银质针联合手法松解治疗膝骨关节炎临床研究

Clinical Study on Silver Acupuncture Combined with Release Manipulation for Knee Osteoarthritis

目的:观察采用银质针联合手法松解治疗膝骨关节炎的临床效果。方法:选取94例膝骨关节炎患者作为研究对象,按计算机分组法随机分为研究组与对照组各47例。对照组在常规治疗基础上接受银质针治疗,研究组在常规治疗基础上采用银质针联合中医手法松解治疗。观察2组治疗前后视觉模拟评分法(VAS)评分、Lysholm膝关节功能评分,并分别评估2组治疗前、治疗7 d、治疗15 d、治疗28 d的膝关节活动度。结果:与同组治疗前比较,治疗后2组VAS评分降低(P<0.05),Lysholm膝关节功能评分升高(P<0.05);与对照组治疗后比较,研究组治疗后VAS评分较低(P<0.05),Lysholm膝关节功能评分较高(P<0.05)。与同组治疗前比较,治疗7 d、治疗15 d、治疗28 d 2组膝关节活动度均增加(P<0.05);与对照组治疗7 d、治疗15 d、治疗28 d比较,研究组治疗同期膝关节活动度均较大(P<0.05)。结论:银质针联合手法松解治疗膝骨关节炎,可有效改善膝关节功能,并有效缓解疼痛程度,此方法较仅使用银质针治疗疗效更佳。

Objective:To observe the clinical effect of silver acupuncture combined with release manipulation on knee osteoarthritis.Methods:A total of 94 patients with knee osteoarthritis were selected as the study object and randomly divided into the study group and the control group,47 cases in each group.The control group received conventional treatment and silver acupuncture,the study group was treated with conventional treatment,silver acupuncture and Chinese medicine release manipulation.The score of Visual Analogue Scale(VAS)and Lysholm knee function score were observed before and after treatment,and knee range of motion before treatment,seven days after treatment,15 days after treatment and28 days after treatment were evaluated respectively.Results:Compared with those before treatment,the VAS scores in the two groups were decreased(P<0.05),and the Lysholm knee function scores were increased(P<0.05);Compared with that respectively in the control group after treatment,the VAS score was lower in the study group(P<0.05),and Lysholm knee function score was higher(P<0.05).Compared with that before treatment,the range of motion of knee joint in both groups was increased seven days after treatment,15 days after treatment and 28 days after treatment(P<0.05);Compared with that in the control group seven days after treatment,15 days after treatment and 28 days after treatment,the knee joint range of motion in the study group was larger(P<0.05).Conclusion:The therapy of silver acupuncture combined with release manipulation for knee osteoarthritis can effectively improve the function of knee joint and effectively relieve the pain,which is more effective than silver acupuncture alone.