摘要
【目的】观察推髌法配合循经点穴治疗膝关节骨性关节炎的临床疗效。【方法】将46例膝关节骨性关节炎患者随机分为治疗组与对照组,每组各23例。治疗组给予推髌法配合循经点穴治疗,对照组给予患膝关节注射玻璃酸钠治疗,连续治疗6周。治疗6周后,评价2组的临床疗效,观察2组患者治疗前后膝关节美国特种外科医院(HSS)功能评分以及视觉模拟量表(VAS)评分的变化情况。并评价2组的不良反应发生情况。【结果】(1)治疗组总有效率为86.96%(20/23),对照组为82.61%(19/23)。治疗组与对照组比较,差异无统计学意义(P>0.05)。(2)治疗后,2组患者的HSS评分、VAS评分均明显改善,与治疗前比较,差异均有统计学意义(P<0.05);治疗后,2组HSS评分、VAS评分比较,差异无统计学意义(P>0.05)。(3)治疗组与对照组在治疗过程中,均无明显不良反应情况发生。观察组与对照组的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】推髌法配合循经点穴治疗膝关节骨性关节炎,能明显减轻患者膝关节的疼痛症状,促进膝关节功能的恢复,疗效显著。
Objective To observe the clinical curative effect of patella-pushing manipulation combined with digital acupressure along meridian for the treatment of knee osteoarthritis. Methods A total of 46 knee osteoarthritis patients were randomly divided into treatment group and control group, 23 cases in each group. The treatment group received patella-pushing manipulation combined with digital acupressure along meridian,and the control group received injection of sodium hyaluronate into the affected knee,the treatment lasting 6 continuous weeks.After 6-week treatment,the clinical curative effect in the two groups was evaluated,the changes in Hospital for Special Surgery(HSS)score and Visual Analogue Scale(VAS)score were observed in the two groups before and after treatment,and the adverse reactions in the two groups were evaluated. Results(1)The total effective rate was 90.63%(29/30)in the treatment group, and was 84.38%(27/32)in the control group, there being no significant differences between the two groups(P>0.05).(2)After treatment,the HSS score and VAS score were improved in the two groups,the difference being significant as compared with that before treatment(P<0.05),but there were no significant differences in HSS score and VAS score between the two groups(P>0.05).(3)During the treatment,there were no obvious adverse reactions occurred in the two groups,and there were no significant differences in adverse reactions between the two groups(P>0.05). Conclusion Patella-pushing manipulation combined with digital acupressure along meridian is effective for obviously relieving the knee joint pain symptoms of the patients with knee osteoarthritis and promoting the recovery of knee joint function.
作者
陈建华
程井军
柳默涵
CHEN Jian-Hua;CHENG Jing-Jun;LIU Mo-Han(Traditional Chinese Medicine Hospital of Sanxia University/Y ichang Traditional Chinese Medicine Hospital,Yichang 443000 Hubei,China;National Physician Hall of Hubei University of Chinese Medicine,Wuhan 430061 Hubei,China;Bengbu Second People's Hospital,Bengbu 233000 Anhui,China)
出处
《广州中医药大学学报》
CAS
2021年第6期1180-1185,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家自然科学基金青年科学基金资助项目(编号:81473786)。
关键词
膝关节骨性关节炎
推髌法
循经点穴
临床观察
knee osteoarthritis
patella-pushing manipulation
digital acupressure along meridian
clinical observation
