三点法针刀松解髌下脂肪垫治疗膝骨关节炎的临床研究

The Clinical Research of Acupotomy Lysis for Infrapatellar Fat Pad with Three Point Method to Treat Knee Osteotarthritis

目的:观察三点法针刀松解髌下脂肪垫治疗膝骨关节炎的疗效。方法:将120例X线分级为0,Ⅰ,Ⅱ期骨关节炎患者随机分为治疗组、针刀对照组和针刺组,每组40例。治疗组行三点法针刀松解髌下脂肪垫,但不松解其他组织;针刀对照组按照传统痛点定点,只松解病变组织,不松解髌下脂肪垫;针刺组接受针刺治疗。治疗一个疗程后观察关节疼痛模拟评分(VAS)、关节功能评分、压痛点数的变化。结果:治疗结束,各组VAS、关节功能评分、压痛点数降低或减少,差异有统计学意义(P<0.05);与针刀对照组及针刺组相比较,治疗组降低或减少更明显,差异有统计学意义(P<0.05);治疗组有效率为94.87%,高于针刀对照组及针刺组,差异有统计学意义(P<0.05)。结论:三点法针刀松解髌下脂肪垫能够有效治疗膝骨关节炎。

Objective：To observe the curative effect of acupotomy lysis for infrapatellar fat pad with three point method to treat knee osteotarthritis.Methods：120cases of X-ray grade 0,I,II in patients with osteoarthritis were randomly divided into treatment group,acupotomy control group and acupuncture group,40 cases in each group.The treatment group underwent acupotomy lysis of infrapatellar fat pad with three point method,but lyses no other tissues.The acupotomy control group underwent acupotomy lysis of diseased tissue,but does not lyses the infrapatellar fat pad,and the acupuncture group only received acupuncture treatment.After a course of treatment,the changes of VAS,joint function score,and number of tenderness points were observed.Results：At the end of treatment,VAS score,joint function score and tenderness points in 3groups were decreased,and the difference was statistically significant（P〈0.05）.Compared with the acupotomy control group and acupuncture group,the treatment group decreased more significantly,the difference was statistically significant（P〈0.05）.The clinical efficiency of treatment group was 94.87%,higher than those of the acupotomy control group and acupuncture group,the difference was statistically significant（P〈0.05）.Conclusion：The three point method of acupotomy lysis for infrapatellar fat pad is effective in treating knee osteotarthritis.