经筋整体辨证治疗膝关节骨性关节炎的效果

Effect of channel-tendon overall syndrome differentiation in the treatment of knee osteoarthritis

目的探讨经筋整体辨证治疗膝关节骨性关节炎(KOA)的效果。方法选取2016年2月~2018年2月我院收治的80例KOA患者,以住院号尾数单双号将其分为观察组与对照组,各40例。观察组采用经筋辨证整体治疗,对照组采用单纯膝周筋结处治疗。比较两组的疼痛程度、膝关节功能、临床症状、体征评分及疗效。结果观察组治疗后的膝关节评分(HSS)高于干预前,差异有统计学意义(P<0.05)。观察组治疗后的HSS评分高于对照组,差异有统计学意义(P<0.05)。两组治疗后的视觉模拟(VAS)评分、症状评分均低于治疗前,差异有统计学意义(P<0.05)。观察组治疗后的VAS、症状评分均低于对照组,差异有统计学意义(P<0.05)。观察组的总有效率(97.50%)高于对照组(82.50%),差异有统计学意义(P<0.05)。结论将经筋整体辨证治疗应用于KOA患者时,能显著提高疗效,减轻疼痛,改善膝关节功能,值得应用与推广。

Objective To explore the effect of channel-tendon overall syndrome differentiation in the treatment of knee osteoarthritis(KOA). Methods A total of 80 patients with KOA treated in our hospital from February 2016 to February2018 were enrolled in the study. They were divided into the observation group(40 cases) and the control group(40 cases) according to the number of hospitalization numbers. The observation group was treated with channel-tendon overall syndrome differentiation, and the control group was treated only at the knee tendon. The degree of pain, knee joint function, clinical symptoms, signs score and curative effect were compared between the two groups. Results After treatment, the knee joint score(HSS) of the observation group was higher than that before treatment, and the difference was statistically significant(P<0.05). The HSS score of the observation group after treatment was higher than that of the control group, and the difference was statistically significant(P <0.05). The visual analogue scale(VAS) score and symptom scores after treatment in both groups were lower than those before treatment, the differences were statistically significant(P<0.05). The VAS and symptom scores of the observation group after treatment were lower than those of the control group, and the difference was statistically significant(P<0.05). The total effective rate of the observation group(97.50%) was higher than that of the control group(82.50%), and the difference was statistically significant(P<0.05).Conclusion Application of channel-tendon overall syndrome differentiation in the treatment of KOA can effectively improve the treatment effect, relieve pain, and improve the knee function, which is worthy of promotion and application.