超声引导结合经筋理论指导针刀治疗气滞血瘀型膝骨性关节炎36例

Treatment of 36 Cases of Knee Osteoarthritis of Qi Stagnation and Blood Stasis Type with Needle Knife Guided by Ultrasound and Meridian Tendon Theory

目的:探讨超声引导结合经筋理论指导针刀治疗对气滞血瘀型膝骨性关节炎的临床影响,为针刀“可视化”治疗提供更有效的方法。方法:选取我院2020年10月—2021年10月收治的气滞血瘀型膝骨性关节炎患者72例,按照随机数字表法分为对照组36例,予以针刀常规治疗;观察组36例,予以超声引导结合经筋理论指导下针刀治疗。比较2组的关节液炎症水平、超声下病理改变情况、膝关节功能评分。结果:治疗结束后1周,观察组的IL-6、IL-1β、TNF-α水平均低于对照组,髌上囊的滑膜厚度薄于对照组,膝关节功能HSS及KSS评分均高于对照组(P<0.05)。结论:超声引导结合经筋理论指导针刀治疗气滞血瘀型膝骨性关节炎可以抑制关节液炎症水平、降低滑膜厚度、改善膝关节功能,为超声引导结合经筋理论指导下运用针刀“可视化”治疗本病提供了理论支持。

Objective:To explore the clinical effect of ultrasound-guided combined with meridian tendon theory guided needle knife treatment on Qi stagnation and blood stasis type knee osteoarthritis,and to provide a more effective method for needle knife"visualization"treatment.Methods:From October 2020 to October 2021,72 patients with knee osteoarthritis of Qi stagnation and blood stasis type were selected.According to the random number table method,36 cases were divided into control group and treated with needle knife routine treatment;36 cases in the experimental group were treated with needle knife under the guidance of ultrasound guidance and meridian tendon theory.The level of joint fluid inflammation,pathological changes under ultrasound and knee function score were compared between the two groups.Results:One week after treatment,the IL-6,IL-1β,TNF-αlevels of the experimental group were lower than those of the control group,the synovial thickness of the suprapatellar capsule was thinner than that of the control group,and the HSS and KSS scores of knee function were higher than those of the control group(P<0.05).Conclusion:Ultrasonic guidance combined with meridian tendon theory to guide needle knife in the treatment of knee osteoarthritis with Qi stagnation and blood stasis can inhibit the inflammatory level of joint fluid,reduce the thickness of synovium and improve the function of knee joint.It provides theoretical support for the"visualization"of needle knife under the guidance of ultrasound guidance and meridian tendon theory.