[1]王娟娟,郭琴,陈文玉,等.三点法针刀松解髌下脂肪垫治疗膝风湿寒性关节痛疗效观察[J].西部中医药,2018,31(05):107-110.
　WANG Juanjuan,GUO Qin,CHEN Wenyu,et al.Clinical Observation on Three-point Method Acupotomy Releasing Infrapatellar Fat Pad in the Treatment for Knee Arthralgia of Wind Damp Cold Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(05):107-110.
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三点法针刀松解髌下脂肪垫治疗膝风湿寒性关节痛疗效观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年05期
页码:
107-110
栏目:
出版日期:
2018-05-15

文章信息/Info

Title:
Clinical Observation on Three-point Method Acupotomy Releasing Infrapatellar Fat Pad in the Treatment for Knee Arthralgia of Wind Damp Cold Pattern
文章编号:
1004-6852(2018)05-0107-04
作者:
王娟娟，郭琴，陈文玉，王智明△
甘肃省中医院白银分院风湿病科，甘肃 白银 730090
Author(s):
WANG Juanjuan, GUO Qin, CHEN Wenyu, WANG Zhiming△
Department of Rheumatism, Baiyin Branch of Gansu Province Hospital of TCM, Baiyin 730090, China
关键词:
风湿寒性关节痛; 膝; 针刀疗法; 髌下脂肪垫
Keywords:
arthralgia of wind damp cold pattern;  knee;  acupotomy;  infrapatellar fat pad
分类号:
R593
文献标志码:
B
摘要:
目的：观察三点法针刀松解髌下脂肪垫治疗膝风湿寒性关节痛的临床疗效。方法：将膝风湿寒性关节痛患者120例随机分为治疗组、中药组和针刺组各40例，治疗组行三点法针刀松解髌下脂肪垫，但不松解其他组织；中药组口服祛寒逐风合剂治疗；针刺组接受针刺治疗，1个疗程后观察3组患者关节疼痛模拟评分(VAS)、关节冰冷模拟评分、压痛点数的变化情况。结果：治疗后3组VAS评分、关节冰冷模拟评分及压痛点数降低或减少，差异具有统计学意义(P＜0.05)；与中药组及针刺组比较，治疗组患者VAS评分、关节冰冷模拟评分及压痛点数降低或减少更明显，差异具有统计学意义(P＜0.05)；治疗组有效率为95.0%，高于中药组的80.0%及针刺组的77.5%，差异具有统计学意义(P＜0.05)。结论：三点法针刀松解髌下脂肪垫能够有效治疗膝风湿寒性关节痛。
Abstract:
Objective: To observe clinical effects of three-point method acupotomy releasing infrapatellar fat pad in treating knee arthralgia of wind damp cold pattern. Methods: All 120 patients were randomized into the treatment group, the herb group and needling group, 40 cases each group, the treatment group accepted the lysis of infrapatellar fat pad by three-point method acupotomy, and other tissues were unhandled; the herb group took cold-eliminating wind-dispelling mixture orally; and the needling group accepted the needling, the changes of tenderness points number, joint cold simulation scores and VAS of the patients in three groups were observed in one course. Results: VAS, joint cold simulation scores and tenderness points number decreased in three groups, and the differences had statistical meaning (P＜0.05); compared with the herb group and the needling group, VAS, joint cold simulation scores and tenderness points number reduced obviously in the treatment group, and the difference showed statistical meaning (P＜0.05); the effective rate of the treatment group was 95.0%, higher than 80.0% of the herb group and 77.5% of the needling group, and the difference showed statistical meaning (P＜0.05). Conclusion: Three-point method acupotomy releasing infrapatellar fat pad is effective in treating knee arthralgia of wind damp cold pattern.

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备注/Memo

备注/Memo:
收稿日期：2017-02-03 *基金项目：白银市科技计划项目（编号2014-2-70Y）。 作者简介：王娟娟(1983—)，女，硕士学位，医师。研究方向：中西医结合治疗风湿病的基础与临床研究。 △通讯作者：王智明(1972—)，男，硕士学位，副主任医师。研究方向：风湿性疾病的中西医结合治疗。
更新日期/Last Update: 2018-05-15