闭合性松解术治疗膝关节骨性关节炎60例临床研究(1)
[摘要] 目的 探讨闭合松解术治疗膝关节骨性关节炎的临床效果。方法 选取该院2012年12月—2015年1月收治的膝关节骨性关节炎患者120例，采取数字随机法分成观察组(n=60)和对照组(n=60)，对照组采取常规推拿治疗，观察组在此基础上，采取闭合性松解术治疗，比较两组临床效果。结果 观察组总有效率96.67%，对照组总有效率83.33%，观察组患者总有效率高于对照组，差异有统计学意义(P<0.05)。两组治疗前Lequesne评分比较，差异无统计学意义(P>0.05)。两组治疗后Lequesne评分低于治疗前，差异有统计学意义(P<0.05)。观察组治疗后Lequesne评分低于对照组，差异有统计学意义(P<0.05)。结论 闭合松解术治疗膝关节骨性关节炎的临床效果显著，可快速改善症状，对绝大多数患者十分有效，是一种值得推荐的治疗方法。
[关键词] 闭合性松解术；膝关节骨性关节炎；临床效果
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2016)03(b)-0068-03
[Abstract] Objective To observe the clinical effect of closed release operation in treatment of 60 cases with knee osteoarthritis. Methods 120 cases of patients with knee osteoarthritis admitted and treated in our hospital from December 10， 2012 to January 3， 2015 were selected and randomly divided into two groups with 60 cases in each， the control group were treated with conventional massage， the observation group were treated with closed release operation on the basis of the control group， and the clinical effect of the two groups was compared. Results The total effective rate in the observation group was higher than that in the control group， (96.67% vs 83.33%)， and the difference was statistically significant P<0.05， the difference in the Lequesne score between the two groups before treatment was not statistically significant P>0.05， the Lequesne score of the two groups after treatment was lower than that before treatment， and the difference was statistically significant P<0.05， the Lequesne score in the observation group was lower than that in the control group， and the difference was statistically significant P<0.05. Conclusion The clinical effect of closed release operation in treatment of knee osteoarthritis is obvious， which can quickly improve the symptoms and is very effective for most patients， and it is a treatment method worth recommendation.
[Key words] Closed release operation； Knee osteoarthritis； Clinical effect
膝关节骨性关节炎是一种较为严重的疾病，一般在老年人中发生，对患者生活质量影响很严重。该病主要以关节发生退行性病变以及骨质增生引起的膝关节肿胀和剧烈疼痛为主要症状，多少患者有关节功能障碍[1]。无法在短期治愈会逐渐加重，患者负担会越来越大，因此该病的治疗受到了重视。传统的推拿疗法虽然对大部分患者有效，但仅能舒筋活血，实际疗效并不令人满意，因此需要更加专业有效的治疗方法。该研究方便选取该院2012年12月—2015年1月收治的膝关节骨性关节炎患者120例，其中采用的闭合性松解术利用针刀分离广泛粘连，减轻骨内压力，可在短时间内缓解疼痛，较传统疗法更加优秀，对该疗法进行临床观察有助于该治疗方法的进一步发展，为该病的治疗作出贡献，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院自2012年12月—2015年1月收治的膝关节骨性关节炎患者120例，采取数字随机法分成观察组和对照组。观察组60例，其中男20例，女40例，年龄在40～70岁，平均年龄(54.6±4.9)岁，病程5个月～5年，平均病程(2.7±0.8)年；膝关节双侧发病患者20例，膝关节单侧发病患者40例；对照组60例，其中男19例，女41例，年龄在40～68岁，平均年龄(54.1±4.7)岁，病程4个月～5年，平均病程(2.6±0.8)年；膝关节双侧发病患者19例，膝关节单侧发病患者41例。两组患者一般资料比较，差异无统计学意义(P>0.05)。 (刘广宇)
[关键词] 闭合性松解术；膝关节骨性关节炎；临床效果
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2016)03(b)-0068-03
[Abstract] Objective To observe the clinical effect of closed release operation in treatment of 60 cases with knee osteoarthritis. Methods 120 cases of patients with knee osteoarthritis admitted and treated in our hospital from December 10， 2012 to January 3， 2015 were selected and randomly divided into two groups with 60 cases in each， the control group were treated with conventional massage， the observation group were treated with closed release operation on the basis of the control group， and the clinical effect of the two groups was compared. Results The total effective rate in the observation group was higher than that in the control group， (96.67% vs 83.33%)， and the difference was statistically significant P<0.05， the difference in the Lequesne score between the two groups before treatment was not statistically significant P>0.05， the Lequesne score of the two groups after treatment was lower than that before treatment， and the difference was statistically significant P<0.05， the Lequesne score in the observation group was lower than that in the control group， and the difference was statistically significant P<0.05. Conclusion The clinical effect of closed release operation in treatment of knee osteoarthritis is obvious， which can quickly improve the symptoms and is very effective for most patients， and it is a treatment method worth recommendation.
[Key words] Closed release operation； Knee osteoarthritis； Clinical effect
膝关节骨性关节炎是一种较为严重的疾病，一般在老年人中发生，对患者生活质量影响很严重。该病主要以关节发生退行性病变以及骨质增生引起的膝关节肿胀和剧烈疼痛为主要症状，多少患者有关节功能障碍[1]。无法在短期治愈会逐渐加重，患者负担会越来越大，因此该病的治疗受到了重视。传统的推拿疗法虽然对大部分患者有效，但仅能舒筋活血，实际疗效并不令人满意，因此需要更加专业有效的治疗方法。该研究方便选取该院2012年12月—2015年1月收治的膝关节骨性关节炎患者120例，其中采用的闭合性松解术利用针刀分离广泛粘连，减轻骨内压力，可在短时间内缓解疼痛，较传统疗法更加优秀，对该疗法进行临床观察有助于该治疗方法的进一步发展，为该病的治疗作出贡献，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院自2012年12月—2015年1月收治的膝关节骨性关节炎患者120例，采取数字随机法分成观察组和对照组。观察组60例，其中男20例，女40例，年龄在40～70岁，平均年龄(54.6±4.9)岁，病程5个月～5年，平均病程(2.7±0.8)年；膝关节双侧发病患者20例，膝关节单侧发病患者40例；对照组60例，其中男19例，女41例，年龄在40～68岁，平均年龄(54.1±4.7)岁，病程4个月～5年，平均病程(2.6±0.8)年；膝关节双侧发病患者19例，膝关节单侧发病患者41例。两组患者一般资料比较，差异无统计学意义(P>0.05)。 (刘广宇)