揉膝推髌点穴法联合奥泰灵治疗瘀血阻滞型膝骨性关节炎79例临床研究  

Clinical Observation on Knee Kneading-Patella Pushing-Acupoint Pressing Combin ed with Glucosamine Hydrochloride Capsules for 79 Cases of Knee Osteoarthritis wit h Blood Stasis Syndrome

作　　者：李西海[1] 林木南[2] 洪昆达[3] 刘献祥[1] 

机构地区：[1]福建中医药大学中西医结合研究院 [2]南京军区福州总医院 [3]福建中医药大学附属第二人民医院

出　　处：《中医杂志》2012年第10期853-856,883,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(30873277)

摘　　要：目的观察揉膝推髌点穴法治疗瘀血阻滞型膝骨性关节炎的临床疗效。方法将180例(248膝)患者随机分为治疗组90例(125膝)和对照组90例(123膝),两组患者均口服盐酸氨基葡萄糖胶囊每次750mg,每日2次,治疗组采用揉膝推髌点穴法,每次20min,隔日1次;对照组采用扶他林乳剂涂擦膝关节周围患处,每日3次,治疗2周。观察各期患者的临床疗效,并比较治疗前后各期患者膝关节运动功能评分、膝关节西安大略和麦克马斯特大学骨性关节炎(WOMAC)指数的变化。结果治疗组完成治疗79例(111膝),脱落11例(14膝);对照组完成治疗76例(103膝),脱落14例(20膝),两组脱落率比较差异无统计学意义(P>0.05)。治疗后两组各期患者膝关节运动功能评分均明显高于治疗前、WOMAC指数均明显低于治疗前(P<0.01);治疗组Ⅰ期、Ⅱ期膝关节运动功能评分增加程度、WOMAC指数降低程度明显高于同期对照组(P<0.01或P<0.05)。治疗后两组患者优良率比较,Ⅰ期、Ⅱ期治疗组明显高于同期对照组(P<0.05);有效率比较差异无统计学意义(P>0.05)。结论揉膝推髌点穴法能有效缓解膝骨性关节炎患者的临床症状、改善关节功能,其中Ⅰ期、Ⅱ期患者临床疗效更好。Objective To observe the therapeutic effect of knee k neading-patella pu shing-acupoint pressing combined with glucosamine hydrochloride capsules for kn e e osteoarthritis with blood stasis syndrome.Methods Totally 180 cases（248 knee s） were randomized into treatment group（90 cases,125 knees） and the contro l group（90 cases,123 knees）.Both groups were given glucosamine hydrochloride capsules,while votalin emulgel and manipulation was added in the control group and the treatment group respectively.The therapeutic effect was evaluated by co mparing the scores of knee movement function and the Western Ontario and McMaste r Universities Arthritis Index（WOMAC） osteoarthritis index before and after tre atment.Results The treatment was conducted completely to 79 cas es（111 knees） in the treatment group with 11 cases（14 knees） lost and 76 cases（103 knees） in the control group with 14 cases（20 knees） lost respectively.There was no significant difference bet ween groups in expulsion rate（P〉0.05）.After treatment,the scores of knee move ment function were significantly increased and WOMAC index were significantly de creased in both groups（P〈0.01）.Comparing with the same stage in the contr ol gr oup,the increase of knee movement function scores and decrease of WOMAC index w ere significantly higher in stage I and Ⅱ in the treatment group（P〈0.05 o r P〈0.01）.The excellence rates of the treatment in stage I and Ⅱ were significantly higher than those of the control group（P〈0.05）.The difference in effective rate between groups was not statistically significant（P〉0.05）.Conclusio n The manipu lation of knee kneading-patella pushing-acupoint pressing could effectively re li eve the symptoms and improve the joint function,especially for knee osteoarthri tis patients in stageⅠ and Ⅱ.

关 键 词：膝骨性关节炎 瘀血阻滞 手法 

分 类 号：R684.3[医药卫生—骨科学]