針刀治骨性關(guān)節(jié)炎的臨床研究.ppt
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針刀治療骨性關(guān)節(jié)炎的臨床研究
北京中醫(yī)藥大學(xué)
Beijing Traditional Chinese Medicine University
針 刀 醫(yī) 學(xué) 簡 介
Brief Introduction Of Acupotomology
針刀醫(yī)學(xué)的四個基礎(chǔ)理論
閉合性手術(shù)理論
Closed surgery the theory concerning .
慢性軟組織組織損傷病因、病理學(xué)理論
The theory concerning the etiology and pathology of chronic lesions to soft tissues.
六 大 組 成 部 分
Basic Contents
骨性關(guān)節(jié)炎是以關(guān)節(jié)面關(guān)節(jié)軟骨破壞、新骨增生為特征的慢性關(guān)節(jié)病。本病發(fā)病率隨年齡增長而增高。felson等報告,70歲以下和80歲以上人群的膝骨性關(guān)節(jié)炎患病率分別為7.0%和11.2% Butter等報告，44歲以下,45-59歲和60歲以上三組人群中，X線片骨性關(guān)節(jié)炎的患病率分別為6.2%、21.6%和42.0%。
各年齡階段患膝骨性關(guān)節(jié)炎的概況
Acupotomology raised the theory that the cause of osteoarthritis is the force unblance of joint and the increased stress in the attachment point of soft tissue around the joint. The increased stress injured the ligament, and caused the edema and inflammation in the joint .on the other hand,it increased the osteogenesis metabolism and formed spurs.
針刀醫(yī)學(xué)提出了"骨性關(guān)節(jié)炎的發(fā)病原因是關(guān)節(jié)內(nèi)的力平衡被破壞,使關(guān)節(jié)周圍軟組織附著處應(yīng)力增高所致"的理論。本實驗根據(jù)此理論應(yīng)用針刀療法治療骨性關(guān)節(jié)炎,以進(jìn)一步研究該病的病因和機理,為臨床治療骨性關(guān)節(jié)炎提供新的思路.
136例患者中,男性43例,女性93例,年齡41-72歲。病程2-5年54例,6-10年32例。11年以上50例。雙膝罹患者87例,單膝罹患者49例。
136 patients,43 male cases and 93 female cases with age between 41-72 years.Course of disease:2-5 years of 32 cases,over 11 years 50 cases.
87 patients suffered from two knees and 49 patients suffered from one knee.
將136例患者隨機分為針刀治療組(I組)和藥物治療組即對照組(II組)作 1 ：1 配對觀察。
136 patients were randomly devided into acupotome treatment group ( group I ) and drug Treatment group (Group II).
* 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。
* 關(guān)節(jié)僵直 (Joint rigidity) 早期可有晨起關(guān)節(jié)僵直，或久坐起立時感覺關(guān)節(jié)僵直。晚期關(guān)節(jié)受限甚至強直。
* 實驗室檢查( Laboratory test) 類風(fēng)濕因子陰性、血沉、抗"O"正常。
X 線 檢 查
(X-ray test)
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(jìn)行切開松解。
* Patients were resumed supine position and bent the joint knees. It was operated on the pain points of patella, suprapatellar bursa, infrapatellar bursa,infrapatellar fat pad, cruciate ligaments,intermal-leolar crest and medio-lateral accessory ligaments around the knee joint and attachment points of biceps muscle of thigh, semitendinous muscle,semimembronous muscle, iliotibial tract, and sites of hyperosteogeny.
外 手 法 治 療
External manipulation treatment
* 所有患者均接受該輔助治療.患者仰臥,應(yīng)用牽拉晃膝法、牽拉旋膝法、過屈和過伸膝關(guān)節(jié)和牽引狀態(tài)下的推彈等手法，將膝內(nèi)翻或處翻畸形或屈伸功能障礙給予校正，使膝關(guān)節(jié)內(nèi)外恢復(fù)正常的力學(xué) 狀態(tài)。
* 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。三周后下肢負(fù)重(1公斤沙袋)直腿抬高鍛煉股四頭肌收縮功能 ......
針刀治療骨性關(guān)節(jié)炎的臨床研究
北京中醫(yī)藥大學(xué)
Beijing Traditional Chinese Medicine University
針 刀 醫(yī) 學(xué) 簡 介
Brief Introduction Of Acupotomology
針刀醫(yī)學(xué)的四個基礎(chǔ)理論
閉合性手術(shù)理論
Closed surgery the theory concerning .
慢性軟組織組織損傷病因、病理學(xué)理論
The theory concerning the etiology and pathology of chronic lesions to soft tissues.
六 大 組 成 部 分
Basic Contents
骨性關(guān)節(jié)炎是以關(guān)節(jié)面關(guān)節(jié)軟骨破壞、新骨增生為特征的慢性關(guān)節(jié)病。本病發(fā)病率隨年齡增長而增高。felson等報告,70歲以下和80歲以上人群的膝骨性關(guān)節(jié)炎患病率分別為7.0%和11.2% Butter等報告，44歲以下,45-59歲和60歲以上三組人群中，X線片骨性關(guān)節(jié)炎的患病率分別為6.2%、21.6%和42.0%。
各年齡階段患膝骨性關(guān)節(jié)炎的概況
Acupotomology raised the theory that the cause of osteoarthritis is the force unblance of joint and the increased stress in the attachment point of soft tissue around the joint. The increased stress injured the ligament, and caused the edema and inflammation in the joint .on the other hand,it increased the osteogenesis metabolism and formed spurs.
針刀醫(yī)學(xué)提出了"骨性關(guān)節(jié)炎的發(fā)病原因是關(guān)節(jié)內(nèi)的力平衡被破壞,使關(guān)節(jié)周圍軟組織附著處應(yīng)力增高所致"的理論。本實驗根據(jù)此理論應(yīng)用針刀療法治療骨性關(guān)節(jié)炎,以進(jìn)一步研究該病的病因和機理,為臨床治療骨性關(guān)節(jié)炎提供新的思路.
136例患者中,男性43例,女性93例,年齡41-72歲。病程2-5年54例,6-10年32例。11年以上50例。雙膝罹患者87例,單膝罹患者49例。
136 patients,43 male cases and 93 female cases with age between 41-72 years.Course of disease:2-5 years of 32 cases,over 11 years 50 cases.
87 patients suffered from two knees and 49 patients suffered from one knee.
將136例患者隨機分為針刀治療組(I組)和藥物治療組即對照組(II組)作 1 ：1 配對觀察。
136 patients were randomly devided into acupotome treatment group ( group I ) and drug Treatment group (Group II).
* 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。
* 關(guān)節(jié)僵直 (Joint rigidity) 早期可有晨起關(guān)節(jié)僵直，或久坐起立時感覺關(guān)節(jié)僵直。晚期關(guān)節(jié)受限甚至強直。
* 實驗室檢查( Laboratory test) 類風(fēng)濕因子陰性、血沉、抗"O"正常。
X 線 檢 查
(X-ray test)
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(jìn)行切開松解。
* Patients were resumed supine position and bent the joint knees. It was operated on the pain points of patella, suprapatellar bursa, infrapatellar bursa,infrapatellar fat pad, cruciate ligaments,intermal-leolar crest and medio-lateral accessory ligaments around the knee joint and attachment points of biceps muscle of thigh, semitendinous muscle,semimembronous muscle, iliotibial tract, and sites of hyperosteogeny.
外 手 法 治 療
External manipulation treatment
* 所有患者均接受該輔助治療.患者仰臥,應(yīng)用牽拉晃膝法、牽拉旋膝法、過屈和過伸膝關(guān)節(jié)和牽引狀態(tài)下的推彈等手法，將膝內(nèi)翻或處翻畸形或屈伸功能障礙給予校正，使膝關(guān)節(jié)內(nèi)外恢復(fù)正常的力學(xué) 狀態(tài)。
* 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。三周后下肢負(fù)重(1公斤沙袋)直腿抬高鍛煉股四頭肌收縮功能 ......
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