基于经筋理论局麻下微创针刀镜治疗膝骨关节炎的临床疗效观察---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---[摘要]目的：评价基于经筋理论微创针刀镜治疗膝骨关节炎的临床疗效。方法：选取2018年11月至2019年04月符合纳入标准的膝骨关节炎住院患者，每组患者40例。本实验采用平行对照研究方法，实验组采用微创针刀镜方法治疗，对照1组采用综合康复方法治疗，对照2组采用关节镜下关节清理方法治疗。实验组及对照组2均联合综合康复方法。观察各组的临床疗效，采用膝骨关节炎WOMAC评分法对各组的疗效（治疗结束时、治疗后1月及治疗后3月）进行对比分析。结果：实验组与对照1组的患者在各观察时期的疼痛、关节僵硬及关节功能方面的疗效有显著差异（p＜0.05），实验组优于对照1组。实验组与对照2组的患者治疗结束时关节功能恢复方面有显著差异（p＜0.05），实验组优于对照2组；在疼痛及僵硬方面的疗效差异无意义（p＞0.05），在治疗后1月及3月的疼痛、关节僵硬及关节功能方面的疗效差异无意义（p＞0.05）。结论：基于经筋理论微创针刀镜治疗膝骨关节炎具有确切的疗效，且操作简单、创伤小、恢复快，患者痛苦轻、经济负担少。关键词：膝骨关节炎；经筋理论；微创针刀镜；临床疗效；WOMACClinicalobservationonthetreatmentofkneeosteoarthritisTreatedbyUnderlocalanesthesiaminimallyinvasiveneedle-knifeBasedontheTheoryofMeridianSinewWANGHai-liang,ZHONGWen-yang,DOUShu-lin(TheTraditionalChineseMedicineofMeishan,SichuanProvince,620010,China)[Abstract]Objective:Toevaluatetheclinicalefficacyofminimallyinvasiveneedle-knifebasedonthetreatmentofkneeosteoarthritis.Method：InpatientswithkneeosteoarthritiswhomettheinclusioncriteriafromNovember2018toApril2019wereenrolled,with40patientsineachgroup.Thisexperimentusesaparallelcontrolstudymethod.Theexperimentalgroupwastreatedwithaminimallyinvasiveneedleknifemethod.Controlgroup1wastreatedwithcomprehensiverehabilitationmethod.Thecontrolgroup2wastreatedwitharthroscopicjointcleaning.Boththeexperimentalgroupandthecontrolgroup2werecombinedwithcomprehensiverehabilitationmethods.Theclinicalefficacyofeachgroupwasobserved.TheWOMACscoresofkneeosteoarthritiswereusedtocomparetheeffectsofeachgroup(attheendoftreatment,1monthaftertreatmentand3monthsaftertreatment).Results:Therewasasignificantdifferenceintheeffectsofpain,jointstiffnessandjointfunctionbetweentheexperimentalgroupandthecontrolgroup1(p<0.05).Theexperimentalgroupwassuperiortothecontrolgroup1.Therewasasignificantdifferenceinthe---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---recoveryofjointfunctionbetweentheexperimentalgroupandthecontrolgroup(p<0.05).Theexperimentalgroupwassuperiortothecontrolgroup2;thedifferenceinpainandstiffnesswasnotsignificant(p>0.05).Thedifferenceinpain,jointstiffness,andjointfunctionbetweenJanuaryandMarchwasnotsignificant(p>0.05).Conclusion:Basedonthetheoryofminimallyinvasiveneedle-knife,thetreatmentofkneeosteoarthritishastheexactcurativeeffect,andtheoperationissimple,thetraumaissmall,therecoveryisfast,thepatientsufferslightlyandtheeconomicburdenissmall.Keywords：Kneeosteoarthritis；MeridianSinew；Minimallyinvasiveneedlemirror；Clinicalefficacy；WOMAC膝骨关节炎(kneeosteoarthritis，KOA)临床较为常见，严重时可引起关节疼痛及运动功能障碍，其发病机制目前尚不明确，一般认为是力学和生物学因素共同作用导致软骨细胞、细胞外基质及软骨下骨三者降解和合成正常耦联失衡的结果。KOA的发生与患者的年龄、性别等因素有关，65岁以上男性的发病率为60%、女性为70%，而肥胖患者更易出现该病[1]。在临床中，对于KOA的治疗方式繁多，但主要分为几个方面：针灸...