基于“经筋理论”的铍针治疗早中期髌股关节炎临床观察

Clinical observation on beryllium needle in treatment of early and middle patellofemoral arthritis based on“meridian-tendon”theory

目的观察基于“经筋理论”的铍针治疗早中期髌股关节炎(EMPA)的疗效。方法将我院90例EMPA患者随机分为对照组与观察组各45例。对照组给予玻璃酸钠治疗,观察组给予臀髋膝部铍针治疗。比较两组总有效率,视觉模拟评分法(VAS),Lysholm膝关节评分,髌股关节炎紊乱影像学指标。结果治疗后,观察组总有效率高于对照组(P<0.05);两组膝关节VAS评分、Insall和髌股指数、股骨滑车沟、髌股协调、外侧髌股和髌骨倾斜角均低于治疗前,膝关节Lysholm评分均高于治疗前(P<0.05);观察组膝关节VAS评分、Insall和髌股指数、股骨滑车沟、髌股协调、外侧髌股和髌骨倾斜角低于对照组,膝关节Lysholm评分高于对照组(P<0.05)。结论基于“经筋理论”的铍针治疗EMPA疗效显著,能够降低疼痛,提高膝关节功能,改善髌股关节炎紊乱影像学指标。

Objective To observe the efficacy of beryllium needles based on“meridian-tendon”theory in treatment of early-to-mid-patellofemoral arthritis(EMPA).Methods Ninety EMPA patients were randomly divided into control group and observation group,with 45 cases in each group.Control group was treated with sodium hyaluronate,and observation group was treated with beryllium needles in the hips and knees.The overall effective rate,Visual Analogue Scale(VAS)score,Lysholm knee score,and imaging indicators of patellofemoral arthritis disorder in the two groups were compared.Results After treatment,the overall improvement rate of observation group was higher than that of control group(P<0.05);the VAS score of the knee joint,Insall and patellofemoral index,femoral trochlear groove,patellofemoral coordination,lateral patellofemoral and patellar tilt angles in both groups was lower than that before treatment,while the Lysholm score of the knee joint was higher,the above indicators in observation group were superior to those in control group(P<0.05).Conclusion Beryllium acupuncture based on“meridian-tendon”theory has significant efficacy in treatment of EMPA,which can reduce pain,improve knee joint function,and improve the imaging indicators of patellofemoral arthritis disorder.