旋转屈伸及六指六穴点压治疗膝关节退行性关节疾病的多中心评价

Multi-center evaluation of six finger to six point,rotation and stretching manipulation in treating knee osteoarthritis

背景:研究表明,六指六穴点压及膝关节旋转屈伸手法可以有效改善膝关节疼痛。目的:对六指六穴点压及旋转屈伸手法治疗膝关节炎进行多中心临床评价。方法:将216例膝关节炎患者采用多中心随机对照的方法分为试验组(n=108)和对照组(n=108)。试验组采用六指六穴点压及旋转屈伸手法治疗,对照组施以杜宁手法。共治疗30d,隔天1次,每次20min,15次为1个疗程。治疗结束后15d进行随访。结果与结论:试验组和对照组患者组内治疗前、治疗1个疗程后及治疗后15d随访时膝关节功能评分、疼痛评分及膝关节主动屈曲功能评分比较差异均有显著性意义(P<0.05)。随访时,试验组患者膝关节功能及疼痛程度的疗效优良率分别为82.4%和63.0%,明显高于对照组的68.5%和38.0%(P<0.05)。说明六指六穴点压及膝关节旋转屈伸手法可以有效改善膝关节疼痛、明显提高膝关节行走能力、显著改善膝关节屈曲功能,安全性高,疗效确切。

BACKGROUND：Research show that knee joint pain is effectively improved by point pressure of six finger to six point,knee rotation and stretching practices.OBJECTIVE：To perform a multi-center clinical evaluation of six finger to six point and rotation and stretching manipulation in treating degenerative knee joint disease.METHODS：A total of 216 cases of gonarthritis patients were assigned into experimental group（n=108） and control group（n=108） using multi-center randomized controlled method.Six finger the to six point and rotation and stretching manipulation was adopted in the experimental group.Du Ning＇s manipulation was adopted in the control group.The enrolled patients were treated for 20 minutes a time,once every other day for 30 days,15 times for a course.All patients were followed up on the 15th day after treatment.RESULTS AND CONCLUSION：There were significant differences in the knee functional score,pain score and knee active flexion functional score between experimental group and control group before treatment,after a course of treatment and in the follow-up on 15 day after treatment（P 0.05）.The knee function and pain efficacy rate in the experimental group was 82.4% and 63.0% by follow-up investigation on 15 day after treatment;the rates in the control group were significantly lower;i.e.68.5% and 38.0%（P 0.05）.These findings indicate that six finger to six point and rotation and stretching manipulation can effectively ameliorate the knee joint pain,significantly improve knee walking ability and knee flexion function;the curative effect is safe and effective.