对侧巨刺法联合患侧关节松动术治疗膝骨关节炎临床观察

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1、对侧巨刺法联合患侧关节松动术治疗膝骨关节炎临床观察【摘要】目的：观察对侧巨刺法联合患侧关节松动术对膝骨关节炎的临床疗效。方法：将60例膝骨关节炎患者随机分为治疗组和对照组，每组30例。对照组给予常规取穴配合膝关节松动术治疗，治疗组给予对侧巨刺法配合患侧关节松动术治疗。2组均治疗3周。观察2组临床疗效，以及治疗前后WOMAC疼痛评分、关节活动度变化情况。结果：治疗组临床治愈9例，显效13例，有效6例，无效2例，总有效率为93.33%;对照组临床治愈6例，显效9例，有效11例，无效4例，总有效率为86.67%

2、，2组比较，差异有统计学意义（P〈0.05）。治疗后，2组W0MAC骨关节炎疼痛指数评分、关节活动度较治疗前均有改善（P〈0.05），且治疗组W0MAC骨关节炎疼痛指数评分优于对照组（P〈0.05）。结论：对侧巨刺法联合患侧关节松动术治疗膝骨关节炎的综合效果显著，可提高临床疗效，冇深入研究与推广的价值。【关键词】骨关节炎，膝；巨刺法；关节松动术ClinicalObservationontheTreatmentofKneeOsteoarthritiswithGiantNeedlingofContralate

3、ralCombinedwithJointMobilizationoftheAffactedSideCHENKai-zhcn,FANGYue-long[ABSTRACT]Objective：Toobservethecurativeeffectofgiantneedlingofcontralateralcombinedwithjointmobilizationoftheaffactedsideinthetreatmentofkneeosteoarthritis.Methods:Sixtycasesofknee

4、osteoarthritiswererandomlydividedintotwogroups：atreatmentgroupandacontrolgroup,30casesineachgroup.Thecontrolgroupweregivenconventionalacupointscombinedwithkneejointmobilization,whilethetreatmentgroupweretreatedwithgiantneedlingofcontralateralcombinedwithj

5、ointmobilizationoftheaffactedside.The2groupsweretreatedfor3weeks.Theclinicalefficacy，WOMACpainscore,jointactivitychangesbeforeandaftertreatmentwereobserved.Results：Inthetreatmentgroup,9caseswereclinicalcure,13casesweremarkedlyeffective，6caseswereeffective

6、，2caseswereineffective，andthetotaleffectiveratewas93.33%;whileinthecontrolgroup,6caseswasclinicalcure,9casesweremarkedlyeffective,11caseswereeffective,4caseswereineffective,andthetotaleffectiveratewas86.67%.Thedifferencewasstatisticallysignificantbetweent

7、he2groups(P<0.05).Aftertreatment,theWOMACpainscore,jointactivitychangesofthe2groupsweresignificantlyimprovedcomparedwiththosebeforetreatment(P<0.05),andthetreatmentgroupWOMACosteoarthritispainindexscorewasbetterthanthecontrolgroup(P<0.05).Conclusion：Theef

8、fectofgiantneedlingofcontralateralcombinedwithjointmobilizationofthesignificant,whichcanimprovetheclinicalefficacy,andhasthevalueoffurtherresearchandpopularization.[Keywords]osteoarthritis,knee；giantneedling；jointmo