关节镜手术联合基于经筋理论评估下针刀治疗膝骨性关节炎的临床研究

Under the Evaluation of Arthroscopic Surgery Combined with Jingjin Theory Clinical Study on Needle-knife Treatment for Knee Osteoarthritis

目的:探讨关节镜手术联合基于经筋理论评估下针刀治疗膝骨性关节炎的临床效果,为微创治疗提供新思路。方法:选取2022年1月—2022年12月九江市中医医院收治的膝骨性关节炎患者72例作为研究对象,按照随机数字表法分为对照组和观察组,各36例。对照组予以单纯的关节镜手术治疗,观察组予以关节镜手术联合基于经筋理论评估下针刀治疗。比较2组的滑膜厚度、炎症水平、关节康复功能及治疗效果。结果:治疗4周后,观察组关节囊内滑膜厚度薄于对照组,关节积液的炎症水平改善程度优于对照组,关节康复功能评分高于对照组,中医证候评分总有效率高于对照组(P<0.05)。结论:关节镜手术联合基于经筋理论评估下针刀治疗膝骨性关节炎可以更好地改善关节囊内的滑膜厚度及抑制关节液炎症水平,促进膝关节功能的康复,提升治疗效果。

Objective:To explore the clinical effect of arthroscopic surgery combined with needle-knife treatment for knee osteoarthritis based on the Jingjin theory,and to provide new ideas for minimally invasive treatment.Methods:Seventy-two patients with knee osteoarthritis in our hospital from January 2022 to December 2022 were selected.According to the random number table method,they were divided into control group and observation group,with 36 cases in each group.The control group was treated with simple arthroscopic surgery,while the observation group was treated with arthroscopic surgery combined with needle-knife treatment based on the Jingjin theory.The synovial thickness,inflammation level,joint rehabilitation function and therapeutic effect of the two groups were compared.Results:After 4 weeks of treatment,the synovial membrane thickness in the joint capsule of the observation group was thinner than that of the control group,the improvement degree of joint effusion inflammation was better than that of the control group,the joint rehabilitation function score was higher than that of the control group,and the total effective rate of TCM syndrome score was higher than that of the control group(P<0.05).Conclusion:Arthroscopic surgery combined with needle-knife treatment based on Jingjin theory in the treatment of knee osteoarthritis can better improve the synovial thickness in the joint capsule and inhibit the level of joint fluid inflammation,promote the rehabilitation of knee joint function and improve the therapeutic effect.