本文選題：膝骨關(guān)節(jié)炎 + 小針刀��； 參考：《山西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:觀察小針刀松解術(shù)配合肌力訓(xùn)練治療膝骨關(guān)節(jié)炎的臨床療效,分析患者膝關(guān)節(jié)功能改善情況及治療效果,探討膝骨關(guān)節(jié)炎的病因、發(fā)病機理及針刀治療的作用機理。方法:將納入標(biāo)準(zhǔn)的60例患者,分為兩組,治療組30例,對照組30例,治療組采用小針刀配合肌力訓(xùn)練,對照組采用單純肌力訓(xùn)練治療。治療4周后,觀察兩組治療前、后疼痛視覺模擬評分法(VAS)評分及膝關(guān)節(jié)Lysholm評分變化,并判定兩組患者治療后的療效。結(jié)果:(1)治療前兩組患者膝關(guān)節(jié)功能比較,差異無統(tǒng)計學(xué)意義(P0.05)。(2)治療后,治療組和對照組患者VAS評分較治療前明顯下降、Lysholm評分較治療前明顯升高,差異有統(tǒng)計學(xué)意義(P0.05);治療后兩組間VAS評分、Lysholm評分比較,治療組VAS評分明顯低于對照組,Lysholm評分明顯高于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。(3)治療組膝關(guān)節(jié)疼痛改善程度為優(yōu)的患者占40%,改善程度為良的患者占40%,改善程度為中的患者占16.7%;而對照組膝關(guān)節(jié)疼痛改善程度為優(yōu)的患者占20%,改善程度為良的患者占23.3%,改善程度為中的患者占43.3%,兩組治療后療效經(jīng)卡方檢驗分析兩組總體療效差異有顯著性意義(P0.05),表明治療組療效優(yōu)于對照組。結(jié)論:通過本研究,我們發(fā)現(xiàn)小針刀松解術(shù)配合肌力訓(xùn)練能明顯改善患者膝關(guān)節(jié)功能,療效優(yōu)于單純肌力訓(xùn)練。小針刀松解術(shù)操作簡單,治療時間短,緩解疼痛,改善膝關(guān)節(jié)活動度,不良反應(yīng)少,值得臨床應(yīng)用。
[Abstract]:Objective: to observe the clinical effect of small needle knife release combined with muscle strength training in the treatment of knee osteoarthritis, to analyze the improvement of knee joint function and the therapeutic effect, and to explore the etiology, pathogenesis and action mechanism of acupuncture knife therapy for knee osteoarthritis. Methods: 60 patients were divided into two groups: treatment group (n = 30) and control group (n = 30). After 4 weeks of treatment, the visual analogue score of pain and the Lysholm score of knee joint were observed before and after treatment in both groups, and the curative effect of the two groups was evaluated. Results there was no significant difference in knee joint function between the two groups before and after treatment. After treatment, the VAS scores of the patients in the treatment group and the control group were significantly decreased and the Lysholm score was significantly higher than that before treatment. After treatment, the VAS score of the treatment group was significantly lower than that of the control group, and the VAS score of the treatment group was significantly higher than that of the control group. The difference was statistically significant (P0.05U. 3) in the treatment group, 40 patients had excellent degree of knee joint pain improvement, 40patients had good degree of improvement, 16.7patients had moderate improvement degree, and 20 patients in the control group had excellent degree of knee pain improvement. The patients with good degree of improvement accounted for 23.3G and the patients with moderate degree of improvement accounted for 43.3%. After treatment, there was a significant difference in the overall curative effect between the two groups by chi-square test, which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: through this study, we found that small needle knife loosening combined with muscle strength training can obviously improve the knee joint function of patients, and the curative effect is better than that of simple muscle strength training. The operation of small needle knife loosening is simple, the treatment time is short, the pain is alleviated, the knee joint motion is improved, and the adverse reaction is less, so it is worthy of clinical application.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R684.3

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本文編號：1804468