小针刀治疗膝关节骨性关节炎的临床疗效观察及X线测量与分析

Clinical efficacy observation and X-ray measurement and analysis of small needle scalpel in the treatment of knee osteoarthritis

目的观察小针刀治疗膝关节骨性关节炎(KOA)的临床疗效观察及X线测量与分析。方法将2019年7月至2020年1月在广州市番禺区中医院治疗的膝关节骨性关节炎患者120例,严格按照纳入标准及排除标准,采用随机数字表法分为治疗组和对照组,每组各60例。治疗组采用小针刀治疗,对照组采用电针治疗。两组患者在治疗前后对膝关节骨性关节炎患者应用症状、体征和功能状态量表进行评价,并进行膝关节DR检查。对试验结果进行意向性处理分析,并结合X线片系统地分析相关的角度、数值变化。结果治疗前两组膝关节骨性关节炎症状、体征和功能状态量表评分比较,差异无统计学意义(P>0.05)。治疗后均显著下降,其中治疗组明显低于对照组,差异有统计学意义(P<0.05)。治疗组患者临床总有效率为91.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。治疗前两组患者膝关节侧位X线片测量指标比较,差异无统计学意义(P>0.05)。治疗后两组A干角上升,B干角、LT/LP值、LT/HI值较治疗前下降,其中治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论在膝关节骨性关节炎患者的治疗中,采取小针刀治疗,可明显降低患者膝关节症状、体征、功能状态评分,改善膝关节X线下指标,效果理想。

Objective To conduct clinical efficacy observation and X-ray measurement and analysis of small needle scalpel in the treatment of knee osteoarthritis(KOA).Methods A total of 120 patients with KOA treated in Panyu Hospital of Chinese Medicine of Guangzhou City from July 2019 to January 2020 were,in strict accordance with the inclusion criteria and exclusion criteria,divided into the treatment group and the control group through random number table,with 60 patients in each group.The treatment group was treated with small needle scalpel,while the control group was treated with electroacupuncture therapy.Before and after treatment,the symptoms,signs and functional status of the patients with KOA in the two groups were evaluated with scales,and DR examination of the knee joint was performed.Intentional treatment analysis was carried out on the test results,and relevant angle and numerical changes were systematically analyzed in combination with X-ray films.Results There was no statistically significant difference in symptoms,signs and functional status scale scores between the two groups of patients with KOA before treatment(P>0.05).After treatment,the scores of the patients in both groups decreased significantly,but the decrease of the treatment group was more significant than that of the control group with statistically significant difference(P<0.05).The total clinical effective rate of the patients in the treatment group was 91.67%,while that of the patients in the control group was 76.67%,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference between the two groups in the measurement indexes in lateral X-ray film of the knee joint(P>0.05).After treatment,the A-stem angle of the two groups increased,and the B-stem angle,LT/LP value and LT/HI value decreased compared with those before treatment,of which the situation in the treatment group was significantly superior to that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of the patients with KOA,the application of small needle scalpel can significantly reduce the scores of knee joint symptoms,signs and functional status of the patients and improve the X-ray indexes of the knee joint with favorable effects.