㨰法结合拔伸推拿治疗膝关节骨性关节炎  

The clinical studiesof Rollingcombined with Pulling Manipulation on Early and Middle-term

作　　者：付阳阳[1] 龚利[1] 李勇 FU Yangyang;GONG Li;LI Yong(Department of Tuina,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Department of Tuina,Jing'an District Hospital of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市静安区静安中医院,上海200040

出　　处：《吉林中医药》2020年第7期958-962,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金面上项目(81373763)。

摘　　要：目的观察㨰法结合拔伸推拿对早、中期膝关节骨性关节炎(KOA)患者临床疗效、关节功能、生活质量的影响。方法选取2017年12月—2019年4月期间我院推拿科早、中期KOA患者57例,随机分为治疗组和对照组,治疗组28例,对照组29例。治疗组用㨰法结合拔伸治疗,对照组用㨰法治疗,均治疗4周。治疗前后2组均进行量表(SF-36、WOMAC)评估及步态测试。采用SPSS 13.0统计软件对结果进行统计学分析,可信区间为95%,α<0.05为检验水准。结果 2组治疗后,WOMAC总分、疼痛积分、僵硬积分、日常活动的程度积分和日常活动的难度积分组内比较具有统计学意义(P<0.05)。2组治疗后,僵硬积分、进行日常活动的难度积分组间比较具有统计学意义(P<0.05)。2组治疗后,步长、步幅、步速、步频组内、组间比较均具有统计学意义(P<0.05)。2组治疗后,SF-36总分、躯体功能、身体疼痛、精神健康、社会功能、总体健康评分组内比较,具有统计学意义(P<0.05)。结论㨰法及㨰法结合拔伸在单位时间内治疗KOA都有一定临床疗效,并且能够改善关节功能,使生活质量提高,且㨰法结合拔伸手法效果更明显。Objective To observe the effect and function of the treatment that combined rolling withpulling manipulation forthe early and mid-term knee osteoarthritis(KOA)patients on clinical curative,joint function,and the quality of life.Methods The 57patients with the early or mid-term KOA,admitted by the Tuina department of ourhospital during December 2017 to April 2019,were randomly divided into treatment group(28)and control group(29).The former were given the treatment that combinedrolling with pulling manipulation,and the latter were given rolling manipulation only.The treatment duration is four weeks.Before and after treatment,the both groupswere evaluated by SF-36 WOMAC and gait test.SPSS 13.0 software was used to analyze the results,with confidence interval of 95%andα<0.05.Results After treatment,WOMAC total score,pain score,rigidity score,degree score of daily activities and difficulty score of daily activities in the two groups were statistically significant(P<0.05).After treatment,the scores of rigidity and difficulty of daily activities in the two groups were statistically significant(P<0.05).After treatment,there were significant differences in step length,stride,stride speed and stride frequency between the two groups(P<0.05).After treatment,SF-36 total score,physical function,physical pain,mental health,social function and overall health score in the two groups were statistically significant(P<0.05).Conclusion The two manipulations have a certain clinical effect in the treatment of KOA per unit time,and can improve joint function and quality of life,and the effectofrolling combined pulling manipulation is more obvious.

关 键 词：膝关节骨性关节炎 推拿 步态分析 㨰法 拔伸 

分 类 号：R244.1[医药卫生—针灸推拿学]