针刀配合肌力平衡手法治疗膝骨关节炎的临床研究

Clinical study on the curative effect of needle knife therapy combined with muscle strength balance manipulation on knee osteoarthritis

目的:研究针刀配合肌力平衡手法治疗膝骨关节炎的临床疗效。方法:将符合要求的107例膝骨关节炎患者随机分为2组,治疗组55例,对照组52例。治疗组采用针刀配合肌力平衡手法治疗,对照组单纯采用针刀治疗,共治疗4周。分别于治疗前和治疗后采用WOMAC骨关节炎指数对患者的临床疗效进行评定。结果:①关节疼痛积分。治疗前2组患者关节疼痛积分比较,差异无统计学意义(t=0.410,P=0.683);治疗后2组患者关节疼痛积分均减小(t=3.132,P=0.002;t=3.073,P=0.003);2组患者治疗前后关节疼痛积分差值比较,差异无统计学意义(t=0.405,P=0.686)。②关节僵硬积分。治疗前2组患者关节僵硬积分比较,差异无统计学意义(t=0.186,P=0.853);治疗组治疗后关节僵硬积分明显减小(t=2.081,P=0.039),对照组治疗前后关节僵硬积分比较,差异无统计学意义(t=0.165,P=0.869)。③关节功能障碍积分。治疗前2组患者关节功能障碍积分比较,差异无统计学意义(t=0.404,P=0.687);治疗后2组患者关节功能障碍积分均减小(t=3.714,P=0.001;t=2.503,P=0.014),治疗组减小更明显(t=5.207,P=0.000)。结论:针刀配合肌力平衡手法能明显缓解膝骨关节炎患者的关节疼痛及僵硬症状,改善关节功能,是治疗膝骨关节炎的有效方法,值得临床推广应用。

Objective：To study the clinical curative effect of needle knife therapy combined with muscle strength balance manipulation on knee osteoarthritis（KOA）. Methods： One hundred and seven patients with KOA met the requirements were randomly divided into 2 groups,55 cases in treatment group,while the others in the control group. Patients in the treatment group were administrated with needle knife therapy combined with muscle strength balance manipulation, while the others in the control group were adminislrated with needle knife therapy only, for consecutive 4 weeks. The clinical curative effects were evaluated according to WOMAC osteoarthritis index befure and after the treatment respectively. Results ： （1）Joint pain scores：there was no statistical difference in joint pain scores between the 2 groups betore the treatment（t = 0. 410 ,P = 0. 683 ）. Joint pain scores of patients in the 2 groups were all reduced after the treatment（ t = 3. 132 ,P = 0. 002 ;t = 3. 073,P = 0. 003 ）. There was no statistical difference between the 2 groups in the decreasing degree of joint pain scores （t = 0. 405 ,P = 0. 686）. （2）oint stiffness scores：there was no statistical difference in joint stiffness scores of patients between the 2 groups be- tbre the treatment （t = 0. 186, P = 0. 853 ）. Joint stiffness scores of patients in the treatment group were reduced significantly after the treatment（ t =2. 081 ,P =0. 039） ,while there was no statistical difference in joint stiffness scores between pretreatment and posttreatmen! for control groups （ t = 0. 165 ,P = 0. 869）. @Joint dysfunction scores ： there was no statistical differenee in joint dysfunction scores between the 2 groups before the treatment（t =0. 404,P =0. 687）. Joint dysfunction scores of patients in the 2 groups were all reduced afler the treatment（ t = 3. 714, P = 0. 001 ; t = 2. 503, P = 0. 014 ） , and scores of the treatnrent group were reduced more significantly （ t = 5. 207, P = 0.000）. Conclusion：The therapy of needle knife combined with muscle strength balance manipulation can significantly relieve the joint pain and stiffness symptoms for patients with KOA and improve their joint functions,so it is an effective method in the treatment of KOA, and it is worthy of popularizing in clinic.