摘要
目的:探讨经筋推拿配合易筋经训练治疗膝骨性关节炎(KOA)的临床效果。方法:90例KDA患者随机分为治疗组和对照组,各45例。两组均在治疗前后进行临床疗效、症状积分评定,以及平衡及本体感觉评估,并检测关节滑液相关炎性因子(IL-1、IL-6、TNF-α、MMP-3)的含量。结果:治疗组总有效率优于对照组(P<0.05);症状积分比较,治疗组优于对照组(P<0.05);平衡及本体感觉评估比较,治疗组均优于对照组(P<0.05);相关炎性因子比较,两组治疗后均能有效降低IL-1、IL-6、TNF-α、MMP-3含量,且治疗组IL-1、IL-6、TNF-α低于对照组(P<0.05)。结论:经筋推拿配合易筋经训练能更有效的治疗KOA,提高患者平衡及本体感觉功能,降低KOA的炎性反应。
Objective:To explore clinical efficacy of tendon massage combined with Yijinjing training on knee osteoarthritis(KOA).Methods:Ninety KOA patients were randomly divided into treatment group and control group,45 cases in each group.The clinical efficacy,symptom score,balance function and proprioception assessed by Prokin balance training instrument and the levels of inflammatory cytokines in synovial fluid(IL-1,IL-6,TNF-αand MMP-3)were used for evaluation before and after treatment in two groups.Results:The clinical effect of treatment group was superior to the control group(P<0.05).The symptom score of the treatment group was better than that of the control group(P<0.05).The balance function and proprioception of the treatment group were both better than those of the control group(P<0.05).The levels of IL-1,IL-6,TNF-αand MMP-3 of both groups were effectively decreased after treatment(P<0.05),IL-1,IL-6,TNF-αin treatment group was lower than control group(P<0.05).Conclusion:Tendon massage combined with Yijinjing training can more effectively treat knee osteoarthritis,improve the balance function and proprioception of patients,and decrease the inflammatory reaction of KOA.
作者
仲卫红
洪昆达
李天骄
林建平
李宇涛
ZHONG Wei-hong;HONG Kun-da;LI Tian-jiao;LIN Jian-ping;LI Yu-tao(Fujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital,Fuzhou 350003,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2019年第8期3861-3863,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
福建省自然科学基金项目(No.2015J01325)
福建省康复产业研究院技术创新平台(No.2015Y2001)~~
关键词
膝骨性关节炎
经筋推拿
易筋经训练
临床研究
Knee osteoarthritis
Tendon massage
Yijinjing training
Clinical study
