摘要
目的探讨"筋为骨用"理论指导下的综合治疗方法治疗膝骨性关节炎的临床疗效。方法将160例膝骨性关节炎患者随机分为"筋为骨用"理论指导综合治疗组(试验组)和对照组各80例,对照组采用口服双氯芬酸钠缓释胶囊及关节内注射透明质酸钠治疗;试验组用牵引、熏洗、按摩、小针刀、活筋、手法推拿松动关节及矫形鞋垫等方法治疗,3周为1个疗程。两组患者在治疗前及治疗后6个月后按Lysholm膝关节评分、膝关节活动度、主观满意度3个方面进行评价。结果完成研究方案的有154位患者,其中对照组75例,试验组79例。结果表明,两组患者治疗后Lysholm膝关节评分和膝关节活动度与治疗前比较差异均有统计学意义(P<0.05或P<0.01),但试验组治疗后Lysholm膝关节评分和膝关节活动度的改善优于对照组(P<0.05);试验组治疗后患者主观满意度亦优于对照组(P<0.05)。结论"筋为骨用"理论指导综合治疗膝关节骨性关节炎疗效显著。
Objective To discuss the clinical effect of combination therapy under the theory of ＂treating soft tissue for bone disease＂ on knee osteoarthritis. Methods The 160 cases were randomly divided into control group （80 cases） and experimental group （80 cases）. The control group was treated by diclofenac sodium sustained release capsules （per os） and sodium hyaluronate （intra-joint injection）. The experimental group was treated by traction, steaming and washing, massage, needle-knife therapy, manipulation on soft tissues for loosening the joint, and orthepedic insoles. The course of treatment was 3 weeks. The effect was evaluated according to Lysholm Score, knee movement and subjective satisfaction after the follow-up for 6 months. Results Of the 154 cases completed the study （control group 75 cases and experimental group 79 cases）, the Lysholm Score and knee movement had a very significant improvement （P〈0. 05 or P〈0.01）, but with a better result in the experimental group （P〈0. 05）. The subjective satisfaction of the experimental group was also higher than that of the control group （P〈0. 05）. Conclusion combination therapy under the therapy of ＂Treating Soft Tissue for Bone Disease＂ is effective for knee osteoarthritis.
出处
《中医杂志》
CSCD
北大核心
2009年第2期139-141,共3页
Journal of Traditional Chinese Medicine
基金
河南省科技攻关项目(0424422224)
关键词
膝骨性关节炎
筋为骨用
中医综合疗法
Knee Osteoarthritis
Treating soft tissue for bone disease
Combination therapy of TCM
