针刀治疗膝骨性关节炎30例远期疗效观察

Observation on Prospective Efficacy of Treating 30 Cases of Genual Osteoarthritis with Acupotome

目的:观察针刀治疗膝骨性关节炎的远期疗效并探讨其机制。方法:采用疼痛视觉模拟评分法、功能分级评分法等对30例膝骨性关节炎患者进行随访。结果:①两年后疼痛下降疗效判定优者占34.5%,良者占60.0%,好转者占5.5%,总有效率100%。②关节功能2年后随访完好率为70.9%,比治疗结束后提高了3.6%。③膝关节治愈率由治疗后的53.3%增长到两年后的56.7%。结论:针刀治疗膝骨性关节炎的远期疗效好,为朱氏的“骨质增生的病因是力平衡失调”的理论提供了佐证。

Objective： To observe the prospective efficacy of treatment of genual osteoarthritis with acupotome and research on its mechanism. Methods： 30 cases of genual osteoarthritis patients were followed - up by visual analogue scales and functional classification scales etc. Results： ①After two years, the complete disappearance rate of pain was 34.5%, the primary disappearance rate of pain was 60.0 %, the improvement rate was 5.5% and the total effective rate was 100%.②The rate of the joint function in good condition was 71.0% in the prospective efficacy. It improved 3.7% comparing to the condition after the treatment. ③The cure rate of articular genu was increased from 53.3% to 56.7% two years later. Conclusion： The prospective efficacy of treatment of genual osteoarthritis with acupotome is excellent, and it is the proof of Professor Zhu＇s theory that ＂the etiological factor of hypemsteogeny is dynamic disequilibrium＂.