針灸針刀治療骨性關(guān)節(jié)炎的臨床研究(參考版)
2024-09-03 05:39本頁面
【正文】 ? It will certainly lead to the stress increase of the soft tissue attachment point,enhance osteogenic metabolism of calcium and phosphorus in bone osteophyte is formed. ? 本實驗結(jié)果證明，采用針刀治療輔以外手法及康復(fù)治療，使關(guān)節(jié)周圍的變性、粘連和攣縮的軟組織得到松解，從而使關(guān)節(jié)生物力學(xué)趨于平衡，有效改善和緩解癥狀 .配合康復(fù)鍛煉 ,使關(guān)節(jié)周圍的肌力加強 ,關(guān)節(jié)力學(xué)的穩(wěn)定性得以鞏固 ,效果更為明顯 ,這為針刀醫(yī)學(xué)認(rèn)為骨性關(guān)節(jié)炎是“力學(xué)平衡失調(diào)”的理論提供了有力證據(jù)。 ? 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(jìn)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。 ? The major pathologic changes of osteoarthrit were necrosis and hyperplasis of joint soft bone. ? 目前臨床治療骨性關(guān)節(jié)炎主要采取藥物治療和手術(shù)治療。 ? In drug group,no cases were cured, with significant efficacy 10 cases (15%),improved 35 cases (51%), inefficacy 23 cases 934%),total efficacy rate was (66%). ? 經(jīng)兩組比較 X2檢驗 ,針刀治療組的治愈率和顯效率均明顯高于藥物治療組 ,有顯著治療組 ,有顯差異 (P)。 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%。 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 。 All items were conducted by twogroup X2 test. 評 價 標(biāo) 準(zhǔn) Criterion Of Efficacy 治愈：罹患膝關(guān)節(jié)疼痛完全消失，活動正常，X線證明骨關(guān)節(jié)增生變化停上，關(guān)節(jié)間隙基本正常。 6個月內(nèi)不可長途行走或負(fù)重行走。 ? 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
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