摘要
目的:观察整骨理筋疗法对慢性膝关节疼痛的改善效果。方法:2002-07/2005-07解放军总医院康复医学科门诊收治慢性膝关节疼痛患者随机选择100例,通过病史及影像学检查无腰椎间盘突出症、下肢血管性疾病、肿瘤等疾病,作为膝关节疼痛治疗组,采用整骨理筋疗法进行治疗,2次/周,治疗3周。整骨理筋的同时患者不接受其他治疗。另随机选择同期30例同类患者作为对照,对照组不行整骨理筋疗法,只进行常规理疗。两组分别于治疗前、治疗后3个月、12个月分别进行1次随访,对患者慢性膝关节痛采用目测类比评分法评估疼痛改善情况(10分为严重,0分为无痛),并对患者进行自觉症状改善情况评分。每次就诊时的症状及其出现频率及程度分为0～45级评价自觉症状改善情况,提高2级为症状改善。症状改善率=(治疗前级别-治疗后级别)/治疗前级别×100%。结果:按实际处理分析,治疗组治疗后3个月随访89例,12个月随访78例,对照组3个月随访30例。①治疗前治疗组与对照组目测类比评分无显著性差异[(6.7±0.9),(7.1±0.8)分,t=78.2,P>0.05]。②治疗组3个月后目测类比评分较治疗前显著减低,与对照组比较显著减低[治疗组3个月后为(3.5±0.4)分,治疗前为(6.7±0.9)分;对照组为(6.9±0.7)分,t=54.9,t=68.8,P<0.001]。③治疗组症状改善率较对照组显著提高[(45.8±0.86)%,(0.28±0.01)%,t=67.7,P<0.001]。④治疗组12个月目测类比评分与治疗前相比显著减低[(3.9±0.1),(6.7±0.9)分,t=47.9,P<0.001],症状改善评分与治疗前比显著提高(t=52.2,P<0.001)。结论:整骨理筋疗法能解除肌痉挛和肌挛缩,消除压痛点、改善患者疼痛和不适的自觉症状,效果确切。
AIM： To observe the effect of zhenggu lijin treatment in releasing the chronic pain of knee joint.
METHODS： A total of 100 patients with chronic pain of knee joint were treated in the Outpatient Department of Rehabilitation Medicine, Chinese PLA General Hospital between July 2002 and July 2005. After case history and imaging examination, the patients without lumbar intervertebral disc protrusion, vascular disease of lower limbs or tumor were taken as treatment group, and received only zhenggu lijin treatment twice a week for three weeks totally. Another 30 patients with the same diseases as above were selected as the controls, but they were not treated specially beside the regular treatment. The patients of two groups were followed up before treatment, at 3 and 12 months after treatment, respectively. Chronic pain of knee joint was scored by visual analogue scale （VAS） to assess the symptom improvement （10 points were severe and 0 was painless） and meanwhile, the improvement of subjective symptom was scored in the patients. The symptom, frequency of occurrence and the severity were evaluated by 0-45 grades, and the symptom improvement was defined as rising 2 grades. Symptom improvement rate=（grade before treatment-grade after treatment）/ grade after treatment × 100%.
RESULTS： According to on-treatment analysis, 89 patients were followed up for 3 months, and 78 patients for 12 months in treatment group, and 30 ones for 3 months in control group. ①Before treatment, the VAS scores were similar in treatment and control groups [（6.7±0.9）, （7.1±0.8） points, t =78.2, P 〉 0.05].②At 3 months after treatment, the VAS scores in treatment group were significantly decreased as compare with those before treatment, and also significantly decreased as compared with those in control group [treatment group： （3.5±0.4） points after treatment, （6.7 ±0.9） points; control group： （6.9±0.7） points, t=54.9, t=68.8, P 〈 0.001].③The improvement rate of symptom in treatment group w
出处
《中国临床康复》
CSCD
北大核心
2006年第39期21-23,共3页
Chinese Journal of Clinical Rehabilitation
