朱汉章1  崔秀芳2  宋文阁3  权伍成1  邹立国

1北京中医药大学  2内蒙古医学院  3山东省立医院

摘要  目的：观察针刀治疗膝骨性关节炎的远期疗效并探讨其机理。方法：采用视觉模拟评分法、功能分级评分法等对30例膝骨性关节炎患者进行随访。结果:①两年后疼痛完全消失率为34.5%，基本消失率60%，好转率为4%，总有效率100%。②关节功能完好率为71%，比治疗结束后提高了2.7%。③膝关节治愈率由原来的53.3%增长到两年后的56.7％。结论:针刀治疗膝骨性关节炎的远期疗效好，为朱氏的“骨质增生的病因是力平衡失调”的理论提供了佐证。

关键词 针刀 膝骨性关节炎 远期疗效 力平衡失调 骨质增生

Abstract Object: Observing the late result of treating osteoarthritis by the acupotome and researching on the mechanism. Method: 30 osteoarthritis cases were followed-up by visual simulation method of point rating and function classify method of point rating. Result: ①After two years, the complete vanish rate of pain was 34.5%，the primary vanish rate of pain was 60%,the improve rate was 4% and the total effect rate was 100%。 ②The rate of the joint function in good condition was 71% in the late result. It improved 2.7% comparing to the condition after the treatment.③The cure rate of knee was from 53.3% to 56.7％ two years later. Conclusion: The late result of treating osteoarthritis by the acupotome is excellent and it is the proof of the etiological factor of hyperosteogeny is dynamic unbalance.

Key Word: Acupotome   Osteoarthritis   Late result   Dynamic unbalance   Hyperosteogeny