【摘要】：目的:探討針刀結(jié)合手法治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的作用機制。方法:將60例膝關(guān)節(jié)骨性關(guān)節(jié)炎患者隨機分為觀察組與對照組,每組30例。觀察組采用針刀結(jié)合手法治療。對照組采用口服雙氯芬酸片治療。觀察兩組治療前后關(guān)節(jié)液中Ⅱ型膠原螺旋肽(HELIX-Ⅱ)、透明質(zhì)酸(HA)含量的變化。結(jié)果:治療后兩組關(guān)節(jié)液HELIX-Ⅱ含量較治療前均下降(P0.01,P0.05),但觀察組下降明顯,與對照組比較,差異有統(tǒng)計學(xué)意義(P0.05);HA含量較治療前均上升(P0.01,P0.05),但觀察組上升更顯著,與對照組比較,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:針刀結(jié)合手法治療能使膝關(guān)節(jié)骨性關(guān)節(jié)炎患者關(guān)節(jié)液中HELIX-Ⅱ、HA含量恢復(fù)平衡,抑制軟骨細胞及基質(zhì)的繼發(fā)性損害,從而防治膝關(guān)節(jié)骨性關(guān)節(jié)炎。
[Abstract]:Objective: to explore the mechanism of acupuncture combined with manipulation in the treatment of knee osteoarthritis. Methods: 60 cases of knee osteoarthritis were randomly divided into observation group and control group with 30 cases in each group. The observation group was treated with needle knife combined with manipulation. The control group was treated with diclofenac tablets orally. The changes of type 鈪，

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