黄氏理伤手法治疗膝骨性关节炎的临床研究  

Clinical study of Huang's massage in the treatment of knee osteoarthritis

作　　者：冯希 付涛 梁维超 何锦勇 徐绍俊 FENG Xi;FU Tao;LIANG Wei-chao(Guangzhou Bonesetting Hospital,Guangzhou 510045,China)

机构地区：[1]广州市正骨医院,510045

出　　处：《中国实用医药》2025年第5期121-125,共5页China Practical Medicine

基　　金：广东省中医药局科研项目(项目编号:20231271);广州市中医药和中西医结合科技项目(项目编号:20232A011020)。

摘　　要：目的观察黄氏理伤手法治疗膝骨性关节炎的临床疗效。方法90例膝骨性关节炎患者,随机分为治疗组、对照1组和对照2组,每组30例。治疗组予以黄氏理伤手法+理疗治疗,对照1组予以传统推拿手法+理疗治疗,对照2组予以单纯理疗治疗。比较三组治疗前后的西安大略和麦克马斯特大学骨关节炎调查量表(WOMAC)评分和简化McGill疼痛量表[疼痛分级指数(PRI)、视觉模拟评分法(VAS)和现有疼痛状况(PPI)]评分。结果治疗前,治疗组、对照1组、对照2组的WOMAC评分分别为28(17.5,42.25)、23(14.5,38.5)、28(18.75,45.25)分;治疗后,治疗组、对照1组、对照2组的WOMAC评分分别为8(3.75,15.75)、11.5(6.5,18.25)、15(7.75,27.25)分。治疗后,三组的WOMAC评分均较治疗前降低,差异有统计学意义(P<0.05)。三组治疗后的WOMAC评分比较差异有统计学意义(P<0.05)。治疗后,治疗组的WOMAC评分低于对照2组,差异有统计学意义(P<0.05);治疗组与对照1组、对照1组与对照2组的WOMAC评分比较差异无统计学意义(P>0.05)。治疗后,三组的PRI、VAS、PPI评分均较治疗前降低,差异均有统计学意义(P<0.05)。三组治疗后的PRI、VAS、PPI评分比较差异均有统计学意义(P<0.05)。治疗后,治疗组的PRI、VAS、PPI评分均低于对照2组,差异均有统计学意义(P<0.05);治疗组的VAS评分低于对照1组,差异有统计学意义(P<0.05);治疗组与对照1组、对照1组与对照2组的PRI、PPI评分,对照1组与对照2组的VAS评分比较,差异无统计学意义(P>0.05)。结论黄氏理伤手法能有效治疗膝骨性关节炎,其缓解疼痛程度的效果优于传统推拿手法,具有手法简单高效、针对性强、可重复性强等特点,值得推广。Objective To observe the clinical efficacy of Huang's massage in the treatment of knee osteoarthritis.Methods A total of 90 patients with knee osteoarthritis were randomly divided into treatment group,control group 1 and control group 2,with 30 cases in each group.The patients in treatment group were treated with Huang's massage+physical therapy,the patients in control group 1 were treated with traditional massage+physical therapy,and the patients in control group 2 were treated with simple physical therapy.Comparison of Western Ontario and McMaster University Osteoarthritis index(WOMAC)score and the simplified McGill pain scale[Pain Rating Index(PRI),Visual Analogue Scale(VAS),and present pain intensity(PPI)]scores before and after treatment among the three groups.Results Before treatment,WOMAC scores of treatment group,control group 1 and control group 2 were 28(17.5,42.25),23(14.5,38.5)and 28(18.75,45.25)points;after treatment,WOMAC scores of treatment group,control group 1 and control group 2 were 8(3.75,15.75),11.5(6.5,18.25)and 15(7.75,27.25)points.After treatment,WOMAC score of the three groups was lower than that before treatment,and the difference was statistically significant(P<0.05).There were significant differences in WOMAC scores among the three groups after treatment(P<0.05).After treatment,WOMAC score of treatment group was lower than that of control group(P<0.05).There was no statistically significant difference in WOMAC scores between treatment group and control group 1,control group 1 and control group 2(P>0.05).After treatment,the scores of PRI,VAS and PPI in the three groups were lower than those before treatment,and the difference was statistically significant(P<0.05).There were statistically significant differences in the scores of PRI,VAS and PPI among the three groups after treatment(P<0.05).After treatment,the scores of PRI,VAS and PPI in treatment group were lower than those in control group,and the difference was statistically significant(P<0.05).VAS score of treatment group was lower

关 键 词：膝骨性关节炎 黄氏理伤手法 临床疗效 

分 类 号：R68[医药卫生—骨科学]