首页|中药热敷联合微针刀浅筋膜层松解术治疗膝关节骨性关节炎寒湿痹阻型疗效观察

中药热敷联合微针刀浅筋膜层松解术治疗膝关节骨性关节炎寒湿痹阻型疗效观察

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目的:观察中药热敷联合微针刀浅筋膜层松解术治疗膝关节骨性关节炎(KOA)寒湿痹阻型的疗效。方法:92例以随机数字表法分为两组各46例。对照组用微针刀浅筋膜层松解术治疗,联合组用微针刀浅筋膜层松解术及中药热敷治疗。结果:联合组治愈率高于对照组(P<0。05),治疗后联合组WOMAC、VAS及证候评分低于对照组而Lysholm评分高于对照组(P<0。05),治疗后联合组关节间隙角、股骨内侧髁高宽比、股骨外侧髁高宽比高于对照组而股骨角低于对照组(P<0。05),治疗后联合组IL-1β、TWEAK、CTX-Ⅰ、TRACP低于对照组(P<0。05)。结论:中药热敷与微针刀浅筋膜层松解术联合治疗KOA寒湿痹阻型效果较好。
Objective:To observe the curative effect of Chinese medicine hot compress combined with micro-needle knife superficial fascia layer lysis in the treatment of knee osteoarthritis(KOA)of cold dampness type.Methods:Ninety-two cases were randomly divided into two groups,with 46 cases in each group.The control group were treated with micro needle knife superficial fascia layer lysis,while the combined group were treated with micro-needle knife superficial fascia layer lysis and Chinese medicine hot compress.Results:The curative rate of the combined group was higher than that of the control group(P<0.05).After treatment,the WOMAC,VAS,and syndrome scores of the combined group were lower than those of the control group,while the Lysholm score was higher than that of the control group(P<0.05).After treatment,the joint space angle,the height-width ratio of the medial femoral condyle,and the height-width ratio of the lateral femoral condyle of the combined group were higher than those of the control group,while the femoral angle was lower than that of the control group(P<0.05).After treatment,IL-1β,TWEAK,CTX-Ⅰ,and TRACP in the combined group were lower than in the control group(P<0.05).Conclusion:The combination of Chinese medicine hot compress and micro-needle knife superficial fascia release is effective in the treatment of KOA cold-dampness obstruction type.

Knee osteoarthritisChinese medicine hot compressMicro-needle knife superficial fascia layer lysis

王旭伟、崔改琴、程斌

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河南省郑州市颈肩腰腿痛医院腰腿痛科,河南 郑州 450015

膝关节骨性关节炎 中药热敷 微针刀浅筋膜层松解术

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(4)
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