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| Clinical effect of needle knife lysis for popliteus combined with saphenous nerve block in the treatment of knee osteoarthritis with limited flexion and extension function |
| ZHANG Xin1 LI Kaiping2 |
1.Department of Acupuncture, Massage and Pain, Shuyang Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Jiangsu Province, Shuyang 223600, China;
2.the Second Clinical College, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210029, China |
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Abstract Objective To investigate clinical effect of needle knife lysis for popliteus combined with saphenous nerve block in the treatment of knee osteoarthritis (KOA) with limited flexion and extension function. Methods Sixty-eight KOA patients with limited flexion and extension in Department of Acupuncture, Massage and Pain, Shuyang Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from September 2017 to September 2019 were selected and divided into two groups according to the random number table method, with 34 cases in each group. Control group was treated with saphenous nerve block, observation group was treated with needle knife lysis for popliteus and saphenous nerve block. Clinical effect of two groups was compared. The improvement of pain was recorded by NRS before and after treatment. The mean power frequency (MPF) and root mean square (RMS) of quadriceps femoris and biceps femoris were measured by Noraxon telemyo 2400 surface electromyography. Results Total effective rate of observation group was significantly higher than that of control group (P < 0.05). NRS of two groups after treatment was significantly lower than that before treatment, which of observation group was lower than that of control group (P < 0.05). MPF of biceps femoris, rectus femoris, lateral femoris and medial femoris in two groups were significantly higher than those before treatment, and MPF of observation group was higher than that of control group (P < 0.05). RMS of biceps femoris, rectus femoris, lateral femoris and medial femoris in two groups were significantly higher than those before treatment, and RMS of observation group was higher than that of control group (P < 0.05). Conclusion The effect of needle knife lysis for popliteus combined with saphenous nerve block in the treatment of KOA is satisfactory. It can reduce the degree of pain, enhance the contractile force and endurance to fatigue of biceps femoris and quadriceps femoris, so as to effectively improve the movement function of knee joint.
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[1] 郑晓斌，林伟容，林远方.推拿手法配合温针灸调整膝关节肌力平衡治疗膝骨性关节炎的临床效应分析[J].广州中医药大学学报，2016，33（6）：822-827.
[2] 丁方平，王人彦，赵剑锋.小针刀联合手法松解腘肌治疗膝骨性关节炎117例[J].浙江中医杂志，2017，52（8）：612-613.
[3] 刘伟基，岳峰杰，要金元，等.基于经筋理论小针刀治疗膝关节骨性关节炎的临床应用分析[J].山西中医学院学报，2019，20（3）：202-203.
[4] 中华医学会骨科学分会.骨关节炎诊治指南（2007年版）[J].中华关节外科杂志：电子版，2007，1（4）：280-283.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].北京：中国医药科技出版社，2012：93-94.
[6] 陈艳平，吴小建，艾有利，等.针刀整体松解配合推拿手法治疗膝骨性关节炎39例[J].湖南中医杂志，2019，35（4）：86-88.
[7] 郑筱萸.中药新药临床研究指导原则[S].北京：中国医药科技出版社，2002：68-72.
[8] 熊沛芳，陈世均.小针刀配合手法松解治疗膝骨关节炎疗效观察[J].山西中医，2018，34（1）：45，51.
[9] 李华南，马菲，吴颖，等.“松筋易骨”膏摩法配合腹部推拿治疗膝骨性关节炎临床随机对照研究[J].中华中医药杂志，2016，31（10）：4142-4145.
[10] 陈江湖，丘春华，郑晓春，等.连续隐神经阻滞对老年患者膝关节镜手术后股四头肌肌力的影响[J].临床麻醉学杂志，2015，31（1）：53-56.
[11] 吕艳丽，毛鹏，朱谦，等.玻璃酸钠关节内注射联合隐神经阻滞治疗膝关节骨性关节炎[J].中国疼痛医学杂志，2014，20（11）：802-805.
[12] 丁方平，王人彦，张玉柱，等.小针刀配合手法松解治疗膝骨关节炎的临床研究[J].中华中医药杂志，2014，29（4）：1275-1277.
[13] 朱峰峰，董博，袁普卫，等.小针刀疗法治疗早期膝骨关节炎的临床研究[J].现代中西医结合杂志，2019，28（31）：3421-3425.
[14] Tornero E，De Bergua-Domingo JM，Domenech P，et al. Knee arthritis in children：when can be safely treated with needle joint aspiration? A large children′s tertiary hospital study [J]. J Pediatr Orthop，2016，39（3）：130-135.
[15] 陈述芳，王开强，张华梅.关节腔注射联合小针刀治疗膝骨关节炎的临床研究[J].中医药导报，2017，23（23）：87-90.
[16] 王剑雄，周谋望，宫萍，等.膝骨关节炎患者膝屈伸肌群等速肌力及其与功能的相关性[J].中国康复理论与实践，2014，20（12）：1105-1108.
[17] 赵明雷，白跃宏，张颖，等.小针刀治疗膝骨关节炎的研究进展[J].河北中医，2017，39（12）：1908-1912.
[18] 侯来永，徐瑞泽，唐学章，等.推拿结合等速肌力训练治疗膝关节骨性关节炎临床疗效研究[J].中国康复医学杂志，2019，34（5）：551-555，572. |
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