岭南林氏正骨推拿治疗腰源性膝痛临床观察  

Lin's Bone Setting and Massage Therapy in Lingnan Area for Waist-Induced Knee Pain

作　　者：张万清[1] 马卫东[1] 李良[1] 

机构地区：[1]广州市中医医院针灸康复门诊,广东广州510130

出　　处：《新中医》2017年第6期113-117,共5页New Chinese Medicine

摘　　要：目的:观察岭南林氏正骨推拿治疗腰源性膝痛的可行性及临床疗效。方法:运用随机、对照及单盲临床试验方法,选取在本院诊治的76例腰源性膝痛患者,将其按随机方式分为2组各38例。治疗组采用岭南林氏正骨推拿手法予以"正脊调腰"治疗,对照组采用传统手法"调膝"治疗,就2组临床治疗效果进行比较分析。结果:与对照组比较:治疗组治疗前关节休息痛、关节运动痛、压痛、肿胀、晨僵、行走能力及膝骨关节炎严重性指数(ISOA)总分,差异均无统计学意义(P>0.05);治疗组治疗后关节休息痛差异无统计学意义(P>0.05);而关节运动痛、压痛、肿胀、晨僵、行走能力及ISOA评分总分均减少,差异均有统计学意义(P<0.01);治疗组关节休息痛评分治疗前后差值,差异无统计学意义(P>0.05);治疗组关节运动痛、压痛、肿胀、晨僵及ISOA评分总分治疗前后差值,差异均有统计学意义(P<0.01);行走能力评分治疗前后差值,差异有统计学意义(P<0.05)。与治疗前比较:2组治疗后关节休息痛、关节运动痛、压痛、肿胀、晨僵、行走能力及ISOA评分总分均减少,差异均有统计学意义(P<0.01)。提示2组以两种不同方法治疗后均有疗效,且治疗组治疗后除关节休息痛外在关节运动痛、压痛、肿胀、晨僵、行走能力方面的改善程度优于对照组。治疗组总有效率高于对照组,差异有统计学意义(P<0.01),治疗组临床疗效优于对照组。2组在治疗过程中均未出现不良反应事件。结论:针对腰源性膝痛患者,采用岭南林氏正骨推拿行正脊调腰治疗及传统按摩手法治疗均有疗效,且疗法均安全可行,但岭南林氏正骨推拿治疗临床疗效优于传统手法治疗。Objective：To observe the feasibility and clinical effect of Lin＇s bone setting and massage therapy in Lingnan area for waist-induced knee pain. Methods ：Selected 76 cases of patients with waist-induced knee pain in our hospital as study objects according to the randomized one-blind control method,and divided them into two groups randomly,38 cases in each group. The treatment group received spine correction and waist adjustment of Lin＇s bone setting and massage therapy in Lingnan area,while the control group received traditional manipulation of knee adjustment. Analyzed and compared the curative effect in both groups. Results：Compared total scores of articular resting pain,articular active pain,tenderness,swelling,morning stiffness,walking ability and the index of severity for osteoarthritis of the knee（ISOA） in the treatment group with those in the control group before and after treatment, there being no significance in differences（P〈0.05）. The comparison of articular resting pain in the treatment group before and after treatment showed no significance in the difference（P〉0.05）. Total scores of articular active pain,tenderness,swelling,morning stiffness,walking ability and ISOA score were decreased,differences being significant（P〈0.01）. No significant difference was found in the comparison of articular resting pain before and after treatment in the treatment group（P〈0.05）. Total scores of articular active pain,tenderness,swelling,morning stiffness and ISOA score displayed significance in the differences（P〈0.01）. There was significant difference in the comparison of walking ability before and after treatment（P〈0.05）. Comparing with those before treatment, total scores of articular resting pain,articular active pain,tenderness,swelling,morning stiffness,walking ability and ISOA score were declined, differences all being significant（P〈0.01）,which indicated that two different therapies were both effective after treatment. Apart from articular resting pain, the i

关 键 词：腰源性膝痛 正骨推拿 岭南林氏 正脊调腰 膝骨关节炎严重性指数(ISOA) 

分 类 号：R681.57[医药卫生—骨科学]