骨盆矫正压揉法治疗膝关节骨性关节炎43例临床观察  

Clinical Observation on 43 Cases of Knee Osteoarthritis Treated by Pelvic-correction and Press-rubbing

作　　者：范春兰[1] 李淳[2] 梁军[3] 

机构地区：[1]上海市浦东新区南码头社区卫生服务中心 [2]中国中医科学院 [3]北京中医药大学针灸推拿学院

出　　处：《中医杂志》2012年第2期133-135,138,共4页Journal of Traditional Chinese Medicine

基　　金：上海市浦东新区中医中青年骨干培养项目(PWZ2008-20-q11)

摘　　要：目的比较骨盆矫正压揉法治疗膝关节骨性关节炎(KOA)的临床疗效。方法将86例KOA患者随机分为治疗组和对照组各43例,治疗组采用骨盆矫正压揉法,每周3次;对照组采用温针灸,隔日治疗1次,两组均治疗4周。采用骨关节炎指数(WOMAC)量表分别在治疗前、治疗后2周、4周对患者膝关节的疼痛、僵硬、功能是否丧失及总分等方面进行疗效评定。结果两组患者WOMAC各项指标评分与治疗时间密切相关,各时间点之间差异有统计学意义(P<0.01)。两组WOMAC各项指标评分比较差异亦有统计学意义(P<0.05或P<0.01)。结论骨盆矫正压揉法与温针灸治疗KOA都有效,骨盆矫正压揉法的疗效优于温针灸。Objective To compare the effects between the pelvic-correction and press-rubbing method and warm needling method in the treatment of knee osteoarthritis. Methods Eighty-six patients with knee osteoarthritis were randomized into treatment group and control group with 43 cases in each. The treatment group was treated with pelvic-correction and press-rubbing, 3 times a week, and the control group was treated with warm needling, once every other day. The course of treatment was of 4 weeks. The effect on knee pain, stiffness, function lost or not, and total score was assessed with the osteoarthritis index （WOMAC） scores before treatment, 2 and 4 weeks after treatment respectively. Results The WOMAC scores of various indices were closely related with the treatment time of the patients of the two groups, and the difference of all time points was statistically significant （P0.01）. The difference of WOMAC scores of all indices was also statistically significant （P0.05 or （P0.01））. Conclusion Both pelvic-correction and press-rubbing treatment and warm needling treatment are effective for knee osteoarthritis, while the former was superior to the latter in the results.

关 键 词：膝关节骨性关节炎 骨盆矫正压揉法 温针灸 骨关节炎指数量表 

分 类 号：R684.3[医药卫生—骨科学]