvement of two groups of patients with knee function and pain.Results：After 2，4，12 weeks of treatment，the WOMAC score and VAS score of the two groups were significantly decreased compared with before treatment，and the difference was statistically significant
(P < 0.01).After 2，4，12 weeks of treatment，the difference of WOMAC scores between the two groups was statistically significant(P < 0.01 or P < 0.05).After 2 weeks of treatment，the difference of VAS scores of the two groups was statistically significant(P < 0.05).Conclusion：Needle knife combined with exercise therapy can significantly improve the clinical symptoms in the treatment of knee osteoarthritis，worthy of clinical application.
【Keywords】 osteoarthritis，knee；needle knife；exercise therapy；the randomly controlled method
膝骨關节炎(knee osteoarthritis，KOA)是中老
年常见的退行性疾病。根据流行病学调查显示，我国KOA的患病率为5.4%～30.5%[1]。目前研究认为，科学的运动可以作为保守治疗骨关节炎的第一线治疗方法[2]。国际众多治疗指南也都推荐合理有效的运动锻炼防治本病。小针刀作为传统独具特色的中医微创技术治疗KOA能改善膝关节功能及疼痛，且副作用少[3-4]。本研究运用小针刀配合运动疗法治疗中老年KOA患者49例，现总结报告如下。
1 临床资料
1.1 一般资料 选取2015年6月至2016年10月在河南省洛阳正骨医院非手术治疗骨关节疾病中心就诊的住院KOA患者98例，按入院先后顺序随机分为治疗组和对照组，每组49例。治疗组男 (范仪铭 郭珈宜 李峰 张康乐 孙乾坤 郭艳幸)
【关键词】 骨关节炎，膝；小针刀；运动疗法；随机对照
Clinical Study on the Treatment of Knee Osteoarthritis with Needle Knife Combined with Exercise Therapy
FAN Yi-ming，GUO Jia-yi，LI Feng，ZHANG Kang-le，SUN Qian-kun，GUO Yan-xing
【ABSTRACT】Objective：To observe the clinical curative effect of needle knife combined with exercise therapy in the treatment of knee osteoarthritis.Methods：Ninety eight cases with knee osteoarthritis were randomly divided into a treatment group and a control group according to the order of admission，with 49 cases in each group.The control group was treated with low frequency therapy， patients were instructed to exercise and self management；while the treatment group was treated with needle knife， also guide the exercise of patients.Both groups were treated for 2 weeks as a course of treatment.Respectively before and after treatment in 2，4，12 weeks，WOMAC score and VAS score was used to evaluate the improvement of two groups of patients with knee function and pain.Results：After 2，4，12 weeks of treatment，the WOMAC score and VAS score of the two groups were significantly decreased compared with before treatment，and the difference was statistically significant
(P < 0.01).After 2，4，12 weeks of treatment，the difference of WOMAC scores between the two groups was statistically significant(P < 0.01 or P < 0.05).After 2 weeks of treatment，the difference of VAS scores of the two groups was statistically significant(P < 0.05).Conclusion：Needle knife combined with exercise therapy can significantly improve the clinical symptoms in the treatment of knee osteoarthritis，worthy of clinical application.
【Keywords】 osteoarthritis，knee；needle knife；exercise therapy；the randomly controlled method
膝骨關节炎(knee osteoarthritis，KOA)是中老
年常见的退行性疾病。根据流行病学调查显示，我国KOA的患病率为5.4%～30.5%[1]。目前研究认为，科学的运动可以作为保守治疗骨关节炎的第一线治疗方法[2]。国际众多治疗指南也都推荐合理有效的运动锻炼防治本病。小针刀作为传统独具特色的中医微创技术治疗KOA能改善膝关节功能及疼痛，且副作用少[3-4]。本研究运用小针刀配合运动疗法治疗中老年KOA患者49例，现总结报告如下。
1 临床资料
1.1 一般资料 选取2015年6月至2016年10月在河南省洛阳正骨医院非手术治疗骨关节疾病中心就诊的住院KOA患者98例，按入院先后顺序随机分为治疗组和对照组，每组49例。治疗组男 (范仪铭 郭珈宜 李峰 张康乐 孙乾坤 郭艳幸)