物理因子干预治疗膝关节骨性关节炎

    徐文斌，熊俊龙，戴文俊，范炳华*

    (浙江中医药大学，杭州 310053)

    摘要：膝关节骨性关节炎(KOA)主要的病理因素是由于膝关节的慢性积累性损伤和退行性改变，引起膝关节软骨变性，关节软骨面反应性增生形成骨质增生，导致关节间隙狭窄，进而引发膝关节肿胀、疼痛，活动受限等一系列症状。目前现代医学常选用西药注射疗法、康复疗法、物理疗法、手术治疗以及中药熏洗、推拿、针灸等中医传统疗法。治疗过程中运用仪器产生灯、光、电、磁、冷热等物理因子的干预疗法，在KOA急性期能够很好的缓解症状，并可减少治疗KOA的药物用量，减轻药物对身体的危害，有良好的临床效果和社会效应。

    关键词：膝关节骨性关节炎；物理因子；干预治疗

    DOI:10.13463/j.cnki.cczyy.2015.06.063

    中图分类号：R274.9文献标志码：A

    文章编号：2095-6258(2015)06-1268-04

    基金项目：范炳华全国名老中医药专家传承工作室(国中医药人教发〔2014〕20号)；国家临床重点专科建设项目(国卫医发2013-42号)；国家“十二五”中医药重点学科(国中医药人教发(2012)32号)；浙江省重大科技计划项目“多功能膝关节康复治疗仪研发”(2013C03049-1)；浙江省范炳华名老中医专家传承工作室(GZS2012016)。

    作者简介：徐文斌(1990-)，男，硕士研究生，主要从事脊柱及骨关节相关疾病的临床研究。

    收稿日期:(2015-05-07)

    *通信作者：范炳华，男，教授，主任中医师，电子信箱-fanbinhua@sina.com

    Intervention treatment of knee osteoarthritis by physical factors

    XU Wenbin, XIONG Junlong, DAI Wenjun, FAN Binghua*

    (Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China)

    Abstract：The chronic cumulative damage and degenerative changes of knee joint was the main pathological factor of the knee osteoarthritis, which will cause knee joint cartilage degeneration, articular cartilage surface reactive hyperplasia, form bone hyperplasia, result in joint space narrowing and a series of symptoms, such as the knee joint swelling, pain, restricted movement. At present modern medicine often choose western medicine injection therapy and rehabilitation therapy, physical therapy, surgical treatment; Also includes traditional Chinese medicine fumigation traditional therapy of traditional Chinese medicine, massage, acupuncture, etc. We find the intervention treatment of physical factors such as electrotherapy, phototherapy, ultrasonic therapy, magnetic therapy, kerotherapy, Chinese medicine iontophoresis, etc in the acute phase of knee osteoarthritis can relieve symptoms with less side effects, better clinical and social effects, reduce the dosage of drugs, and alleviate the physical danger of drugs, so more and more attention are paid to physical factors in treating KOA and the related mechanism. ......