手法配合膏摩治疗膝骨性关节炎的临床研究

Clinical Study on Tuina plus Ointment Rubbing in Treating Knee Osteoarthritis

目的:观察手法配合膏摩治疗膝骨性关节炎的临床疗效及其对股直肌肌张力的影响。方法:将80例膝骨性关节炎患者随机分为两组,治疗组采用推拿手法配合冬青膏膏摩,对照组采用单纯推拿手法,每周3次,10次为1个疗程。分别在治疗前及治疗后采用骨关节炎指数(WOMAC)量表评定疗效、股直肌肌张力测试。结果:治疗后两组的总体症状、疼痛、僵硬和日常活动功能积分较治疗前降低,股直肌肌张力较治疗前增加,差异均有显著性意义(P<0.01);治疗组的WOMAC各项积分低于对照组(P<0.05),治疗组的WOMAC总评分改善率明显高于对照组(P<0.01),两组股直肌肌张力改善率无明显差异(P>0.05)。结论:手法配合冬青膏膏摩和单纯手法治疗膝骨性关节炎疗效确切,均可改善股直肌肌张力,且手法配合冬青膏膏摩组临床疗效优于单纯手法治疗组。

Objective：To compare the clinical efficacy between Tuina plus ointment rubbing and Tuina therapies for knee osteoarthritis（KOA）.Methods：Eighty KOA cases were divided into two groups randomly：treatment group in which 40 cases were treated by Tuina plus ointment rubbing and control group in which 40 cases were treated by Tuina,with a course of ten times treatments.Western Ontario Mac Master（WOMAC） scores were observed in the two groups before and after treatments.Rectus muscle tension was measured in the two groups before and after treatments.Results：After treatments,the WOMAC scores of overall symptoms,pain,stiffness and daily activity were reduced in both groups in comparison with those before treatments（P〈0.01）.Rectus muscle tension was increased in both groups in comparison with those before treatments（P〈0.01） and the scores were reduced more significantly in treatment group than those in control group（P〈0.05）.The improvement rate of WOMAC was higher in treatment group than that in control group（P〈0.01）.The improvement rate of rectus muscle tension had no significant difference in treatment group than that in control group（P〉0.05）.Conclusion：Tuina plus ointment rubbing and Tuina are quite effective for KOA,but Tuina plus ointment rubbing works better than Tuina.