膝部调衡法推拿治疗鹅足滑囊炎临床观察  

Clinical observation of knee-balancing Tuina manipulation for pes anserina bursitis

作　　者：黄裕鹏 吴铅淡 齐伟 张馥晴(翻译) HUANG Yupeng;WU Qiandan;QI Wei;ZHANG Fuqing(Quanzhou Orthopedic-Traumatological Hospital of Fujian Traditional Chinese Medicine University,Quanzhou 362000,China;Shenzhen Bao’an Authentic TCM Therapy Hospital,Shenzhen 518101,China;不详)

机构地区：[1]Quanzhou Orthopedic-Traumatological Hospital of Fujian Traditional Chinese Medicine University,Quanzhou 362000,China [2]Shenzhen Bao’an Authentic TCM Therapy Hospital,Shenzhen 518101,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2024年第2期147-153,共7页针灸推拿医学（英文版）

基　　金：国家自然科学基金项目,No.81473794,No.82074570。

摘　　要：目的:观察膝部调衡法推拿治疗鹅足滑囊炎(PAB)的临床疗效和安全性。方法:纳入PAB患者64例,以随机数字表法将其分为推拿组和药物组,每组32例。药物组采用扶他林外用治疗,推拿组给予基于辨构论治的膝部调衡法推拿治疗。两组均连续治疗7 d。比较两组患者的疼痛视觉模拟量表(VAS)评分、Lyshlom评分、膝关节活动度(ROM)及总有效率,并观察两组患者的不良反应。结果:治疗过程中药物组脱落1例。推拿组总有效率为93.8%,药物组为83.9%,两组差异有统计学意义(P<0.05)。治疗后,与同组治疗前相比,两组患者的VAS评分均显著降低(P<0.05),Lyshlom评分及膝关节ROM值均显著增加(P<0.05)。两组VAS、Lyshlom评分及膝关节ROM值差异均有统计学意义(P<0.05)。结论:基于辨构论治的膝部调衡法推拿治疗PAB能有效缓解疼痛,改善膝关节功能,其疗效优于扶他林外用治疗。Objective:To observe the clinical efficacy and safety of knee-balancing Tuina(Chinese therapeutic massage)manipulation for pes anserina bursitis(PAB).Methods:A total of 64 patients with PAB were enrolled and divided into a Tuina group and a medication group by the random number table method,with 32 cases in each group.The medication group was given votalin for external use,and the Tuina group was given knee-balancing Tuina manipulation based on treatment according to structure differentiation.Both groups were treated for 7 consecutive days.The visual analog scale(VAS)score,Lyshlom score,knee joint range of motion(ROM),and total effective rate were compared between the two groups.Adverse reactions were observed in both groups.Results:During the treatment,there was 1 dropout case in the medication group.The total effective rate was 93.8%in the Tuina group and 83.9%in the medication group.The difference between the two groups was statistically significant(P<0.05).After treatment,the VAS score in both groups decreased significantly(P<0.05),and the Lyshlom score and knee joint ROM increased significantly(P<0.05).The differences in the VAS score,Lyshlom score,and knee joint ROM between the two groups were all statistically significant(P<0.05).Conclusion:The knee-balancing Tuina manipulation based on treatment according to structure differentiation can effectively relieve pain and improve knee function in PAB,and its efficacy is superior to that of external use of votalin.

关 键 词：推拿 按摩 辨构论治 膝部调衡法推拿 鹅足滑囊炎 视觉模拟量表 活动范围 关节 

分 类 号：R244.1[医药卫生—针灸推拿学]