摘要
目的：探讨从腰论治推拿治疗退行性膝关节炎的临床疗效。方法：纳入符合退行性膝关节炎诊断标准病例52例（60膝），随机分为治疗组和对照组，治疗组采用对腰臀及髂胫束推拿加拔罐的方法，对照组采用《推拿学》上治疗退行性膝关节的手法及拔罐的方法，分别于治疗前后观察2组膝关节疼痛、功能及积液等指标，比较其临床疗效。结果：治疗组治愈9膝，显效17膝，有效3膝，无效1膝，总有效率96．67％；对照组治愈4膝，显效14膝，有效10膝，无效2膝，总有效率93．33％，组间比较差异无统计学意义（P〉0．05）。两种方法均能有效改善退行性膝关节炎的t临床症状，患者治疗后膝关节疼痛、功能、积液均明显改善（P〈0．05）；两组间比较，治疗后治疗组对于膝关节在缓解疼痛、改善关节功能及消除关节积液方面均优于对照组，差异有统计学意义（P〈0．05）。结论：从腰论治推拿治疗退行性膝关节炎能更有效地改善退行性膝关节炎的临床症状和体征，提高患者的生活质量，防止病情进一步加重，疗效显著，见效快，值得临床推广。
Objective： To discuss the efficacy of massage that treatment by waist cures degenera- tive arthritis. Methods： 52 patients （60 knees） who accorded with degenerative arthritis diagnostic standard were randomly divided into treatment group and control group. Treatment group were treat- ed by massage and cupping in waist-hip and iliotibial band. Control group were treated by the tech- nique that from science of Chinese massage and cupping. Observed the index of knee pain, function and effusion before and after treatment, and compared the clinical effect. Results： Reference JOA evaluation criteria, in treatment group, 9 knees were cured, 17 knees had markedly effect, 3 knees were effective, 1 knee was invalid, and the total effective rate was 96.67%. In control group, 4 knees were cured, 14 knees had markedly effect, 10 knees were effective, 2 knees were invalid, and the total effective rate was 93.33%. Compared among groups, the difference had no statistical signif- icance （P〉0.05）. The two methods all could improve the clinical symptoms of degenerative arthri- tis. After treatment, knees pain, function and effusion of patients improved obviously （P〈0.05）. Comparison between the two groups, for the aspects of relieving knee pain, improving joint func- tion and eliminating joint effusion, treatment group was better than control group, the difference had statistical significance （P〈0.05）. Conclusion： Massage that treatment by waist cures degenera- tive arthritis can effectively improve the clinical symptoms and signs of degenerative arthritis, im- prove the quality of life and prevent exacerbation. The efficacy is marked and quickly, it is worthy of clinical promotion.
出处
《按摩与康复医学》
2013年第2期24-27,共4页
Chinese Manipulation and Rehabilitation Medicine
基金
上海市科研课题,编号2010L078A
