針灸針刀治療骨性關(guān)節(jié)炎的臨床研究(存儲版)
【正文】 附著處應(yīng)力增高所致 ” 的理論。 In group II:20 male,48female cases aged between 4572 cases suffered from two knees and 29 cases suffered from one knee. ? 關(guān)節(jié)疼痛 (Joint pain ) 早期可無癥狀或有輕度關(guān)節(jié)疼痛，晚期出現(xiàn)骨刺則疼痛明顯。 ? Patients were adopted this treatment in two groups. Patient lies on own back and with applying of pull and rotation of the knee, and over flexion and over extension of knee joint,under the traction condition ,to correct the genu valgum and genu valgum abnormalities and functional disorders of flexion and extension. 康 復(fù) 療 法 Rehabilitation Therapy ? 治療后三周內(nèi)以間斷性下肢牽引和自我鍛練患肢屈伸功能為主。 Inefficacy: All the symptoms and signs had not taken a turn for the better. ? 針刀治療組 68例中，臨床治愈 33例（ %),顯效 25例(%),好轉(zhuǎn) 10例 (15%),總有效率為 100%。 ? Acupotomology raised the theory that the cause of OA is the force unblance of body is a closed force system and maintain the balance at selfregulaton system would play a role to protect the normal function. ? 由于長期受風(fēng)寒濕熱侵襲、外傷、慢性磨損等因素的影響，損傷關(guān)節(jié)周圍肌肉韌帶，使關(guān)節(jié)周圍軟組織反復(fù)充血、水腫、粘連攣縮，進而導(dǎo)致局部血液循環(huán)障礙組織乏氧，導(dǎo)致無氧代謝，產(chǎn)生大量酸性化學(xué)物質(zhì)，引血管收縮和肌損傷，導(dǎo)致疼痛和活動功能受限，肌組織變性和粘連攣縮加劇，致使膝關(guān)節(jié)生物力學(xué)平衡失調(diào)。糖皮質(zhì)激素大劑量反復(fù)多次使用會阻礙軟骨修復(fù)過程 .外科手段雖對患者的癥狀有所綬解 ,但創(chuàng)傷大 ,價格昂貴 ,患者不易接受。 Singnificant efficacy: Pain of suffering knee joint lightens and the activity and the function is improved. 好轉(zhuǎn)：罹患膝關(guān)節(jié)疼痛有所減輕 ，活動功能無明顯改善 。 The cartilage hyperplasia of epiphysis may occur in early stage, afterwards the cartilage hyperplasia occurs and osteophyte or spurs were formed. 針刀治療 ? 患者仰臥屈膝，應(yīng)用針刀對膝關(guān)節(jié)髕骨周圍、髕上囊、髂下囊、髕下脂肪墊、交叉韌帶、髁間嵴和內(nèi)外側(cè)副韌帶及股二頭股、半腱肌、半膜肌、髂脛束等附著點處壓痛點及骨質(zhì)增生處的變性、結(jié)疤、粘連及攣縮的軟組織進行切開松解。 136 patients were randomly devided into acupotome treatment group ( group I ) and drug Treatment group (Group II). I組中男性 23例，女性 45例 ,年齡 41歲至 69歲間 ,雙膝罹患者 47例，
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