“护膑松筋”推拿手法联合筋骨痛消丸治疗膝骨关节炎疗效观察
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摘要
目的:探讨"护膑松筋"推拿手法联合筋骨痛消丸对膝骨关节炎患者关节功能和生存质量的影响。方法:选择114例膝骨关节炎患者作为研究对象。按照随机对照的原则将其分为两组,对照组采用常规口服药物治疗,观察组采用筋病理论指导下的"护膑松筋"推拿手法联合药物治疗。对两组患者关节功能、生存质量等进行对比分析。结果:治疗后,观察组患者疼痛、僵硬、功能和总分分别为(2.98±1.46)分、(1.35±0.84)分、(10.27±4.32)分和(14.81±3.05)分,对照组分别为(4.58±3.02)分、(2.05±1.02)分、(17.26±5.03)分和(21.35±4.02)分,相较于治疗前均有明显下降(P<0.05),其中观察组明显低于对照组(P<0.05);治疗后,两组患者SF-36量表总得分较治疗前均显著提高(P<0.05),且观察组显著优于对照组(P<0.05)。结论:筋病理论指导下"护膑松筋"推拿手法联合筋骨痛消丸治疗膝骨关节炎的临床疗效显著。
Objective: To investigate the effect of "Hubin Songjin"massage manipulation combined with Jingu Tongxiao Pill on knee joint function and quality of life in patients with knee osteoarthritis,so as to provide reference for clinical treatment. Methods:114 patients with knee osteoarthritis admitted to the hospital from May 2014 to May 2017 were selected as the subjects. They were randomly divided into two groups,which were treated with conventional oral medication and massage combined with drug therapy under the guidance of tendon disease theory. The joint function and quality of life of the two groups were compared and analyzed.Results: Before treatment,the two groups had no statistically significant difference in WOMAC score(P > 0. 05); After treatment,the observation group pain,stiffness,and functional scores were(2. 98 ± 1. 46),(1. 35 ± 0. 84),(10. 27 ± 4. 32) and(14. 81 ±3. 05) points respectively,and that of the control group was(4. 58 ± 3. 02),(2. 05 ± 1. 02),(17. 26 ± 5. 03) and(21. 35 ±4. 02) respedtively. There was significantly difference in each group after treatment(P < 0. 05). There was significantly difference between the both groups after treatment(P < 0. 05),with the observation group being significantly lower than that of the control group(P < 0. 05). Conclusion: Under the guidance of tendon disease theory,the clinical curative effect of "Hubin Songjin"massage manipulation combined with Jingu Tongxiao Pill is remarkable.
Objective: To investigate the effect of "Hubin Songjin"massage manipulation combined with Jingu Tongxiao Pill on knee joint function and quality of life in patients with knee osteoarthritis,so as to provide reference for clinical treatment. Methods:114 patients with knee osteoarthritis admitted to the hospital from May 2014 to May 2017 were selected as the subjects. They were randomly divided into two groups,which were treated with conventional oral medication and massage combined with drug therapy under the guidance of tendon disease theory. The joint function and quality of life of the two groups were compared and analyzed.Results: Before treatment,the two groups had no statistically significant difference in WOMAC score(P > 0. 05); After treatment,the observation group pain,stiffness,and functional scores were(2. 98 ± 1. 46),(1. 35 ± 0. 84),(10. 27 ± 4. 32) and(14. 81 ±3. 05) points respectively,and that of the control group was(4. 58 ± 3. 02),(2. 05 ± 1. 02),(17. 26 ± 5. 03) and(21. 35 ±4. 02) respedtively. There was significantly difference in each group after treatment(P < 0. 05). There was significantly difference between the both groups after treatment(P < 0. 05),with the observation group being significantly lower than that of the control group(P < 0. 05). Conclusion: Under the guidance of tendon disease theory,the clinical curative effect of "Hubin Songjin"massage manipulation combined with Jingu Tongxiao Pill is remarkable.
引文
[1]高文香,郝军.筋病理论指导下中医综合疗法治疗膝骨关节炎[J].中医正骨,2014,26(1):60-62.
[2]杨洸.筋病学理论在骨科康复中的运用[J].现代中医药,2014,34(3):49-51.
[3]陈梦菲,姜宏.独活寄生汤治疗膝关节骨性关节炎研究进展[J].辽宁中医药大学学报,2014,16(6):236-238.
[4]仲跻申,张立,姚宏明.独活寄生汤联合塞来昔布治疗膝骨关节炎临床观察[J].风湿病与关节炎,2016,5(1):11-13.
[5]艾金伟,李德胜,刘羽,等.中医辩证治疗膝骨性关节炎的网状Meta分析[J].中国循证医学杂志,2016,16(5):532-542.
[6]刘德玉.膝骨关节炎的中西医结合防治新模式[J].中医正骨,2016,28(9):1-4.
[7]何海军.经筋理论对针刀治疗膝骨关节炎的指导意义[J].中国医药导报,2016,13(33):165-168.
[8]王松松,任晨晖,仲伟静,等.中医治疗肝肾亏虚、风寒湿痹型中老年膝骨性关节炎近况[J].中医药临床杂志,2016,28(12):1808-1811.
[9]易春智,周宇,冯文俊,等.补肾活血方联合塞来昔布治疗膝骨性关节炎的临床观察[J].中国民族民间医药,2017,26(2):121-122,127.
[10]方永刚,邱小魁,李贵山.七珠展筋散配合海桐皮汤熏洗治疗膝骨关节炎并滑膜炎临床研究[J].中医学报,2017,32(6):1090-1093.
[11]何丽清,闫立,杨涛,等.586例膝骨关节炎中医证型聚类分析及与中医体质的关系[J].辽宁中医药大学学报,2012,14(7):52-55.
[12]温屯清,黄鹰,周昊,等.补肾通筋汤合穴位注射治疗膝骨性关节炎39例总结[J].湖南中医杂志,2015,31(2):68-69.
[13]王利群,康坤丽.膝关节骨性关节炎中医治疗进展[J].中医临床研究,2015,7(15):100-103.
[14]王茵萍.经筋病“以痛为腧”刍议[J].中国针灸,2000,20(6):55-57.
[15]印华平.筋病理论指导下中医综合疗法治疗膝骨关节炎[J].内蒙古中医药,2017,36(16):15.
[16]王长勇,李芳.筋病理论在骨折治疗中的应用探讨[J].内蒙古中医药,2014,33(36):44-45.
[17]向珍蛹,茅建春,徐先国,等膝骨关节炎中医证型分布的流行病学研究[J].上海中医药杂志,2012,46(12):5-8.
[18]郑晓辉,王建凯,沈泽培,等.膝骨关节炎患者中医生存质量量表的建立及应用评价[J].广州中医药大学学报,2006,23(3):228-231.
[2]杨洸.筋病学理论在骨科康复中的运用[J].现代中医药,2014,34(3):49-51.
[3]陈梦菲,姜宏.独活寄生汤治疗膝关节骨性关节炎研究进展[J].辽宁中医药大学学报,2014,16(6):236-238.
[4]仲跻申,张立,姚宏明.独活寄生汤联合塞来昔布治疗膝骨关节炎临床观察[J].风湿病与关节炎,2016,5(1):11-13.
[5]艾金伟,李德胜,刘羽,等.中医辩证治疗膝骨性关节炎的网状Meta分析[J].中国循证医学杂志,2016,16(5):532-542.
[6]刘德玉.膝骨关节炎的中西医结合防治新模式[J].中医正骨,2016,28(9):1-4.
[7]何海军.经筋理论对针刀治疗膝骨关节炎的指导意义[J].中国医药导报,2016,13(33):165-168.
[8]王松松,任晨晖,仲伟静,等.中医治疗肝肾亏虚、风寒湿痹型中老年膝骨性关节炎近况[J].中医药临床杂志,2016,28(12):1808-1811.
[9]易春智,周宇,冯文俊,等.补肾活血方联合塞来昔布治疗膝骨性关节炎的临床观察[J].中国民族民间医药,2017,26(2):121-122,127.
[10]方永刚,邱小魁,李贵山.七珠展筋散配合海桐皮汤熏洗治疗膝骨关节炎并滑膜炎临床研究[J].中医学报,2017,32(6):1090-1093.
[11]何丽清,闫立,杨涛,等.586例膝骨关节炎中医证型聚类分析及与中医体质的关系[J].辽宁中医药大学学报,2012,14(7):52-55.
[12]温屯清,黄鹰,周昊,等.补肾通筋汤合穴位注射治疗膝骨性关节炎39例总结[J].湖南中医杂志,2015,31(2):68-69.
[13]王利群,康坤丽.膝关节骨性关节炎中医治疗进展[J].中医临床研究,2015,7(15):100-103.
[14]王茵萍.经筋病“以痛为腧”刍议[J].中国针灸,2000,20(6):55-57.
[15]印华平.筋病理论指导下中医综合疗法治疗膝骨关节炎[J].内蒙古中医药,2017,36(16):15.
[16]王长勇,李芳.筋病理论在骨折治疗中的应用探讨[J].内蒙古中医药,2014,33(36):44-45.
[17]向珍蛹,茅建春,徐先国,等膝骨关节炎中医证型分布的流行病学研究[J].上海中医药杂志,2012,46(12):5-8.
[18]郑晓辉,王建凯,沈泽培,等.膝骨关节炎患者中医生存质量量表的建立及应用评价[J].广州中医药大学学报,2006,23(3):228-231.