| 摘要: |
| 目的:观察射频针刀治疗血瘀型膝关节骨性关节炎的临床疗效，探讨治疗前后关节痛点红外热像变化规律。方法:选取天津中医药大学第一附属医院骨伤科2016年1月—2018年12月就诊的膝关节骨性关节炎患者98例，随机分为观察组及对照组，每组49例，观察组采用射频针刀治疗，每周1次，共治疗2次，对照组采用常规针刺治疗，1次/d，连续治疗2周。比较两组治疗前后VAS评分、WOMAC评分、Lysholm评分、总有效率以及膝关节周围痛点红外绝对温度及温差值(△T)。结果:观察组治疗后在VAS评分、WOMAC评分、Lysholm评分的改善方面优于对照组，具有统计学差异(P<0.05)，观察组总有效率89.79%，优于对照组的77.55%，具有统计学差异(P<0.05)。观察组治疗后膝关节周围痛点红外热像绝对温度改善程度优于对照组，患侧-健侧温差值(△T)改善程度观察组优于对照组，以上两项均具有统计学差异(P<0.05)。结论:射频针刀治疗血瘀型膝骨性关节炎具有较好的临床疗效，关节痛点红外热像绝对温度及温差变化可以作为评价病变改善程度的指标。 |
| 关键词: 射频针刀 血瘀型 膝关节骨性关节炎 红外热像 |
| DOI：10.3969/j.issn.1007-6948.2021.03.022 |
| 投稿时间：2020-12-02 |
| 基金项目:中医公共卫生服务补助资金项目——区域中医(骨伤科)诊疗中心；天津市教委科研计划项目(2018KJ040) |
|
| Clinical Observation of Radiofrequency Acupotomy in the Treatment of Knee Osteoarthritis with Blood Stasis |
| WU Si,LI Qing,WANG Wei-min |
| First Teaching Hospital of Tianjin University of TCM, Tianjin 300381, China |
| Abstract: |
| Objective To observe the clinical efficacy of radiofrequency acupotomy in the treatment of knee osteoarthritis with blood stasis and investigate the changes of infrared thermography of joint pain points before and after treatment. Methods 98 patients of blood-stasis knee OA who met the inclusion and exclusion criteria were selected and randomly divided into observation group and control group, with 49 cases in each group. The observation group was treated with radiofrequency acupotomy, which once a week and a total of treatment was 2 times. The control group was treated with acupuncture, which once a day and the continuous treatment lasted 2 weeks. The VAS score, WOMAC score, Lysholm score and infrared absolute temperature and temperature difference values ( △T) of pain points around the knee joints were compared between the two groups before and after treatment. Results The improvement of VAS score, WOMAC score and Lysholm score after treatment in the observation group was better than those in the control group, the difference was statistically significant (P<0.05), the total effective rate of the observation group was 89.79%, which was better than that of the control group (77.55%), with statistical difference (P<0.05). The absolute temperature improvement degree of infrared thermal image of pain point around knee joint was better than that of the control group, and the improvement degree of temperature difference value ( △T) of affected side and healthy side was better than that of the control group, there were statistical differences between the above two items (P<0.05). Conclusion Radiofrequency acupotomy has a good clinical effect in the treatment of knee osteoarthritis with blood stasis. The absolute temperature and temperature difference of joint pain point infrared thermography can be used as the index to evaluate the degree of lesion improvement. |
| Key words: Radiofrequency acupotomy blood stasis type knee osteoarthritis infrared thermography |
