针刺麻醉联合关节松动术治疗膝关节功能障碍随机平行对照研究

For the Treatment of Acupuncture Anesthesia Joint Loosening Knee Joint Dysfunction Random Parallel Control Study

[目的]观察针刺麻醉联合关节松动术治疗膝关节功能障碍疗效。[方法]使用随机平行对照方法,将98例住院患者按就诊顺序号简单随机分为两组。对照组49例关节松动训练,澳大利亚麦特兰德（Maitland）Ⅰ-Ⅳ级手法;Ⅰ-Ⅱ级用于关节疼痛;Ⅲ级用于关节疼痛伴僵硬,Ⅳ级用于治疗周围组织黏连,挛缩引起的关节大活动受限;30min/次,2次/d。治疗组49例在关节松动前加针刺麻醉,取血海、梁丘、风市、萁门、殷门、阳陵泉、委中、合谷、手三里,华佗牌针灸针40mm,针刺有酸麻涨困针感后,接华谊牌G6805-2A低频脉电子脉冲治疗仪,连续波200次/s,电流开至能耐受,10min调整一次共计30min;或下肢放松,疼痛刺激阈值提高后关节松动训练,15min靠墙下蹲训练,麻醉效果消失前做主动抗阻训练。连续治疗20d为1疗程。观测临床疗效、晨僵时间、关节功能（活动度）、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组治愈39例,显效7例,有效3例,无效0例,总有效率100%。对照组治愈30例,显效8例,有效2例,无效9例,总有效率81.63%。治疗组疗效优于对照组（P〈0.05）。[结论]针刺麻醉联合关节松动术治疗膝关节功能障碍疗效显著,值得推广。

[ Objective ] To observe the acupuncture anesthesia combined joint effect of manipulation treatment of knee joint dysfunction. [ Methods ] Using random parallel control method, 98 cases of hospitalized patients into two groups according to random number table method. The control group and 49 patients with loose joint training, in Australian matt rand （ Maitland ） Ⅰ -Ⅳ level. Ⅰ - Ⅱ level for joint pain; Ⅲ level for joint pain associated with stiff, Ⅳ level used in the treatment of the surrounding tissue adhesion, contractnre of joint activity limitations; 30 min/times, 2 times/d. Treatment group （49 cases before loosening, plus acupuncture anesthesia, blood, Liang Qiu, wind city, broom, Yin door, gb 34, bilateral, valley, hand three mile, hua tuo card 40 mm acupuncture needle, needle with acid hemp trapped after the needle feeling, meet huayi brand G6805-2 a low-frequency electronic pulse therapeutic apparatus of arteries and veins, continuous wave frequency of 200 times per second, the current drive to tolerated, 10 min to adjust a total of 30 min;Raise or lower extremities relax, pain stimulus threshold after loosening, training, squatting under 15 min by wall training, active resistance training before anesthesia effect disappeared. Continuous treatment of 20d 1 course of treatment. Observed the clinical effect, treatment time, adverse reaction. Continuous treatment 3 period of treatment, judge curative effect. [ Results J The treatment group cure 39 cases, 7 cases were markedly effective, effective in 3, 0 no effect, the total effective rate was 100%. 30 eases of control group cure, 8 cases were markedly effective, effective in 2 cases, 9 no effect, the total effective rate was 81.63%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ] Joint joint manipulation therapy acupuncture anesthesia effect is remarkable, the knee joint dysfunction is worth promoting.