摘要
目的:观察运用赵文海教授围绕'治筋与正骨法'的临证思辨,从筋骨理论出发,应用手法治疗膝骨性关节炎早、中期患者的临床疗效。方法:根据膝关节骨性关节炎的临床分期,选取60例早、中期患者,随机分为2组各30例,治疗组采用'治筋正骨法'的手法治疗,对照组采取传统治疗手法,分别观察治疗前后患者疼痛、关节屈伸活动、肿胀程度等体征与症状的评分情况,进行效果评价。结果:临床疗效总有效率治疗组96.7%,对照组80.0%,2组比较,差异有统计学意义(P <0.05)。2组跛行、肿胀、疼痛、绞锁、爬楼梯、下蹲、关节活动度等评分分别与治疗前比较,差异均有统计学意义(P <0.05);治疗后,2组跛行、肿胀、疼痛、绞锁、爬楼梯、下蹲、关节活动度等评分分别比较,差异均有统计学意义(P <0.05)。结论:应用'经筋正骨法'治疗膝骨性关节炎,可明显减轻疼痛与改善关节功能,手法操作简便、易行。
Objective:To observe the clinical effect of the application of manipulation for patients with knee osteoarthritis at early and middle stages based on the method of treating sinews and bone-setting in the theory of sinews and bones proposed by Professor ZHAO Wenhai.Methods:A total of 60 cases of patients at early and middle stages were randomly divided into two groups according to clinical stages of knee osteoarthritis,30 cases in each group.The treatment group was manipulated with the method of treating sinews and bone-setting,and the control group was given the traditional manipulation.The scores of signs and symptoms including pain,joint flexion and extension and swelling of patients before and after treatment were observed respectively,and the effect was evaluated.Results:The total effective rate was 96.7%in the treatment group and 80.0%in the control group,the difference being significant(P<0.05).The scores of claudication,swelling,pain,interlocking,stair climbing,squatting and the range of motion in the two groups were respectively compared with those before treatment,differences being significant(P<0.05);after treatment,the above scores were respectively compared between the two groups,differences being significant(P<0.05).Conclusion:The application of the method of treating sinews and bone-setting for knee osteoarthritis can significantly alleviate the pain and improve joint function,which facilitate the manipulation.
出处
《新中医》
CAS
2019年第6期187-189,共3页
New Chinese Medicine
基金
国家自然科学基金面上项目(8153999)
全国老中医药专家学术经验继承项目
长春中医药大学附属医院优秀人才提升计划项目
关键词
膝骨性关节炎
治筋正骨法
关节屈伸活动
肿胀
疼痛
Knee osteoarthritis
Method of treating sinews and bone-setting
Joint flexion and extension
Swelling
Pain
