摘要
目的观察在整体观念指导下,采用推拿手法治疗膝骨关节炎的临床疗效。方法将74例患者随机分为对照组与治疗组,每组37例。对照组予塞来昔布口服,治疗组予整体观念指导下的推拿疗法。两组疗程均为3周,观察临床疗效,比较WOMAC评分的变化情况。结果 (1)最终完成试验者73例,治疗组36例、对照组37例。(2)治疗组、对照组总有效率分别为94.4%、81.1%;组间临床疗效比较,治疗组明显优于对照组(P<0.05)。(3)治疗前后组内比较,两组WOMAC各分项评分及总分差异均有统计学意义(P<0.05)。组间治疗后比较,治疗组WOMAC各分项评分及总分明显低于对照组(P<0.05)。结论在整体观念指导下,采用推拿疗法治疗膝骨关节炎,可明显改善患者关节的疼痛、僵硬程度及活动能力,从而提高患者的生活质量。
Objective To observe the clinical efficacy of tuina under the guidance of concept of holism in the treatment of knee osteoarthritis. Methods 74 patients were randomly divided into the control group and treatment group,37 cases in each group. The control group was orally treated with celecoxib,and the treatment group was treated with tuina under the guidance of concept of holism,with a course of 3 weeks. The clinical efficacy was observed,and the changes on WOMAC scores were compared. Results(1)Finally 73 cases completed the trial,among 36 cases in the treatment group and 37 cases in the control group.(2)The total effective rates were 94.4% in the treatment group and 81.1% in the control group,the clinical efficacy of the treatment group was obviously better than that of the control group( P<0.05).(3)In both groups,there were statistically significant differences on all item scores and total score of WOMAC between treatment before and after( P<0.05). After treatment,all item scores and total score of WOMAC in the treatment group were obviously lower than those in the control group( P<0.05). Conclusion The application of Tuina under the guidance of concept of holism in treating knee osteoarthritis can remarkably ameliorate the pain of joint,improve the degree of stiffness and capacity of action in patients,and thus enhance the quality of life of patients.
出处
《上海中医药杂志》
2018年第10期60-62,66,共4页
Shanghai Journal of Traditional Chinese Medicine
关键词
膝骨关节炎
整体观念
推拿
中医外治
脊柱-骨盆-下肢矢状面
knee osteoarthritis
concept of holism
tuina
external treatment of Chinese medicine
spine-pelvis-sagittal plane of lower limb
