基于以筋代骨理论推拿治疗膝关节骨性关节炎临床观察

Clinical Observation of Tuina for Knee Joint Osteoarthritis Based on the Theory of Substituting Bones for Tendons

目的:观察"以筋代骨"理论指导下的推拿疗法对膝关节骨性关节炎患者疼痛程度及功能活动的影响。方法:将72例符合膝关节骨性关节炎纳入标准的患者按随机数字表法随机分为2组各36例。观察组予"以筋代骨"指导的推拿疗法治疗,对照组予美洛昔康片治疗。2组治疗时间均为2周。观察患者治疗前后的视觉模拟评分法(VAS)及Lysholm膝关节功能评分量表评分,并评价临床疗效。结果:2组临床疗效总有效率观察组91.67%,对照组80.56%,差异有统计学意义(P<0.05);2组VAS评分较本组治疗前下降,Lysholm评分较本组治疗前上升,前后比较,差异均有统计学意义(P<0.05);治疗后组间比较,观察组对VAS评分及Lysholm评分的改善优于对照组,差异均有统计学意义(P<0.05)。结论:基于"以筋代骨"理论推拿治疗膝关节骨性关节炎疗效显著,能够缓解患者的疼痛症状,改善患者的关节功能。

Objective：To observe the clinical effect of Tuina therapy for knee joint osteoarthritis based on the theory of substituting bones for tendons on degrees of pain of patients and their functional activities. Methods：Divided 72 patients with knee joint osteoarthritis into two groups randomly according to random number table,36 cases in each group. The observation group received Tuina therapy under the instruction of the theory of substituting bones for tendons,while the control group received meloxicam tablets for treatment. Course of treatment for both groups lasted for two weeks. Observed scores of visual analogue scale（VAS） and Lysholm knee function rating scale before and after treatment, and evaluated the clinical effect. Results： The total effective rate was 91.67% in the observation group and was 80.56% in the control group,difference being significant（P〈0.05）. The scores of VAS in both groups were decreased when compared with those before treatment, while the scores of Lysholm in both groups were increased when compared with those before treatment,differences being significant（P〈0.05）. The improvements of scores of VAS and Lysholm in the observation group were better than those in the control group in the comparison between the two groups, differences being significant（P〈0.05）.Conclusion：The therapy of Tuina based on the theory of substituting bones for tendons has a significant clinical effect in treating knee joint osteoarthritis,relieve pain symptoms of patients,and improve joint function of patient.