Objective:To compare the therapeutic effect difference among dog-day moxibustion on herbs,ordinary moxibution and routine western medication in treating knee-joint osteoarthritis of yang deficiency and congealing cold...Objective:To compare the therapeutic effect difference among dog-day moxibustion on herbs,ordinary moxibution and routine western medication in treating knee-joint osteoarthritis of yang deficiency and congealing cold type.Methods:A total of 90 patients with knee-joint osteoarthritis of yang deficiency and congealing cold type were divided into dog-day moxibustion group,ordinary moxibution group and western medication group according to the registration order,and there were 30 patients in each group.Among them,the patients in the dog-day moxibustion were given dog-day moxibustion on herbs method during the dog days of 2018(July 17 to August 25).Continuous treatment was applied on the first,second and third dog-day with 5 days for each dog-day,and once for a day,and there were totally 15 times of treatment.In the same period,the patients in the ordinary moxibustion group was treated with the pure moxa stick moxibustion,and the point selection and treatment course were the same as the dog-day moxibustion group.And in the same period,the patients in the western medication group were treated with routine western medication,and the patient took orally diclofenac sodium sustained-release capsules,with 100 mg each time,once a day.The Visual Analog Scale(VAS),Western Ontario and McMaster University Arthritis Index(WOMAC),life quality score and clinical efficacy for the knee joint of the three groups before and after treatment were observed.Results:After treatment,the effective rate of the dog-day moxibustion was 93.33%,the effective rate of the ordinary moxibustion group was 83.33%,and the effective rate of the western medication group was 53.33%.Compared with pre-treatment,the VAS scores and WOMAC scores of the patients with KOA in the three groups after treatment decreased,and the differences were statistically significant(all P<0.05).There were also statistically significant differences between the VAS score,total WOMAC score,pain score,joint stiffness score and joint function score of the three groups after treatment(all P<0.05).Conclusion:The effect of dog-day moxibustion on herbs in treating knee-joint osteoarthritis of yang deficiency and congealing cold type was significantly better than ordinary moxibustion and western medication,and it was worthy of clinical promotion.展开更多
The purpose of this study was to examine the combined effects of knee extension strength (KES), visual acuity (VA), and knee joint pain (KP) on gait in 212 older women. Including, walking speed, cadence, were selected...The purpose of this study was to examine the combined effects of knee extension strength (KES), visual acuity (VA), and knee joint pain (KP) on gait in 212 older women. Including, walking speed, cadence, were selected as gait parameters. Knee extension strength was measured by isometric knee extension strength, while knee joint pain and decreased visual acuity were evaluated by subjective judgment. The combine effect of KP and KES factors was examined. Stance time was significantly longer in persons with both-KP than in persons with no KP. In addition, people with superior KES had significantly greater values in walking speed, cadence, and step length, and lower values in stance time and walking angle than those with inferior KES. Furthermore, double support time showed that persons with both-KP have significantly greater values than persons with no or one-KP in the inferior KES group. Also, persons with the inferior KES had significantly greater values in persons with both-KP. The combine effect of KES and VA factors was examined. There are significant differences between the superior and the inferior KES groups. In conclusion, the elderly with both the factors of decreasing KES and both-KP, as compared to the elderly with just one of those factors, have markedly different gait properties.展开更多
目的探讨集成磁共振成像(synthetic magnetic resonance imaging,SyMRI)技术对髌骨不稳患者膝关节周围肌肉定量检测的价值。材料与方法前瞻性纳入髌骨不稳患者45例(88侧膝关节),健康志愿者30例(60侧膝关节)。所有受试者均行双膝关节SyMR...目的探讨集成磁共振成像(synthetic magnetic resonance imaging,SyMRI)技术对髌骨不稳患者膝关节周围肌肉定量检测的价值。材料与方法前瞻性纳入髌骨不稳患者45例(88侧膝关节),健康志愿者30例(60侧膝关节)。所有受试者均行双膝关节SyMRI序列检查;扫描后获得常规对比加权图像及T1、T2、质子密度(proton density,PD)3种定量图谱。应用ITK-SNAP软件后处理平台,在膝关节横轴位图像测量股内侧肌、缝匠肌、股薄肌、半膜肌、半腱肌、股二头肌、股外侧肌、股中间肌的T1、T2、PD值,分析髌骨不稳患者与健康志愿者各肌肉间及髌骨不稳患者自身各肌肉间T1、T2、PD值的差异性。结果2名放射科医师对膝关节周围肌肉的T1、T2及PD值测量的结果一致性好,ICC值分别为0.928、0.954和0.929。与健康志愿相比,髌骨不稳患者肌肉T2值均升高,股内侧肌、半膜肌、股二头肌、股外侧肌、股中间肌的T2值变化差异有统计学意义(P<0.05);除股中间肌外,余各肌肉T1值降低,股薄肌、股二头肌、股外侧肌T1值的变化差异有统计学意义(P<0.05);各肌肉的PD值均减低,差异无统计学意义(P>0.05)。Wilcoxon非参数检验结果表明,髌骨不稳患者中,除半腱肌与股内侧肌T2值差异无统计学意义外(P>0.05),余肌肉与股内侧肌之间差异均有统计学意义(P<0.05)。结论SyMRI序列的定量参数值可有助于髌骨不稳患者膝关节周围肌肉的定量检测。展开更多
基金Supported by Research Projects of Traditional Chinese Medicine of Hubei Health and Family Planning Commission: ZY2019M035Wuhan Clinical Medical Research Project: WZ14A01
文摘Objective:To compare the therapeutic effect difference among dog-day moxibustion on herbs,ordinary moxibution and routine western medication in treating knee-joint osteoarthritis of yang deficiency and congealing cold type.Methods:A total of 90 patients with knee-joint osteoarthritis of yang deficiency and congealing cold type were divided into dog-day moxibustion group,ordinary moxibution group and western medication group according to the registration order,and there were 30 patients in each group.Among them,the patients in the dog-day moxibustion were given dog-day moxibustion on herbs method during the dog days of 2018(July 17 to August 25).Continuous treatment was applied on the first,second and third dog-day with 5 days for each dog-day,and once for a day,and there were totally 15 times of treatment.In the same period,the patients in the ordinary moxibustion group was treated with the pure moxa stick moxibustion,and the point selection and treatment course were the same as the dog-day moxibustion group.And in the same period,the patients in the western medication group were treated with routine western medication,and the patient took orally diclofenac sodium sustained-release capsules,with 100 mg each time,once a day.The Visual Analog Scale(VAS),Western Ontario and McMaster University Arthritis Index(WOMAC),life quality score and clinical efficacy for the knee joint of the three groups before and after treatment were observed.Results:After treatment,the effective rate of the dog-day moxibustion was 93.33%,the effective rate of the ordinary moxibustion group was 83.33%,and the effective rate of the western medication group was 53.33%.Compared with pre-treatment,the VAS scores and WOMAC scores of the patients with KOA in the three groups after treatment decreased,and the differences were statistically significant(all P<0.05).There were also statistically significant differences between the VAS score,total WOMAC score,pain score,joint stiffness score and joint function score of the three groups after treatment(all P<0.05).Conclusion:The effect of dog-day moxibustion on herbs in treating knee-joint osteoarthritis of yang deficiency and congealing cold type was significantly better than ordinary moxibustion and western medication,and it was worthy of clinical promotion.
文摘The purpose of this study was to examine the combined effects of knee extension strength (KES), visual acuity (VA), and knee joint pain (KP) on gait in 212 older women. Including, walking speed, cadence, were selected as gait parameters. Knee extension strength was measured by isometric knee extension strength, while knee joint pain and decreased visual acuity were evaluated by subjective judgment. The combine effect of KP and KES factors was examined. Stance time was significantly longer in persons with both-KP than in persons with no KP. In addition, people with superior KES had significantly greater values in walking speed, cadence, and step length, and lower values in stance time and walking angle than those with inferior KES. Furthermore, double support time showed that persons with both-KP have significantly greater values than persons with no or one-KP in the inferior KES group. Also, persons with the inferior KES had significantly greater values in persons with both-KP. The combine effect of KES and VA factors was examined. There are significant differences between the superior and the inferior KES groups. In conclusion, the elderly with both the factors of decreasing KES and both-KP, as compared to the elderly with just one of those factors, have markedly different gait properties.
文摘目的探讨集成磁共振成像(synthetic magnetic resonance imaging,SyMRI)技术对髌骨不稳患者膝关节周围肌肉定量检测的价值。材料与方法前瞻性纳入髌骨不稳患者45例(88侧膝关节),健康志愿者30例(60侧膝关节)。所有受试者均行双膝关节SyMRI序列检查;扫描后获得常规对比加权图像及T1、T2、质子密度(proton density,PD)3种定量图谱。应用ITK-SNAP软件后处理平台,在膝关节横轴位图像测量股内侧肌、缝匠肌、股薄肌、半膜肌、半腱肌、股二头肌、股外侧肌、股中间肌的T1、T2、PD值,分析髌骨不稳患者与健康志愿者各肌肉间及髌骨不稳患者自身各肌肉间T1、T2、PD值的差异性。结果2名放射科医师对膝关节周围肌肉的T1、T2及PD值测量的结果一致性好,ICC值分别为0.928、0.954和0.929。与健康志愿相比,髌骨不稳患者肌肉T2值均升高,股内侧肌、半膜肌、股二头肌、股外侧肌、股中间肌的T2值变化差异有统计学意义(P<0.05);除股中间肌外,余各肌肉T1值降低,股薄肌、股二头肌、股外侧肌T1值的变化差异有统计学意义(P<0.05);各肌肉的PD值均减低,差异无统计学意义(P>0.05)。Wilcoxon非参数检验结果表明,髌骨不稳患者中,除半腱肌与股内侧肌T2值差异无统计学意义外(P>0.05),余肌肉与股内侧肌之间差异均有统计学意义(P<0.05)。结论SyMRI序列的定量参数值可有助于髌骨不稳患者膝关节周围肌肉的定量检测。
