捏骨正筋疗法治疗慢性膝关节痛症的临床研究

Clinical application of "Nie Gu Zheng Jin" treatment to chronic pain of knee joint

目的观察捏骨正筋疗法对慢性膝关节疼痛的改善效果。方法选择慢性膝关节疼痛患者100例,作为膝关节疼痛治疗组,采用捏骨正筋疗法进行治疗,2次/周,共6次,治疗后3、12个月进行2次随访。以30例同期同类患者为对照组,不进行特殊治疗,随访3个月。结果 按实际处理分析,治疗组治疗后3个月随访88例,12个月随访76例,对照组3个月随访30例。(1)治疗前治疗组与对照组目测类比评分无统计学差异[(6.8±0.8),(7.3±0.7)分,t=77.9,P>0.05]。(2)治疗组3个月后目测类比评分较治疗前显著减低,与对照组比较显著减低[治疗组:3个月后为(3.4±0.3)分,治疗前为(6.8±0.8)分,对照组为(6.8±0.9)分,t=55.2,t=67.8,P<0.001]。(3)治疗组症状改善情况评分较对照组显著提高[(45.6±0.85),(0.68±0.02)分,t=66.8,P<0.001]。(4)治疗组12个月目测类比评分与治疗前相比显著减低[(3.8±0.2),(6.8±0.8)分,t=48.1,P<0.001],症状改善评分与治疗前比显著提高(t=51.7,P<0.001)。结论捏骨正筋疗法能解除肌痉挛和肌挛缩,消除压痛点、改善患者疼痛和不适的自觉症状,效果确切。

Objective To observe the effect of 'Nie Gu Zheng Jin' treatment on chronic pain of knee joint.Methods One hundred patients with chronic pain of knee joint were treated as trial group in the outpatient department between May 2005 and May 2008.Their chronic pains of knee joint were treated with 'Nie Gu Zheng Jin' treatment twice a week for six times totally.They were followed up 3 and 12 months later after treatment,respectively.Another 30 patients with the same diseases were enrolled as control group,but they were not treated with the special treatment,and were followed up for 3 months.The patients between the two groups were comparable in their genders,age and illness courses.Chronic pain of knee joint was scored by visual analogue scale(VAS) so as that the improvement in symptom could be assessed.Results According to the intention management,88 patients were followed up 3 months later and 76 ones were followed up 12 months later after treatment in the trial group,and 30 ones were followed up 3 months later in the control group.(1)Before treatment,the VAS scoring was similar in the trial group and the control group(6.8±0.8 vs.7.3±0.7,t=77.9,P>0.05).(2)But 3 months later,it was significantly decreased(3.4±0.3) in the trial group when compared with before treatment(t=55.2,P<0.001) and compared with the control group(6.8±0.9)(t=67.8,P<0.001).(3)The improvement rate of symptom in the trial group was significantly higher than that in the control group [(45.6±0.85)% vs.(0.68±0.02)%,t=66.8,P<0.001].(4)The VAS scoring in the trial group was significantly decreased 12 months later after treatment as compared with that before treatment(3.8±0.2 vs.6.8±0.8,t=48.1,P<0.001),and the symptom was improved significantly 12 months later after treatment when compared with before treatment(t=51.7,P<0.001).Conclusion The manual technique of 'Nie Gu Zheng Jin' can eliminate the tenderness of muscular spasm and contracture,and improve the subjective symptom such as pain and discomfort effectively.