摘要
目的:观察六指六穴点压及膝关节旋转屈伸手法治疗膝骨关节炎的临床疗效,并与杜宁手法对比。方法:选择2002-06/2004-10在河南中医学院第一、二附属医院及河南省中医研究院门诊就诊的膝骨关节炎患者162例,均签署知情同意书。按区组随机化法分为两组,治疗组80例,对照组82例。治疗组使用六指六穴点压及膝关节旋转屈伸手法,对照组使用杜宁手法(点揉痛点、推髌骨、髌股关节按压摩擦、屈伸膝关节及放松膝关节周围软组织)。隔日1次,10次为1个疗程。于治疗前、治疗1个疗程后、随访(治疗后15d)3个观测时点进行疗效评估:①膝关节功能评分(总分100分):100分即膝关节无静止痛和运动痛,膝关节主动屈膝蹲下立起≥135°,膝关节主动伸直,屈曲挛缩≤10°;0分即因疼痛不能步行,膝关节主动屈膝蹲下立起<35°,膝关节主动伸直,屈曲挛缩>10°。②疼痛程度评分采用5级评分法:0无痛;5剧痛。疗效判定标准:①优:膝关节功能评分改善≥90%,评分≥90分;膝关节疼痛评分减少≥3分。②良:膝关节功能评分改善≥80%,评分80～89分;膝关节疼痛评分减少2分。结果:162例膝骨关节炎患者全部进入结果分析,无脱落。两组间治疗后15d随访疗效比较:治疗组患者膝关节功能及疼痛程度的疗效优良率均显著高于对照组[82.50%,62.50%;68.29%,37.80%(χ2=4.396,9.878,P<0.05)]。结论:六指六穴点压及膝关节旋转屈伸手法对膝骨关节炎疗效确切,且治疗效果优于杜宁手法。
AIM： To observe the clinical therapeutic effect of six finger to six point and rotation and stretching manipulation in treating knee osteoarthritis, and compare it with Du Ning＇s manipulation. METHODS： 162 outpatients with knee osteoarthritis were selected from the First and Second Hospitals affiliated to Henan Medical College of Traditional Chinese Medicine and Henan Research Institute of Traditional Chinese Medicine between June 2002 and October 2004. All the patients signed the agreement. They were randomly divided into two groups： treatment group （n=80） and control group （n=82）, who were given six finger to six point and rotation and stretching manipulation and Du＇s manipulation （kneading the pain point, massaging the patella, pressing the knee, flexing and stretching the knee joint and relaxing the surrounding soft tissue of knee joint）, respectively, once every two days with 10 times as one course. The curative effect was evaluated before and one course after treatment and during follow up （15 days after treatment）, respectively： ①Knee function scores （total scores： 100）： 100 scores meant knee joint without resting pain or motion pain, the active squat and standing ≥135°, active stretching, flexion contracture of knee joint ≤ 10° score meant unable to walk because of pain, the active squat and standing 〈 135% active stretching, flexion contracture of knee joint 〉10°. ②5-grading system was used for pain degree evaluation： 0 score： painless; 5 scores： severe pain. Evaluation criteria of curative effect： ①Excellent： Improvement of knee function scores≥90%, the scores≥ 90; the scores of knee pain decreased ≥ 3. ② Good： Improvement of knee function scores≥ 80%, the scores were 80-89; the scores of knee pain decreased 2. RESULTS： All the 162 patients with knee osteoarthritis were involved in the result analysis without any loss. Comparison of the curative effect between the two groups in follow up （15 days after treatment）： The exc
出处
《中国临床康复》
CSCD
北大核心
2006年第35期1-3,共3页
Chinese Journal of Clinical Rehabilitation
