摘要
目的:观察理筋正骨手法联合消瘀接骨散治疗膝骨性关节炎的临床疗效。方法:将60例膝骨性关节炎的患者随机分为治疗组和对照组,每组30例。治疗组采用理筋正骨手法结合消瘀接骨散治疗,对照组采用中频电结合消瘀接骨散治疗。治疗前后运用视觉模拟评分(visual analogue scale,VAS)量表、西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)量表、膝关节屈曲关节活动度、表面肌电(surface electromyography,sEMG)并参考《中医病证诊断疗效标准》进行疗效评价。结果:两组治疗后与治疗前相比,疼痛减轻、肌肉疲劳度降低、肌肉张力减小、屈膝关节活动度增加、运动功能改善,差异具有统计学意义(P<0.05),治疗组的改善程度优于对照组(P<0.05),治疗组总有效率96.7%(29/30)高于对照组总有效率80.0%(24/30),差异具有统计学意义(P<0.05)。结论:理筋正骨手结合消瘀接骨散可有效减轻KOA患者的疼痛,改善关节活动度,改善患者的生活质量,且其疗效优于中频电疗法结合消瘀接骨散。
Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly divided into the treatment group(30 cases)and the control group(30 cases).The treatment group was treated with SRBSM combined with XYJGP and the control group was given intermediate frequency electrotherapy and XYJGP.The visual analogue scale(VAS),Western Ontario and McMaster Universities osteoarthritis index(WOMAC),flexion range of motion of the knee joint,and surface electromyography(sEMG)were used to evaluate and compare the patients'knee function before and after treatment.The efficacy was observed with diagnosis and efficacy standards of TCM.Results:After treatment,compared with the same group before treatment,muscle fatigue and muscle tension were decreased,pain was reduced,range of motion of the knee joint was increased,and motor function was improved and the difference was statistically significant(P<0.05).The improvement degree of the treatment group was better than that of the control group and the difference was statistically significant(P<0.05).The total effective rate of the treatment group was 96.6%(29/30),which was higher than that of the control group(80.0%)and the difference was statistically significant(P<0.05).Conclusion:SRBSM combined with XYJGP can effectively reduce the pain of KOA patients,improve the range of motion of the joints,and improve the quality of life of the patients,and its curative effect is better than that of intermediate frequency electrotherapy combined with XYJGP.
作者
王婷婷
陈朝晖
胡荣庭
姚梦莉
徐寒
时威
WANG Ting-ting;CHEN Zhao-hui;HU Rong-ting;YAO Meng-li;XU Han;SHI Wei(Graduate School,Anhui University of Chinese Medicine,Hefei 230038,China;College of Acupuncture and Massage,Anhui University of Chinese Medicine,Hefei 230038,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230038,China)
出处
《海南医学院学报》
CAS
2021年第8期579-583,共5页
Journal of Hainan Medical University
基金
安徽省教育厅自然基金重点项目(NO.KJ2018A0273)。
关键词
膝骨性关节炎
理筋正骨
消瘀接骨散
中频电
Knee osteoarthritis
Sinew-regulating and bone-setting manipulation
Xiaoyu Jiegu Powder
Intermediate frequency electrotherapy