“双轴疗法”治疗膝关节骨性关节炎  

Observation on Clinical Effect of "Shuang Zhou Therapy" in Treating Knee Osteoarthritis

作　　者：董林林[1] 魏征[1] 董兵[1] 任锟[2] DONG Linlin;WEI Zheng;DONG Bing;REN Kun(The Affiliated Hospital to Henan Provincial Institute of Chinese Medicine,Zhengzhou Henan China 450003;Henan Provincial TCM Hospital,Zhengzhou Henan China 450002)

机构地区：[1]河南省中医药研究院附属医院,河南郑州450003 [2]河南省中医院,河南郑州450002

出　　处：《中医学报》2020年第4期875-880,共6页Acta Chinese Medicine

基　　金：河南省中医管理局拔尖人才项目{豫中医科研[2018]35号};2018年度河南省中医药科学研究专项课题项目(2018ZY2092)。

摘　　要：目的:观察"双轴疗法"治疗膝关节骨性关节炎的临床疗效。方法:将符合纳入标准并完成研究的80例膝关节骨性关节炎患者,按随机数字表分为试验组和对照组各40例。试验组采用"双轴疗法"治疗,包括针对身体轴的"董氏推拿六法"和针对心理轴治疗的耳穴针刺(心、肺、交感、神门、内分泌)。对照组仅采用"董氏推拿六法"治疗。两组患者均治疗2个疗程。观察并记录治疗前后视觉模拟评分(visual analogue scale,VAS),膝关节HSS屈曲评分、骨关节炎指数量表(western ontario and mcmaster universities osteoarthritis index,WOMAC)评分、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分及不良反应情况,并进行临床疗效评价。结果:治疗后两组VAS评分、膝关节HSS屈曲评分、WOMAC评分、PSQI评分、HAMA评分、HAMD评分比较,试验组均优于对照组,且差异有统计学意义(P<0.05)。试验组有效率97.5%(39/40),对照组有效率82.5%(33/40),两组比较,差异有统计学意义(P<0.05),两组均未发生不良事件。结论:"双轴疗法"治疗KOA能有效针对患者身体轴和心理轴进行共同治疗,强调身心同病,身心同治,消除疾病间的相互作用和影响,协同作用强、适应证广、临床有效率高、不良反应少。Objective: To observe the clinical effect of"Shuang Zhou Therapy"on knee osteoarthritis. Methods A total of 80 patients with knee osteoarthritis who met the inclusion criteria and completed the study were randomly divided into a test group and a control group,each with 40 cases. The experimental group was treated with " Shuang Zhou Therapy",including " Dong’s Six Methods of Massage" for the body axis and auricular acupuncture( heart,lung,sympathy,Shenmen,endocrine) for the psychological axis..Patients in both groups were treated for 2 courses. Observe and record the visual analogue scale( VAS),knee HSS flexion score,western ontario and mcmaster universities osteoarthritis index( WOMAC),Pittsburgh sleep quality index scale( Pittsburgh) Sleep quality index( PSQI),Hamilton anxiety scale( HAMA) score,Hamilton depression scale( HAMD),and accident status,and clinical efficacy evaluation. Results: After treatment,the VAS score,knee HSS flexion score,WOMAC score,PSQI score,HAMA score,and HAMD score were compared between the two groups. The test group was better than that of the control group,and the differences were statistically significant( P < 0. 05). The effective rate was 97. 5%( 39/40) in the experimental group and82. 5%( 33/40) in the control group. The difference between the two groups was statistically significant( P < 0. 05),and no adverse events occurred in both groups. Conclusion: " Shuang Zhou Therapy" used in treating KOA can effectively treat patients’ body axis and psychological axis together. It emphasizes on the same body and mind,treats the body and mind,and eliminates the interaction and influence between diseases. It has strong synergy,wide indications,and high clinical effectiveness. The advantages of less adverse reactions are worthy of clinical application.

关 键 词：膝关节骨性关节炎 “双轴疗法” 董氏推拿六法 针灸疗法 

分 类 号：R245.843[医药卫生—针灸推拿学]