健翔理筋推拿手法分型诊治膝关节骨性关节炎的临床观察  

Clinical Observation of Jianxiang Tendon Regulating Massage in the Diagnosis and Treatment of Knee Osteoarthritis

作　　者：黄俊铭 林钊 郑林标 王刚 龙翔宇 HUANG Jun-ming;LIN Zhao;ZHENG Lin-biao;WANG Gang;LONG Xiang-yu(Clinical Medical College of acupuncture and rehabilitation,Guangzhou University of traditional Chinese Medicine,Guangzhou,Guangdong 510006;Guangdong Second Traditional Chinese Medicine Hospital(Guangdong Research Institute of Traditional Chinese Medicine Manuracturing Technology),Guangzhou,Guangdong 510095;Foshan Jianxiang Hospital,Foshan,Guangdong 528000)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广东省第二中医院(广东省中医药工程技术研究院),广东广州510095 [3]佛山健翔医院,广东佛山528000

出　　处：《按摩与康复医学》2023年第2期13-16,共4页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:通过随机对照试验,对健翔理筋推拿手法分型治疗膝关节骨性关节炎的临床疗效进行分析。方法:选取2020年5月~2021年6月膝关节骨性关节炎患者120例,按随机数表分组法进行分组,最终治疗组50例、对照组48例,治疗组按照髌股关节型、胫股关节型、混合型的分型基于健翔理筋推拿手法针对治疗,对照组采用一般推拿手法治疗,隔天治疗1次,10次1疗程,共计治疗2疗程。比较两组干预前后的WOMAC评分、Ly sholm评分、VAS评分及总体疗效分析。结果:治疗后,两组患者的Ly sholm评分、VAS评分均较治疗前改善(P<0.01),且治疗组治疗后的Ly sholm评分高于对照组、VAS评分低于对照组(P<0.01)。治疗后,两组患者的WOMAC疼痛、僵硬、功能、总分均较治疗前降低(P<0.01),且治疗组治疗后的WOMAC疼痛、僵硬、功能、总分均低于对照组(P<0.01)。治疗组总有效率显著高于对照组有效率(P<0.01)。结论:健翔理筋推拿手法分型诊治膝关节骨性关节炎的疗效优于一般推拿手法,可改善患者疼痛,提高关节活动功能,值得临床推广。Objective:To analyze the clinical efficacy of Jianxiang tendon regulating massage in the treatment of knee osteoarthritis.Methods:120 patients with knee osteoarthritis from May 2020 to June 2021 were selected and grouped according to the random number table,the final treatment group consisted of 50 patients and the control group consisted of 48 patients.The treatment group was divided into patellofemoral joint type,tibiofemoral joint type and mixed type based on Jianxiang tendon regulating massage,and the control group was treated with general massage,once every other day,10 times a course of treatment,a total of 2 courses of treatment.WOMAC score,Lysholm score,VAS score and overall curative effect analysis were compared between the two groups before and after intervention.Results:After treatment,Lysholm score and VAS score of patients in both groups were improved compared with those before treatment(P<0.01),and Lysholm score in the treatment group was higher than that in the control group,while VAS score was lower than that in the control group(P<0.01).After treatment,the WOMAC pain,stiffness,function and total score of the two groups were lower than those before treatment(P<0.01),and the WOMAC pain,stiffness,function and total score of the treatment group after treatment were lower than those of the control group(P<0.01).The total effective rate of the treatment group was significantly higher than that of the control group(P<0.01).Conclusion:the curative effect of Jianxiang tendon regulating massage in the diagnosis and treatment of knee osteoarthritis is better than that of general massage.It can improve patients’pain and improve joint activity function,which is worthy of clinical promotion.

关 键 词：健翔理筋推拿 分型诊疗 膝骨关节炎 髌股关节骨性关节炎 胫股关节骨性关节炎 

分 类 号：R244.1[医药卫生—针灸推拿学]