摘要
目的观察平乐治筋手法联合中药熏蒸治疗膝骨关节炎的临床疗效。方法将120例膝骨关节炎患者随机分为治疗组和对照组,每组60例。治疗组予平乐治筋手法加中药熏蒸,对照组予膝关节点穴疗法加狗皮膏贴敷,两组均配合膝关节自主功能锻炼。两组疗程均为1个月,观察临床疗效,比较Lequesne指数及疼痛视觉模拟评分(VAS)的变化情况。结果 (1)试验期间,治疗组脱落2例,对照组脱落3例,最终完成试验者115例。(2)治疗组、对照组临床总有效率分别为96.55%、84.21%;组间临床疗效比较,治疗组明显优于对照组(P<0.05)。(3)组间治疗后比较,两组关节疼痛、最大步行距离、日常生活能力指数及综合指数、VAS评分差异有统计学意义,且治疗组明显低于对照组(P<0.05)。结论平乐治筋手法联合中药熏蒸治疗膝骨关节炎,可明显改善膝关节功能、减轻疼痛、提高患者生活质量。
Objective To observe the clinical efficacy of Pingle therapeutic manipulation for injured soft tissue combined with fumigation and steaming therapy of Chinese medicine in the treatment of knee osteoarthritis. Methods 120 patients with knee osteoarthritis were randomly divided into the treatment group and control group,60 cases in each group. Both groups performed the autonomic function exercise of knee joint. The treatment group was treated with Pingle therapeutic manipulation for injured soft tissue combined with fumigation and steaming therapy of Chinese medicine,and the control group was treated with acupoint pressure on knee joint combined with dog skin plaster,with a course of one month. The clinical efficacy was observed,and the changes on the Lequesne indexes and visual analogue scale（ VAS） score were compared. Results （1）During the trial,2 cases in the treatment group and 3 cases in the control group fell off,and finally 115 cases completed the trial.（2）The total clinical effective rates were 96. 55% in the treatment group and 84. 21% in the control group. The clinical efficacy of the treatment group was obviously better than that of the control group（ P 0. 05）.（3）After treatment,there were statistically significant differences on the joint pain,maximum walking distance,daily living ability index and comprehensive index and VAS score between the two groups,and the levels in the treatment group were obviously lower than those in the control group（ P 0. 05）. Conclusion Pingle therapeutic manipulation for injured soft tissue combined with fumigation and steaming therapy of Chinese medicine can be used in the treatment of knee osteoarthritis,which can obviously improve the function of knee joint,relieve the pain and enhance the life quality of patients.
出处
《上海中医药杂志》
2017年第11期51-54,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
河南省卫生局中医药专项课题(2013zy02015)
关键词
膝骨关节炎
平乐正骨
治筋手法
中药熏蒸
关节疼痛
knee osteoarthritis
Pingle bone-setting
therapeutic manipulation for injured soft tissue
fumigation and steaming therapy of Chinese medicine
joint pain
