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髋-膝-踝联合针刺论治劳损型膝关节滑膜炎

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膝关节滑膜炎是指膝关节受到急慢性劳损引起滑膜损伤、充血水肿、分泌异常,从而导致关节腔内积血或积液,以膝关节肿胀疼痛、局部皮温升高、屈伸不利,甚则关节畸形为主要症状的骨科常见疾病.劳损型滑膜炎多见于长期负重劳累磨损导致关节退变、骨性关节炎的老年人,病变伤及关节滑膜,刺激炎症反应和疼痛因子异常表达,导致滑膜炎性渗出,滑膜液分泌异常,打破液体排出平衡状态,造成膝关节肿胀疼痛,活动不利.经筋网络遍布全身,维系全身关节运动的稳定性.文章结合膝关节运动生物力学髋踝肌肉韧带之间的协同作用,论述髋关节、踝关节在膝关节及下肢运动稳定中的作用,阐述在经筋理论指导下针刺刺激相应肌群治疗膝关节滑膜炎的作用机制.传统治疗方法非甾体抗炎药、封闭、中药等疗效明确,但长期使用对韧带和肝肾不利.针刺消炎镇痛、活血消肿作用明显,且安全性高,已被大量临床试验证明.膝关节屈伸肌群多数都在髋部、踝部,髋、踝关节对膝关节稳定起到至关重要的作用.故选取疼痛部位上下经筋病灶反应点联合膝关节局部腧穴,以加强整体下肢力线应力调整和平衡,整体论治膝关节滑膜炎,临床效果显著.
Treating strain type gonarthromeningitis by joint acupuncture on hip-knee-ankle
Gonarthromeningitis is a common orthopaedic disease with knee joint swelling and pain,local skin temperature rise,inflexible flexion and extension,and even joint deformity as the main symptoms.The pathogenesis of this disease is blood or fluid accumulation in the joint cavity caused by synovial injury,hyperemia and edema,abnormal secretion after acute and chronic strain of the knee joint.Strain type gonarthromeningitis is more common in elderly people who suffer from joint degeneration and osteoarthritis caused by long-term load-bearing fatigue and wear.The lesion damages the synovium of joints,stimulates inflammatory response and abnormal expression of pain factors,causes inflammatory exudation of the pathological synovitis and abnormal secretion of synovial fluid,breaks the balance of fluid discharge,and causes swelling and pain of the knee joint and unfavorable activity.The whole body through the tendon network can maintain the stability of the whole body's joint motion.This paper discusses the role of the hip joint and ankle joint in the motion stability of the knee joint and the lower limb in combination with the synergic action between the hip and ankle muscles and ligaments of the knee joint in the context of the knee joint movement biomechanics,and elaborates the mechanism and action of acupuncture stimulation of the corresponding muscle groups in the treatment of gonarthromeningitis under the guidance of the theory of the tendon.Traditional treatment methods such as non-steroidal anti-inflammatory drugs,blocking,traditional Chinese medicinal materials have clear curative effects,but long-term use is not good for ligaments and liver and kidney.Acupuncture has obvious anti-inflammatory,analgesic,blood-activating and detumifying effects with high safety,which has been proved by a large number of clinical experiments.Most knee flexor and extensor muscle groups are in the hip and ankle,which play a crucial role in the stability of the knee joint.In this paper,the reaction points of the upper and lower meridian tendon lesions in the pain site combined with the local acupoints of the knee joint are selected to strengthen the stress adjustment and balance of the overall lower limb force line,and the overall treatment of knee joint synovitis shows significant clinical effects.

hip-knee-ankleAcupunctureMeridian theoryStrain type gonarthromeningitis

郭丽荣、匡河林、李忠肇、张增、邢士新

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山西中医药大学研究生学院,山西 太原,030000

山西中医药大学附属医院,山西 太原,030000

髋-膝-踝 针刺 经筋理论 劳损型膝关节滑膜炎

山西中医药大学中医骨伤科学科建设项目

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(7)
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