温补肝肾手法治疗膝骨性关节炎的临床观察

Clinical Observation of Treatment for Knee Osteoarthritis with the Tuina Techniques of Warming and Recuperating Liver and Kidney

目的观察温补肝肾手法治疗膝骨性关节炎的临床疗效及其对膝关节稳定性的影响。方法将50例膝骨性关节炎患者随机分为两组,各25例。对照组采用常规推拿手法,治疗组采用温补肝肾手法,每周3次,连续治疗5周。分别在治疗前后采用骨性关节炎指数评分表(WOMAC量表)评定疗效,行前后交叉韧带张力测试。结果治疗后两组各项评分均较治疗前降低,且前交叉韧带(ACL)张力均较治疗前增加,差异有统计学意义(P<0.05);治疗组WOMAC评分低于对照组(P<0.05),且积分改善率和前后交叉韧带张力变化明显高于对照组(P<0.05)。结论常规手法与温补肝肾手法均能治疗膝骨性关节炎,且温补肝肾手法可弥补常规推拿手法之不足,能显著改善前后交叉韧带张力,增强关节稳定性,提高治疗效果。

Objective To observe the clinical efficacy of the tuina techniques of warming and recuperating liver and kidney on knee osteoarthritis(KOA).Methods 50 cases of KOA were divided into two groups randomly,25 cases for each.Control group was treated with conventional tuina and Treatment group was given tuina techniques of warming and recuperating liver and kidney with a course of 15 times treatment.WOMAC scores were observed in two groups before and after treatment.The tension of ACL and PCL were measured in two groups before and after treatment.Results After treatment,the WOMAC scores of overall symptoms,pain,stiffness and daily activity were reduced in both groups in comparison with those before treatmen(tP<0.05).The tension of ACL was increased in both groups in comparison with those before treatment(P<0.05).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 those in control group(P<0.05).The improvement of ACL and PCL tension had significant difference in treatment group than those in control group(P<0.05).Conclusion Both methods were effective to KOA.But the techniques of warming and recuperating liver and kidney could make up for the shortage of conventional tuina,effectively improving the cruciate ligament tension so that to strengthen the stability of knee joint and improve the effect of treatment.