膝八针联合传统针刺治疗髌骨软化症临床观察
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R246.9

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温州市科技局项目 (浙温科验字[2017]第242号)


Clinical Observation of Xibazhen Com bined with Trad itional Acupuncture for Chond rom alacia Patellae
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    摘要:

    目的:观察膝八针联合传统针刺治疗髌骨软化症的临床疗效。方法:将90例髌骨软化症患者随机分为对照1组、对照2组和观察组各30例。对照1组予传统针刺治疗,对照2组予膝八针治疗,观察组予膝八针联合传统针刺治疗。隔天1次,10次为1疗程,3组均治疗1疗程。比较3组临床疗效、治疗前后Lysholm评分和髌骨研磨试验视觉疼痛评分(VAS)。结果:治疗后,总有效率对照1组为33.3%,对照2组和观察组均为100%,对照2组、观察组总有效率与对照1组比较,差异均有统计学意义( P <0.05);观察组总有效率和对照2组比较,差异无统计学意义( P >0.05)。治疗后,3组Lysholm评分均较治疗前下降,观察组和对照2组Lysholm评分较对照1组下降更明显( P <0.05),观察组lysholm评分和对照2组比较,差异无统计学意义( P >0.05)。治疗后,3组髌骨研磨试验VAS评分均较治疗前下降,观察组、对照2组髌骨研磨试验VAS评分均较对照1组下降更明显( P <0.05);观察组髌骨研磨试验VAS评分与对照2组比较,差异无统计学意义( P >0.05)。结论:膝八针治疗髌骨软化症较传统针刺取穴法疗效更显著,且无需多余配穴就能取得很好的疗效。该法疗效确切,能减轻患者疼痛,改善膝关节功能,为提高针灸治疗髌骨软化症提供了一种新的取穴方法。

    Abstract:

    Objective: To observe the clinicaleffect of Xibazhen com bined with traditionalacupuncture for chondrom alacia patellae.Methods:Divided 90 cases of patients with chondrom alacia patellae into the control group 1,the control group 2and the observation group randomly,30 cases in each group.The control group 1 was given traditional acupuncture,and the control group 2 was given Xibazhen for treatment,while the observation group was given Xibazhen com bined with traditional acupuncture.The treatment of the three groups lasted for one course,once every other day,10 times a course.Compared the clinical effect,Lysholm scores and visual analogue scale(VAS)scores of the patella grinding test in the three groups before and after treatment.Results:After treatment,the totaleffective rate was 33.3%in the control group 1,100%in the control group 2 and the observation group,when compared the total effective rate of control group 2 and observation group with the control group 1,differences being significant( P <0.05).There was no significant difference being found in the comparison of the totaleffective rate in the observation group and the control group 2( P > 0.05).After treatment,the Lysholm scores of the three groups were decreased when compared with those before treatment.The decrease of Lysholm score in the observation group and control group 2 was more significant than that in the control group 1 and the control group 2( P <0.05).There was no significant difterence being found in the comparision of the Lysholm score of control group 2 and observation group(P> 0.05).After treatment,the VAS scores of patella grinding test in the three groups were lower than those before treatment,and the decrease of VAS scores of the patella grinding test in the observation group and the control group 2 were significantly lower than that in the controlgroup 1( P <0.05);there was no significant difference being found in the comparison of the VAS score of the patella grinding test in the observation group and the control group 2( P >0.05).Conclusion:The application of Xibazhen for chondrom alacia patellae is more effective than traditional acupuncture and it can achieve good results without the need for adjunct points.With exactcurative effects,it can relieve pain of patients,improve knee joint function,and provide a new point selection principle for improving the clinical effect of acupuncture and moxibustion in treating chondrom alacia patellae.

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孔凡盛.膝八针联合传统针刺治疗髌骨软化症临床观察[J].新中医,2018,50(9):195-198

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  • 在线发布日期: 2018-09-04
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