文献类型：期刊文献

中文题名：经筋推拿手法治疗早中期膝骨关节炎临床疗效观察

英文题名：Clinical Observation on the Treatment of Knee Osteoarthritis in Early and Middle Stages by Tendon Massage

作者：王凯[1];宋永嘉[3];董万涛[2];宋敏[1,2]

第一作者：王凯

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730020;[3]上海中医药大学,上海200032

第一机构：甘肃中医药大学

年份：2019

卷号：42

期号：3

起止页码：77

中文期刊名：陕西中医药大学学报

外文期刊名：Journal of Shaanxi University of Chinese Medicine

基金：甘肃省自然科学基金计划(1506RJZA048);甘肃省中医药防治慢性疾病重点实验室开放基金项目(GSMBKY-2015-07);甘肃省中医药管理局科研课题(GZK-2016-17)

语种：中文

中文关键词：膝骨关节炎;经筋推拿手法;临床研究

外文关键词：knee osteoarthritis;tend on massage;clinical research

摘要：目的观察经筋推拿手法治疗早中期膝骨关节炎的临床疗效.方法将62例早中期膝骨关节炎患者随机分为治疗组和对照组各31例,对照组给予早中期膝骨关节炎常规治疗,治疗组在其基础上给予经筋推拿手法治疗,日1次,两组均以2周为1疗程,共治疗两个疗程.治疗前、治疗两个疗程后以膝关节疼痛视觉模拟量表(Visual Analog Scale,VAS)评分及西安大略和麦克马斯特国际骨关节炎调查量表(Western Ontario and Mc-Master Universities Osteoarthritis Index,WOMAC)作为疗效评估指标,参照《中药新药临床研究指导原则》中对膝骨关节炎的疗效评价标准比较2组患者的总体疗效.结果膝关节疼痛VAS评分、WOMAC评分比较,两组差异有统计学意义(P<0.05).总体疗效方面,治疗两个疗程后,治疗组有效25例,显效4例,无效2例;对照组有效12例,显效13例,无效6例;治疗组的总体疗效优于对照组(Z=-3.228,P=0.001).结论经筋推拿手法在早中期膝骨关节炎疼痛、僵滞等症状缓解及功能活动改善方面疗效可靠.
Objective To observe the clinical effect of tendon massage on knee osteoarthritis in early and middle stages. Methods Sixty 一 two patients with knee osteoarthritis were randomly divided into observation group and control group, 31 cases in each group. The control group was given routine treatment of knee osteoarthritis in the early and middle stages, while the treatment group was given manipulation therapy via tendons once a day. Both groups were treated with 2 weeks as a course of treatment, totally two courses of treatment. Visual Analog Scale (VAS) score and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were used as evaluation index of efficacy, the overall efficacy of the two groups of patients was compared with the evaluation criteria for the evaluation of knee osteoarthritis in the Guiding Principles for Clinical Research of New Drugs of Traditional Chinese Medicine. Results The VAS score and WOMAC score of knee pain were significantly different between the two groups ( P < 0. 05). In terms of overall efficacy, after two courses of treatment, 25 cases were effective in the treatment group, 4 cases were markedly effective and 2 cases were in effective;12 cases were effective in the control group, 13 cases were markedly effective and 6 cases were ineffective;the overall efficacy of the treatment group was better than that of the control group (Z=-3. 228 , P=0. 001). Conclusion Massage manipulation through tendons is effective in relieving pain and stiffness of knee osteoarthritis in early and middle stages and improving functional activities.