中药敷灸加针刺治疗膝部骨性关节炎100例

Osteoarthritis of knee joint is a kind of degenerative change of knee joint, commonly manifested as pain, soreness, numbness and limited movement of one or both knee joints. For a part of cases, the symptoms like pain are aggravated remarkably in cloudy and rainy day, which, impacts the daily work and life of patients. The disorder occurs commonly in middle-aged and elder people of either sex. Since 2002, 197 cases have been collected in the department for the observation of treatment and the satisfactory therapeutic effects have been achieved.Following is the report.

Knee Osteoarthritis, a retrograde disease, is mainly characterized by pain in the knee joints and limitation of the movement. It is a common and frequently occurring disease affecting the health and life quality of old people. In recent years, acupuncture treatment of knee osteoarthritis with satisfactory therapeutic results has been repeatedly reported,2-3, 5-6 but there has been few report on the observation of long-term therapeutic effects after treatment. With acupuncture as the main therapy, 109 cases of knee osteoarthritis were treated in this series. 91 cases with good therapeutic results were followed up for 6 months. A report is presented in the following.

血液磁极化疗法治疗类风湿关节炎1例

CLINICAL MATERIALSThe patient Zhang, a female of 37 years, was a nursery school teach-er. She began to have a pain in her proximal interphalangeal joints ofboth hands and could not clench her both fists after a cold. Then shehad edema, pain, stiffness, and limited activities in her both wrist,elbow and knee joints which were obvious in the morning. She hadbeen diagnesed as rheumatoid arthritis and treated with dexam-eththason, aspirin, and jinopirin per os but the therapeutic effect wasnot significant. The patient came to our magnet therapy center in Oc-tober 2000. Physical examination showed that body temperature was37. 4 ℃, blood pressure, 127/100 mmHg, normal development, eu-trophia, normal head shape, symmetric thorax, regular heart rhythm,with no pathological murmur, no abnormal respiratory sound heard,plane and soft abdomen, no touched liver or spleen, but obvious strongbowel sound. Local symptoms and signs included: pain and edema inphalangeal joints of both hands which could not clench, pain andstiffness and limited activities in both knee and elbow joints especiallyobvious in the morning. Laboratory examinarions showed normal bloodroutine examination results, 54 mm of blood sedimentation, andpositive rheumatoid factor. The diagnosis was rheumatoid arthritis.

胫腓骨骨折术后分期康复治疗效果分析

Background: Joint movement disorder and even stiff joint often occurs after external fixation for fracture of tibia and fibula, the reason of which is usually the intra joint adherence and the adherence and atrophy of the extra joint muscles. Objective: To discuss the treatment effects of post- operational staged rehabilitation for fracture of tibia and fibula. Unit: Second People Hospital of Ningxia. Subject: There were 65 cases including 45 male and 20 female ones. They were from 16～ 70 years with the average of 43 years. The fractures were all unstable, fragmental and open. Intervention: Three- staged rehabilitation was applied after external fixation: (1) Early rehabilitation treatment (3～ 6 weeks after operation): ① The fractured limb was elevated to diminish the swelling; ② To exercise the joints at the end of the limbs, as to exercise the toes for multiple times every day; ③ Fix the muscles of the limbs and contract them isometricly, do it for 15～ 20 minutes each time and for multiple times every day. (2) Middle rehabilitation treatment(8～ 10 weeks after operation ) muscle force exercises were increased gradually, the anti resistance exercises were added gradually after the muscle force got over degree III, the joint movement ranges were added gradually with the muscle under control. (3) Late rehabilitation treatment ( the fracture had healed).① Muscle force exercises: Anti resistance exercises such as sandbag kicking and pedaling. ② Joint movement exercises including active and passive exercises, such as extension and flexion of knee joint, dorsiextension and planter flexion of ankle joint, the exercises should be increased gradually to form some rhythm and speed. Also electric treatment, heat treatment, ultrasonic treatment and massage etc may be added in this period. Result: The follow up periods for the 65 cases were 3～ 12 months and the time for the fractures to heal completely was 8～ 16 weeks ( the average was 12 weeks). The function condition of the ankle and knee joints was as follows: knee flexion 150° , knee extension 0° ; ankle dorsiflexion 20° , ankle planter flexion 40° , ankle inversion 30° , ankle extroversion 20° . Conclusion: Manipulative reduction combined with rehabilitation exercises may have excellent effects on facture of tibia and fibula.

影响胫骨平台骨折疗效的因素

64 cases of tibia platform fracture were received and treated from February1994 to December 2000. The patients were guided for rehabilitation treatment as early function exercise and herb washing esc, the effects were satisfactory and it is reported as following. 1 Objects and methods 1.1 Objects 64 cases,39 male,25 female, aged 16～ 72 years, 35 cases were at the left and 29 were at the right. 52 cases were treated in one week and 12 were from one week to two weeks.The fractures were of three types: There were 37 cases of exstrophy type, Degree I: Split fracture or compress fracture of tibia external condyle with little or no transportation. The indented articular facet of the compress was no more than 0.5 cm. There were 15 cases of Degree I in the group. Degree II: 1/3 articular facet at the outside of the external condyle was of split fracture and there were external transportation, the indentation of the internal 2/3 articular facet caused by the external condyle of the femur was no more than 1.0 cm. There were 13 cases of degree II in the group. Degree III: Fracture on both condyles and there were 7 cases of Degree III in the group. There were 18 cases of entropion type and 9 cases of vertical type in the group. 1.2 Methods ( 1) Non- operation treatment ① The lower limbs were fixed with plaster support for two weeks, after swelling at the knee joints disappeared, legs were fixed for another 2～ 4 weeks with plaster support or tube support, there were 30 cases in the group and the method was suitable for Degree I and II of the exstrophy type and entropion or vertical types with little transportation.② Bone traction for 2 weeks, and 2～ 4 weeks of lower limb plaster support or tube support, or continual bone traction combined with early function exercise, there were 9 cases in the group and the method was suitable for Degree III and IV of the exstrophy type, entropion and vertical types with major transportation.( 2) Operation treatment ① Open reduction and inner fixation: 25 cases.② Treating the knee joint combined wounds: 3 cases of meniscus extirpation, 3 cases of inner collateral ligament repairing, one case of external collateral ligament repairing, 2 cases of anterior cruciate ligament repairing and one case of posterior cruciate ligament repairing.( 3) Rehabilitation treatment:① Quadriceps femoris muscle isometric contraction exercises from the third day after operation and plaster fixation, 20～ 30 times for each group and 40～ 60 groups for each day. The intensity was added gradually. ② Herb washing was added, it may be performed in two weeks after stitches taking out or plaster fixing, the prescript was as the following:Chuan qiong 15g,Red peony root 15g,Chinese angelica 15g,Cassia twig 15g,Two tooth achyranthes root 15g,Safflower 20g,Halite 15g,Licorice root 15g,Frankincense 15g,Myrrh 15g,Staghorn clubmoss herb 25g and Tuberculate speranskia herb 25g. Twice a day and 30 minutes for each time, each dose may be used for two days. ③ Knee joint function exercise with the help of the CPM two weeks after plaster fixation or operation, slight passive movement at early period may enhance local blood circulation and reduce the possibility of joint adhesion, passive exercise with greater ranges may be performed for the knee joints after four weeks.

膝关节肿痛中药康复治疗1例

Background: Most middle-aged and aged patients with knee joints swelling and pain (knee joints degeneration is shown by X ray) are obese, the knee joints are chronically damaged by heavy load and much walk or extra exercises. According to the Chinese medicine theories: the middle-aged and the aged have weak liver and kidney, their sinews and bones are not well nourished, when damaged by too much labor, they are attacked by wind and moist and it is the main cause of the disease. Objective: To discuss the treating effects of Chinese herb on knee joints swelling and pain. Unit: Chinese Medicine Hospital of Huzhou City.

膝关节软骨MR成像的技术研究

骨关节疾患为临床常见疾病,特别是骨关节炎,由于老年人口日益增多,其发病率正呈增高趋势.随着MR技术和设备的进展,磁共振在骨关节疾病诊断中的优势逐渐凸现,特别是在软骨成像等方面.为进一步探讨MR软骨成像的技术,我们观察、总结30例正常人膝关节的软骨成像检查,并探讨其成像方法和技术.