多角度拔伸微调推拿手法治疗骨性膝关节炎的疗效观察

Clinical observation on treating osteoarthritis of the knee bone by TCM Multi-angle massage

目的:观察多角度拔伸微调推拿手法治疗骨性膝关节炎的效果,探讨膝骨性关节炎与骨错缝之间的病理机制。方法:观察组67例,运用本科常规治疗膝骨性关节炎手法中加施多角度拔伸微调推拿手法;单用常规推拿组71例,10次为1个疗程,随访三个月后评定效果并对照分析两组的治愈率、有效率和平均推拿次数。结果:观察组67例中治愈43例(64.2%),好转20例,未愈4例,有效率为94.0%;最短推拿3次,最长25次,平均治疗14次。单用常规推拿组71例中治愈29例(40.8%),好转33例,未愈9例,有效率为87.3%;最短治疗7次,最长39次,平均23次。观察组疗效显著优于单用常规推拿组(P<0.05),两组之间差异有统计学意义。结论:常规推拿配合多角度拔伸微调推拿手法治疗骨性膝关节炎在治愈率、有效率和推拿次数几个方面均比单用常规推拿组具有显著优势,特别是治愈率有显著提高,疗程明显缩短。提示多角度拔伸微调推拿手法能充分拉伸肌肉韧带,缓解肌肉紧张,解除组织嵌顿,增宽关节间隙,降低关节内压力,松解粘连,整复骨错缝。解除绞索,能较快消除疼痛和功能障碍,恢复关节功能。

Objective： To observe the multi-angle manipulation therapy for osteoarthritis of the knee bone. Methods： The study group 67 cases for multi-angle pulling Gasch trimming manipulation;regular massage alone group for 71 cases, 10 times as a course of treatment. Results：The 67 cases, 43 cases were cured （64.2%）, improved in 20 cases, 4 cases healed, the effective rate was 94.0%. Routine massage group 71 cases in 29 cases （40.8%）, improved in 33 cases, 9 cases healed, the effective rate was 87.3%. The observation group was significantly better than conventional massage group （P〈0.05）. Conclusion： Routine Massage with multi-angle pulling manipulation therapy for bone arthritis of the knee, there are several advantages than conventional massage group alone.