石氏伤科推拿整复手法结合红桂酊涂擦治疗膝骨关节炎的临床研究  

Clinical Research of SHI’s Traumatological Manipulation Therapy Combined Honggui Tincture Inunctions to Treat Knee Osteoarthritis

作　　者：林勋[1,2] 王建平 陈博[1] 庞坚[1] 张旻[1] 王辉昊[1] 张明才[1] 詹红生[1] 

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所,上海201203 [2]马来西亚国际医药大学中医系,马来西亚吉隆坡57000

出　　处：《中华中医药学刊》2018年第1期23-26,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81473702,81774340);上海市科学技术委员会科研计划医学重点项目(14401970402,16401970102);上海市科学技术委员会科研计划项目(13401903500、15401934100);上海市进一步加快中医药事业发展三年行动计划项目(ZY3-LCPT-2-1005);上海申康医院发展中心新兴前沿技术项目(SHDC12014121);上海市卫生和计划生育委员会科研项目(ZYKC201602006);浦东新区中医药事业发展专项项目(PDYNZJ2015-22,PZY2015-1)

摘　　要：目的：观察石氏伤科推拿整复手法结合红桂酊涂擦治疗膝骨关节炎的安全性及有效性。方法：将90例膝骨关节炎患者随机分为3组：石氏伤科推拿整复手法结合红桂酊涂擦治疗组（简称＂手法＋红桂酊组＂）、石氏伤科推拿整复手法治疗组（简称＂手法组＂）和红桂酊涂擦组（简称＂红桂酊组＂）,每组各30例。红桂酊组采用红桂酊涂擦治疗,手法组采用石氏伤科推拿整复手法治疗,手法＋红桂酊组采用石氏伤科推拿整复手法结合红桂酊涂擦治疗,各组疗程均为4周。于治疗前、治疗后每周及治疗结束后1个月、3个月对3组患者的西安大略和麦克玛斯特大学骨关节炎指数量表评分（WOMAC）从疼痛、僵硬、关节活动和总分4个维度进行评价,并于末次治疗后对患者的安全性进行评价。结果：治疗后及疗程结束后1个月、3个月,3组患者的WOAMC各项评分较治疗前均降低（P〈0.05）。治疗3周后,手法＋红桂酊组的疼痛评分优于手法组（P〈0.05）,僵硬评分优于红桂酊组（P〈0.05）,WOMAC总分优于手法组（P〈0.05）和红桂酊组（P〈0.05）。治疗4周后,手法＋红桂酊组的WOMAC疼痛评分优于红桂酊组（P〈0.05）,手法＋红桂酊组、红桂酊组的疼痛评分优于手法组（P〈0.05）,手法＋红桂酊组的僵硬评分优于手法组（P〈0.05）,手法＋红桂酊组、手法组的僵硬评分优于红桂酊组（P〈0.05）,手法＋红桂酊组的关节功能评分优于手法组（P〈0.05）,手法＋红桂酊组、手法组的关节功能评分优于红桂酊组（P〈0.05）,手法＋红桂酊组的WOMAC总分优于手法组（P〈0.05）和红桂酊组（P〈0.05）。随访1个月和3个月表现出与治疗4周后较为一致的治疗效果。治疗全程3组患者均未出现不良反应事件。结论：红桂酊涂擦治疗膝骨关节炎有较好的镇痛效果,石氏伤科推拿整复手法则对僵硬和关节活动度有�Objective： To observe the safety and efficacy of SHI’s traumatological manipulation therapy combined Honggui tincture inunctions to treat knee osteoarthritis. Methods： Ninety patients with knee osteoarthritis were randomly divided into three groups： SHI’s traumatological manipulation therapy combined Honggui tincture inunctions group（ abbreviated to ＂Combined group ＂）,SHI ’s traumatological manipulation therapy group（ abbreviated to ＂Manipulation group＂）,and Honggui tincture inunctions group（ abbreviated to ＂Honggui tincture group＂）. Each group included 30 patients. SHI’s traumatological manipulation therapy was given twice a week and Honggui tincture inunctions executed every day. The course of treatment was 4 weeks. We observed the WOMAC score per week after the treatment and at 1 and 3 months follow-up from four dimensions included pain,stiffness,joint activity and total scores. The safety was valued after the final treatment. Results： The WOMAC scores of 3 groups were improved compared with before treatment（ P〈 0. 05）. After 3 weeks treatment,the pain score of Combined group was better than that of Manipulation group（ P 〈0. 05） and the stiffness score was better than that of the Honggui tincture group（ P 〈 0. 05）. The total score was better than that of the Manipulation group（ P 〈 0. 05） and Honggui tincture group（ P 〈 0. 05）. After 4 weeks treatment,thepain score of Combined group was better than that of the Honggui tincture group（ P 〈 0. 05） and the Honggui tincture group’s was better than the Manipulation group’s（ P 〈 0. 05）. The stiffness score of Combined group was better than that of the Manipulation group（ P 〈 0. 05）. Manipulation group’s was better than Honggui tincture group’s（ P 〈 0. 05）.The joint activity score of Combined group was better than that of the Manipulation group（ P 〈 0. 05） and the Manipulation group’s was better than Honggui tincture group’s（ P 〈 0. 05）. The total scor

关 键 词：膝骨关节炎 石氏伤科推拿整复手法 红桂酊 WOMAC 治疗 

分 类 号：R684.3[医药卫生—骨科学]