超声可视化经筋弓弦针刀松解术治疗膝骨关节炎的效果

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Abstract Objective To observe the clinical effect of ultrasonic visualization of jingjin bowstring acupotomy dissolution technique in treatment of knee osteoarthritis (KOA). Methods Seventy-six patients diagnosed with KOA in Acupotomy Studio of Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine from February 2020 to February 2021 were selected and they were divided into ultrasonic acupotomy group and traditional acupotomy group according to random number table method, with 38 cases in each group. The ultrasonic acupotomy group was treated with ultrasonic visualization acupotomy, while the traditional acupotomy group was treated with non-direct acupotomy dissolution therapy. The treatment points were all “hèdǐngci”, “binneixia”, “binwaixia”, and “yinlingshang”, once a week for four consecutive times. Visual analogue scale (VAS), Western Ontario and McMaster University osteoarthritis index (WOMAC), and the pinnate angle, muscle thickness and elastic strain rate of rectus femoris which were detected by ultrasound were compared between the two groups before treatment and at three months follow-up, and the occurrence of adverse reactions between the two groups were observed. Results Before treatment, there were no significant differences in VAS, WOMAC score, and indicators of rectus femoris muscle ultrasound detection between the two groups (P ＞ 0.05). At three months follow-up, VAS and WOMAC score in both groups were decreased compared with before treatment, pinnate angle and muscle thickness of rectus femoris muscle were increased compared with before treatment, and elastic strain rate was decreased compared with before treatment, while the VAS and WOMAC score of the ultrasonic acupotomy group were lower than those of the traditional acupotomy group, the pinnate angle and muscle thickness of rectus femoris were higher than those of the traditional acupotomy group, and the elastic strain rate was lower than that of the traditional acupotomy group, with statistical significance (P ＜ 0.05). There were no obvious adverse reactions in both groups. Conclusion Ultrasonic visualization of jingjin bowstring acupotomy dissolution technique can adjust the structure and hardness of rectus femoris muscle, effectively improve joint pain and dysfunction in patients with KOA, and the efficacy is better than traditional acupotomy dissolution technique.

Key words： Knee osteoarthritis Jingjin theory Bowstring mechanics Ultrasonic visualization acupotomy

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	LIU Jing1 ZHAO Hongjia2 LIN Qiaoxuan3 LU Liming3 GUO Zexing3 GONG Yurong2 ZENG Weiquan4 XIU Zhongbiao1

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LIU Jing1 ZHAO Hongjia2 LIN Qiaoxuan3 LU Liming3 GUO Zexing3 GONG Yurong2 ZENG Weiquan4 XIU Zhongbiao1. Effect of ultrasonic visualization of jingjin bowstring acupotomy dissolution technique in treatment of knee osteoarthritis#br#[J]. 中国医药导报, 2022, 19(9): 153-156,172.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I9/153

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