摘要
【目的】分析推拿手法配合温针灸调整膝关节肌力平衡对膝关节骨性关节炎(KOA)的临床效应,为治疗该病提供临床依据。【方法】将100例KOA患者随机分为治疗组50例(65膝)和对照组50例(62膝),治疗组给予推拿手法配合温针灸调整膝关节肌力平衡疗法治疗,对照组给予口服双氯芬酸钠缓释片治疗。2组分别在治疗前、治疗后和治疗后3个月采用症状/体征量表、疼痛程度数字评价量表以及关节功能、肿胀评分进行测评,所有数据使用SPSS 10.0统计软件进行统计分析。【结果】(1)治疗后,2组症状/体征量表各项评分均较治疗前显著下降(P<0.01),且治疗后治疗组的各项评分均显著低于对照组(P<0.01)。(2)治疗后,2组的关节疼痛、功能及肿胀积分均较治疗前显著下降(P<0.01),且治疗组在改善关节疼痛及功能积分方面显著优于对照组(P<0.01),但在改善肿胀积分方面,差异无统计学意义(P>0.05)。(3)治疗后及治疗后3个月随访时,治疗组的疗效均优于对照组,差异均有统计学意义(P<0.05或P<0.01)。【结论】推拿手法配合温针灸调整膝关节肌力平衡疗法能有效改善KOA患者的临床症状、体征及膝关节活动度,延缓病情发展,是治疗该病的有效手段。
Objective To analyze the clinical efficiency of manipulations combined with warm-needle acupuncture on regulating muscle balance of knee osteoarthritis( KOA ), thus to provide clinical evidence for treating KOA. Methods A total of 100 KOA patients were randomly allocated to treatment group and control group, 50 eases in each group. The treatment group (involving 65 knees) received manipulations and warm- needle acupuncture, while the control group (involving 62 knees) was given oral use of Diclofenan Sodium Sustained-release Tablets. Before and after treatment, and 3 months after suspension of treatment, we collected the scores of symptom and sign scale, numerical rating scale (NRS) for pain, and joint function and swelling. And all of the data was analyzed by using Statistical Package for the Social Science 10.0 (SPSS 10.0). Results (1) After treatment, the scores of symptom and sign scale of the two groups were markedly decreased (P 〈 0.01 compared with those before treatment), and the scores of the treatment group was lower than those of the control group (P 〈 0.01 ). (2) After treatment, the scores of joint pain, joint function and swelling in the two groups were decreased obviously (P 〈 0.01 compared with those before treatment) , and the improvement of joint pain and joint function of the treatment group was superior to that of the control group (P 〈 0.01). However, the differences of improving joint swelling were insignificant between the two groups (P 〉 0.05). (3) After treatment and 3 months after suspension of treatment, the therapeutic effect of the treatment group was superior to that of the control group, the difference being significant (P 〈 0.05 or P 〈 0.01). Conclusion Manipulations combined with warm-needle acupuncture are effective on regulating muscle balance of KOA by relieving symptoms and signs and by improving joint motions, which is an effective means for delayiiag the development of KOA.
出处
《广州中医药大学学报》
CAS
2016年第6期822-827,共6页
Journal of Guangzhou University of Traditional Chinese Medicine