腕踝针配合推拿疗法治疗膝骨性关节炎
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摘要
目的观察腕踝针配合推拿疗法治疗膝骨性关节炎的临床疗效。方法将64例膝骨性关节炎的患者随机分成治疗组和对照组,各32例。治疗组给予腕踝针和推拿治疗(1次/d,每周治疗5天,休息2天,共治疗4周),对照组给予塞来昔布胶囊口服治疗(2次/d, 1粒/次,共治疗4周)。2组均按照VAS计分标准、WOMAC计分观察临床疗效。结果治疗组总有效率为90.6%,对照组总有效率为81.3%,差异具有统计学意义(P <0.05)。结论腕踝针配合推拿疗法和口服药物疗法,在治疗膝骨性关节炎方面均有疗效,但前者疗效更明显。
Objective To observe the clinical effect of wrist-ankle acupuncture combined with massage in the treatment of knee osteoarthritis. Methods 64 patients with knee osteoarthritis were randomly divided into the treatment group for carpal and ankle acupuncture and massage treatment(once a day, 5 days a week, 2 days rest, 4 weeks treatment), and the control group for oral treatment with celecoxib capsule(2 times a day, 1 tablet per time, 4 weeks treatment). The clinical efficacy was observed in both groups according to VAS score standard and WOMAC score. Results The total effective rate was 90.6% in the treatment group and 81.3% in the control group, and the difference was statistically significant(P <0.05). Conclusion Wrist-ankle acupuncture combined with massage therapy and oral drug therapy are effective in the treatment of knee osteoarthritis.
Objective To observe the clinical effect of wrist-ankle acupuncture combined with massage in the treatment of knee osteoarthritis. Methods 64 patients with knee osteoarthritis were randomly divided into the treatment group for carpal and ankle acupuncture and massage treatment(once a day, 5 days a week, 2 days rest, 4 weeks treatment), and the control group for oral treatment with celecoxib capsule(2 times a day, 1 tablet per time, 4 weeks treatment). The clinical efficacy was observed in both groups according to VAS score standard and WOMAC score. Results The total effective rate was 90.6% in the treatment group and 81.3% in the control group, and the difference was statistically significant(P <0.05). Conclusion Wrist-ankle acupuncture combined with massage therapy and oral drug therapy are effective in the treatment of knee osteoarthritis.
引文
[1]蒋嘉兴.基于经筋理论推拿治疗膝骨性关节炎的疗效评价研究[D].沈阳:辽宁中医药大学, 2017.
[2]柴喜平,王承祥,王金,等.推拿治疗膝骨性关节炎研究进展[J].中医药临床杂志, 2015, 27(9):1334-1336.
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[5]李源力.盐酸氨基葡萄糖治疗膝骨关节炎的临床效果分析[J].华西医学, 2016, 31(7):1203-1204.
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[12]胡炳麟,龚利,李建华,等.一指禅推法治疗膝关节骨性关节炎的临床研究[J].中医药导报, 2017, 23(2):72-75.
[13]旷秋和.火针配合推拿治疗膝骨性关节炎50例疗效观察[J].中医临床研究, 2017, 9(16):45-46.
[14]李自强,张壮壮.推拿配合中药足浴熏洗治疗膝骨性关节炎的疗效研究[J].内蒙古中医药, 2017, 36(20):102.
[15]牟卫光.针刺联合推拿治疗膝骨性关节炎的疗效观察及其对血清炎症因子的影响[J].中国中医药科技, 2018,25(2):159-161.
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[17]季有波,张虹,李淑春,等.膝关节内外联合治疗老年膝骨性关节炎[J].长春中医药大学学报, 34(2):322-324.
[2]柴喜平,王承祥,王金,等.推拿治疗膝骨性关节炎研究进展[J].中医药临床杂志, 2015, 27(9):1334-1336.
[3]张义.理筋手法联合温针灸治疗膝骨性关节炎47例[J].中国民间疗法, 2018, 26(3):34-35.
[4]中华医学会骨科学分会.骨关节诊治指南[M].北京:人民卫生出版社, 2007:80.
[5]李源力.盐酸氨基葡萄糖治疗膝骨关节炎的临床效果分析[J].华西医学, 2016, 31(7):1203-1204.
[6]辛春光.膝痹膏摩法治疗阳虚寒凝型膝骨性关节炎的临床疗效观察[D].乌鲁木齐:新疆医科大学, 2017.
[7]刘志泓.推拿治疗肝肾亏虚型膝痹(膝骨性关节炎)的临床研究[D].广州:广州中医药大学, 2017.
[8]张建林,任睿双.加味益肾强骨汤联合三步推拿点穴手法治疗膝骨性关节炎的临床研究[J].中国中医骨伤科杂志,2018, 26(1):34-38.
[9]黄运拼.腕踝针临床应用举隅[J].中国民族民间医药杂志,2006(6):341-343.
[10]徐美君,周庆辉.腕踝针创立以来的临床应用及研究进展[J].上海针灸杂志, 2015, 34(3):277-280.
[11]罗昌凤.针灸推拿治疗膝骨性关节炎临床分析[J].中国社区医师, 2018, 34(15):110-111.
[12]胡炳麟,龚利,李建华,等.一指禅推法治疗膝关节骨性关节炎的临床研究[J].中医药导报, 2017, 23(2):72-75.
[13]旷秋和.火针配合推拿治疗膝骨性关节炎50例疗效观察[J].中医临床研究, 2017, 9(16):45-46.
[14]李自强,张壮壮.推拿配合中药足浴熏洗治疗膝骨性关节炎的疗效研究[J].内蒙古中医药, 2017, 36(20):102.
[15]牟卫光.针刺联合推拿治疗膝骨性关节炎的疗效观察及其对血清炎症因子的影响[J].中国中医药科技, 2018,25(2):159-161.
[16]余意.温阳通脉法治疗膝骨性关节炎疗效分析[D].武汉:湖北中医药大学, 2017.
[17]季有波,张虹,李淑春,等.膝关节内外联合治疗老年膝骨性关节炎[J].长春中医药大学学报, 34(2):322-324.