后内侧入路针刀治疗膝骨性关节炎的临床.研究

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1、后内侧入路针刀治疗膝骨性关节炎的临床研究入路针刀疗法，每周做一次针刀，连续治疗四周为一个疗程，4周作为观察周期。分别于治疗前和第4周末观察指标。结果(1)治疗组总有效率98．06％，对照组总有效率84．74％，经卡方检验P

2、总结说明治疗组较对照组治疗本症针对性更强，患者主观满意度更高，疗效更加确切，提示我们膝后侧损伤原点机会大于前侧。针刀疗法治疗膝骨性关节炎疗效显著，小针刀疗法采用后内侧入路的疗效显著优于采用前侧入路，通过上述研究认为后内侧入路针刀治疗膝骨关节炎疗效优于采用前侧入路，-值得进一步深入研究。关键词骨性关节炎小针刀临床疗效后内侧入路后内侧入路针刀治疗膝骨性关节炎的临床研究ClinicstudyonPostmedialapproachforkneeosteoarthritisbyusingsmallneedleknifeAs

3、tractKneeosteoarthritisKneeosteoarthfitisisoneofthemostfamiliarorthopaedicsdiseasesespeciallyintheolds．Withthedevelopmentofagingsociety,incidenceofkneeosteoarthritishasbeenincreasedrapidly,whichseriouslyjeopardizetheirhealth．In1995，anewdefinitionwasreleasedint

4、heinternationalmeetingforOA,thatis，OAistheresultofdisequilibriumofdecomposeandanabolicmetabolismamongcartilagecell，ECMandcartilagesendingdownfishbone，causedbytheintegrationofmechanicalandbiologicalfactors．TheIL-1，6，盯师-a’NOwhichfoundinthemoleculebiologyareaatet

5、hemostimportantfactorsforthecartilagedamnification．IntheBiologymechanicsfelds，theincreaseofthebone’Sinsidepressureisthoughtasanimportantreasonforarthrosis．IntheChinesemedicine，thisdiseaseiscategorizedtotherheumatismcausedbywind，cold，damp，etc．Kneeisthemansionof

6、tendon，andthebloodstoredintheliverisusedtonourishtendon，andthemarrowstoredinthekidneyisusedtocultivatebone．Sotheweaknessofliverandkidneyistheessentialreason，combinedwiththeexternalevilofwind，coldanddamp，whichblockthebloodcirculationinkneeandobstructthemeridian

7、s，resultinginpains．Thisdiseasebelongsto“paininbones”，anditwassaidinPlainQuestions，“painistheresultofcombinationofwind，coldanddamp．’’Asthereisnospecifictherapytoreversetheprocessofarticularcartilagedamageandhyperosteogeny,theaimoftreatingthisdiseaseistoeasingpa

8、in，abatingsyndrome，postponingandevenpreventingthedevelopmenttoprotectarthrosisfunctionandpreventdeformity．Thediseaseischaracterizedaskneeache，weaknessandascendingdifficulty,attendb