基于肌骨超声探究推髌屈膝法治疗膝骨性关节炎的临床疗效及对形态学的影响  

Exploring the clinical efficacy and morphological impact of push the patella and bend the knee for knee osteoarthritis based on muscle bone ultrasound

作　　者：刘玉欢 朱雪娇 李寒露 段长伟 李海 李松明 LIU Yuhuan;ZHU Xuejiao;LI Hanlu;DUAN Changwei;LI Hai;LI Songming(Acupuncture and Massage Center,Changchun University of Traditional Chinese Medicine Affiliated Third Clinical Hospital,Jilin Province,Changchun 130000,China)

机构地区：[1]长春中医药大学附属第三临床医院针灸推拿中心,吉林长春130000

出　　处：《中国当代医药》2024年第24期39-42,共4页China Modern Medicine

基　　金：吉林省卫生健康科技能力提升项目(2022LC074)。

摘　　要：目的探究推髌屈膝法治疗膝骨性关节炎(KOA)的临床疗效及对形态学的影响。方法选取2023年1月至2024年1月长春中医药大学附属第三临床医院针灸推拿中心的90例KOA患者作为研究对象,采用随机数字表法将其分为试验组和对照组,每组45例。对照组采用常规推拿治疗,试验组采用推髌屈膝推拿法治疗。比较两组的膝骨性关节炎指数(WOMAC)评分、关节形态、临床疗效。结果试验组治疗后总有效率高于对照组,差异有统计学意义(P<0.05);两组治疗后WOMAC各项评分均低于本组治疗前,差异有统计学意义(P<0.05),试验组治疗后WOMAC各项评分均低于对照组,差异有统计学意义(P<0.05)。两组治疗后患侧髌上囊内积液深度、滑膜厚度均低于本组治疗前,差异有统计学意义(P<0.05),试验组治疗后患侧髌上囊内积液深度、滑膜厚度均低于对照组,差异有统计学意义(P<0.05)。结论推髌屈膝法治疗膝骨性关节炎可提高临床疗效,缓解膝关节疼痛,提高膝关节功能,改善髌上囊积液、滑膜厚度,为膝骨性关节炎的治疗提供新的依据。Objective To explore the clinical efficacy and morphological impact of the patellar pushing and knee bending method in the treatment of knee osteoarthritis(KOA).Methods A total of 90 KOA patients from the acupuncture and Massage Center,Changchun University of Traditional Chinese Medicine Affiliated Third Clinical Hospital from January 2023 to January 2024 were selected as the research objects,and they were divided into the test group and the control group by random number table method,with 45 cases in each group.The control group received conventional massage therapy,while the experimental group received push the patella and bend the knee therapy.The Western Ontario and McMaster Universities(WOMAC)scores,joint morphology,and clinical efficacy between two groups of knee osteoarthritis were compared.Results The total effective rate of the experimental group after treatment was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the WOMAC scores of both groups were lower than those before treatment,and the WOMAC scores of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the depth of fluid accumulation and synovial thickness in the affected side of the suprapatellar capsule were both lower than before treatment in this group,and the depth of fluid accumulation and synovial thickness in the affected side of the suprapatellar capsule in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The treatment of knee osteoarthritis by pushing the patella and bending the knee can improve clinical efficacy,alleviate knee joint pain,improve knee joint function,improve suprapatellar capsule effusion and synovial thickness,and provide new basis for the treatment of knee osteoarthritis.

关 键 词：膝骨性关节炎 推髌屈膝 肌骨超声 

分 类 号：R684.3[医药卫生—骨科学]