壮医经筋疗法结合循经涂擦及烫熨治疗膝骨关节炎的临床疗效  

Clinical efficacy of Zhuang Medicine Jingjin therapy combined with inunction and ironing along with meridians for the treatment of knee osteoarthritis

作　　者：郑丹萍 农秀明[2] 曾嘉珍 莫映霞 谢芳[5] 孙瑞 童新梅 吴帆 朱丹 ZHENG Danping;NONG Xiuming;ZENG Jiazhen;MO Yingxia;XIE Fang;SUN Rui;TONG Xinmei;WU Fan;ZHU Dan(School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China;Physical Examination Center,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China;Department of Orthopedics and Traumatology of Extremities,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China;Outpatient Ironing Room,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China;Department of Massage,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China)

机构地区：[1]广西中医药大学护理学院,广西南宁市530200 [2]广西中医药大学第一附属医院健康体检中心,广西南宁市530023 [3]广西中医药大学第一附属医院四肢骨伤科,广西南宁市530023 [4]广西中医药大学第一附属医院门诊烫疗室,广西南宁市530023 [5]广西中医药大学第一附属医院推拿科,广西南宁市530023

出　　处：《广西医学》2024年第3期397-401,共5页Guangxi Medical Journal

基　　金：广西中医药大学校级硕士研究生科研创新项目(YCSY2023050);广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210149)。

摘　　要：目的探讨壮医经筋疗法结合循经涂擦及烫熨治疗膝骨关节炎的临床疗效。方法将120例膝骨关节炎患者随机分为A组、B组、C组,每组40例。A组采用局部涂擦及烫熨治疗,B组采用循经涂擦及烫熨治疗,C组采用壮医经筋疗法结合循经涂擦及烫熨治疗,3组均治疗14 d。比较3组患者治疗前及治疗5 d、10 d、14 d后的膝关节疼痛视觉模拟量表(VAS)评分、西安大略大学和麦克马斯特大学(WOMAC)骨性关节炎指数评分。比较3组患者治疗14 d后的临床疗效。结果3组治疗后的膝关节疼痛VAS评分、WOMAC骨性关节炎指数评分均有随时间延长而降低的趋势(P<0.05),且治疗5 d、10 d、14 d后,C组的膝关节疼痛VAS评分、WOMAC骨性关节炎指数评分低于A组和B组(P<0.05)。3组的治疗总有效率均较高(>80%),C组的临床疗效优于A组和B组(P<0.05)。结论壮医经筋疗法结合循经涂擦及烫熨治疗能更快速地缓解膝骨关节炎患者的膝关节疼痛症状,促进关节功能恢复,提高临床疗效。Objective To explore the clinical efficacy of Zhuang Medicine Jingjin therapy combined with inunction and ironing along with meridians for the treatment of knee osteoarthritis.Methods A total of 120 patients with knee osteoarthritis were randomly divided into group A,group B,and group C,with 40 cases in each group.Group A was treated with local inunction and ironing,group B received inunction and ironing along with meridians for treatment,and group C was treated with Zhuang Medicine Jingjin therapy combined with inunction and ironing along with meridians for treatment.Both three groups received a 14-day treatment.Before treatment and 5,10 and 14 days after treatment,Visual Analogue Scale(VAS)score for knee joint pain and Western Ontario and McMaster Universities(WOMAC)osteoarthritis index score were compared between the three groups.The clinical efficacy was compared between the three groups after 14 days of treatment.Results VAS score for knee joint pain and WOMAC osteoarthritis index score of the three groups exhibited a tendency of decrease with prolonging of the time after treatment(P<0.05),and VAS score for knee joint pain and WOMAC osteoarthritis index score of group C were lower than those of group A and group B at 5,10 and 14 days after treatment(P<0.05).The total effective rate of the three groups was relatively high(>80%),and the clinical efficacy of group C was superior to groups A and B(P<0.05).Conclusion Zhuang Medicine Jingjin therapy combined with inunction and ironing along with meridians for the treatment of knee osteoarthritis can more quickly relieve patients'symptom of knee joint pain,promote recovery of joint function,and improve clinical efficacy.

关 键 词：膝骨关节炎 壮医经筋疗法 循经涂擦 循经烫熨 临床疗效 

分 类 号：R291.8[医药卫生—民族医学]