中医手法对膝关节退行性骨关节炎作用效应及临床观察

Clinical Observation on Manipulation in Treating Degenerative Osteoarthritis of Knee Joint

目的:探讨中医传统手法技术在治疗膝关节退行性骨关节炎方面的临床应用。方法:将80例患者分为A组和B组,A组52例,膝关节分别依次应用中医的揉滚、点压、按摩、拍击、屈伸手法治疗,每次15min,每天上、下午各1次,连续治疗5周;B组28例,膝关节以透明质酸钠注射液作关节内注射,每周1次,连用5周。以观察疼痛、肿胀、压痛和功能障碍作为疗效评价指标。结果:A、B两组病例在治疗前后膝关节的各项量化指标综合记分下降幅度差异无统计学意义(P>0.05),但疼痛与关节功能两项指标改善明显。结论:中医手法对膝关节退行性骨关节炎作用效应及机理研究与关节内注射透明质酸钠的效果异曲同工。

Objective：To investigate manipulation of traditional Chinese medicine （TCM） in treating degenerative osteoarthritis （OA） of knee joint. Methods：Eighty patients were divided into groups A and group B. Fifty--two cases in group A were treated by manipulation of kneading ＆ rolling, point pressing, massaging, percussion and stretching for 15 min once and twice a day. Meanwhile, 28 cases in group B were treated with the injection of sodium hyaluronate （SH）, once per week for 5 weeks. The pain, swelling, tenderness and dysfunction were observed to evaluate the curative effect. Results： No significant difference of knee joint quantitative scores was found between the two groups before and after treatment （P 〉0.05）. However, there were remarkable improvements the pain symptoms and joint function. Conclusion：The manipulation of TCM and SH have the similar effect on degenerative OA of knee joint.