Objective:To observe the clinical effect of bloodletting-cupping for pes anserinus myotenositis.Methods:A total of 169 patients of pes anserinus myotenositis were collected.The tapping or bloodletting with plum-blossom needle or the syringe needle was adopted at the local Ashi points to induce bleeding and the cupping was followed.The cup was retained for 10-15 min.The treatment was given once a week and continued till the clinical symptoms disappeared or the patients were unwilling to continue the treatment.The maximal treatment was 10 times.Before and after treatment,the score of visual analogue scale(VAS)and Lysholm knee score,as well as the clinical effects were observed of the patients.Results:Of 169 cases,137 cases were cured,20 cases improved and 12 cases failed.The effective rate was 92.89%.Of the 137 cured cases,10 cases were cured after 1 time of treatment,5 cases were cured after 10 times of treatment and the rest 122 cases were cured between 2 and 9 times of treatment.VAS score was reduced to be(1.10±0.32)after treatment from(4.35±0.60)before treatment and Lysholm score was increased to be(92.74±5.04)from(65.42±6.38).Conclusion:The bloodletting-cupping alleviates knee pain,or even cure it completely and improves the motor function of knee joints in the 169 patients of pes anserinus myotenositis.The clinical effect is satisfactory.
Objective:To study the clinical effect on old ankle injury treated with collateral bloodletting at ashi point combined with the external application of Sānqī(三七Radix et Rhizoma Notoginseng)powder.Methods:120 outpatients with old ankle injury were collected from the Department of Disease Prevention of Shenzhen Pingle Orthopaedics and Traumatology Hospital.Ashi points were selected.The threeedged needle or the syringe needle for single use was used to prick the ashi points for 5-10 times till the slight bleeding presented in local area.Afterwards,the cupping was used at the pricked area for 10-15 min to ensure the complete elimination of stagnant blood.Such therapies were given once a week.On the day after the day of bleeding and cuping,Sanqi powder was applied externally,once a day.The pain score(visual analogue scale,VAS)and the clinical effect were observed in the patients.Results:A total of 115 patients accomplished the whole procedure of treatment The pain mean score of VAS was(3.2±0.4)points before treatment and it were(0.28±0.5)points after treatment.Of them,104 cases were cured completely,8 cases effective significantly and 3 cases failed.Conclusion:The combined treatment with bloodletting therapy at ashi point and the external application of Sanqi powder achieves the satisfactory clinical effect on old ankle injury and this therapy deserves to be promoted in clinical practice.
目的调查深圳市中老年女性人群血清25羟维生素D水平、骨密度(bone mineral density,BMD)和体质量指数(body mass index,BMI)并探讨其相关性,为骨质疏松症(osteoporosis,OP)的防治提供相应的依据。方法收集2018年10月至2019年2月于深圳平乐骨伤科医院(坪山区中医院)参与调查的中老年女性212例[年龄50~84岁,平均(60.1±7.8)岁],测量受试者的身高、体重,计算BMI,根据BMI分成体重过低组(6例)、正常体重组(112例)和超重组(94例),分别测量各组骨密度和血清25羟维生素D水平。采用Spearman相关分析观察指标间的相关性。结果体重过低组、正常体重组和超重组三组的OP患病率依次为:83.3%、58.0%和57.4%,三组的差异不具有统计学意义(P>0.05)。正常体重组的25羟维生素D与BMD、BMI均不存在相关关系(P>0.05),BMD与年龄的关系呈负相关,与身高、体重均呈正相关(P<0.05),但是与BMI之间则不存在相关性(P>0.05)。在超重组中,25羟维生素D与BMI呈负相关,BMD与年龄呈负相关,与身高呈正相关(P<0.05),但是与体重、BMI之间的相关性无统计学意义(P>0.05)。结论在BMI正常范围内,高体重是OP的保护因素,而超重时则不存在此关系。且超重对中老年女性的血清25羟维生素D水平可产生负面影响。过重的体重可能不利于OP的防治,中老年女性应控制体重在正常范围内。
