| 引用本文: |
钱群群, 李冬静, 程露露, 张琦, 胡潇允, 江雨, 陈朝晖.基于超声影像学评价理筋正骨手法治疗膝骨关节炎的临床疗效[J].湖南中医药大学学报,2026,46(3):528-533[点击复制] |
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| 基于超声影像学评价理筋正骨手法治疗膝骨关节炎的临床疗效 |
| 钱群群,李冬静,程露露,张琦,胡潇允,江雨,陈朝晖 |
| (安徽中医药大学针灸推拿学院, 安徽 合肥 230038;安徽中医药大学第一附属医院康复科, 安徽 合肥 230031;安徽省立医院康复科, 安徽 合肥 230036;安徽中医药大学第一临床医学院, 安徽 合肥 230038) |
| 摘要: |
| 目的 通过超声影像学评价理筋正骨手法治疗膝骨关节炎（KOA）患者的临床疗效。方法 纳入2024年10月至2025年5月安徽中医药大学第一附属医院收治的60例KOA患者，随机分为对照组（n=30）和观察组（n=30）。对照组采用单纯理筋手法联合日常运动锻炼，观察组采用理筋正骨手法联合日常运动锻炼，干预周期均为4周。比较两组患者治疗后疗效及治疗前后的视觉模拟量表（VAS）评分、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分、坦帕运动恐惧量表（11项版）（TSK-11）评分、髌上囊积液深度、滑膜增生厚度、关节软骨厚度。结果 治疗后，观察组总有效率高于对照组（P＜0.05）。与治疗前比较，治疗后两组患者VAS评分、WOMAC评分、TSK-11评分及髌上囊积液深度、滑膜增生厚度均降低（P＜0.05），且观察组低于对照组（P＜0.05）；与对照组比较，观察组内侧软骨厚度增加（P＜0.05）。结论 理筋正骨手法能有效减轻KOA患者滑膜炎，缓解膝关节疼痛，改善关节功能，降低患者的运动恐惧心理，效果优于单纯理筋手法治疗。 |
| 关键词: 膝骨关节炎 理筋正骨手法 肌骨超声 筋出槽 骨错缝 视觉模拟量表评分 西安大略和麦克马斯特大学骨关节炎指数评分 坦帕运动恐惧量表 |
| DOI：10.3969/j.issn.1674-070X.2026.03.012 |
| 投稿时间：2025-10-09 |
| 基金项目:安徽省高校自然科学研究重点研究项目（KJ2021ZD0062）；安徽省高校自然科学研究重点项目（2023AH050725）。 |
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| Clinical efficacy evaluation of sinew-regulating and bone-aligning manipulation in treating knee osteoarthritis based on ultrasonography |
| QIAN Qunqun, LI Dongjing, CHENG Lulu, ZHANG Qi, HU Xiaoyun, JIANG Yu, CHEN Zhaohui |
| (School of Acupuncture-moxibustion and Tuina, Anhui University of Chinese Medicine, Hefei, Anhui 230038, China;Department of Rehabilitation, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui 230031, China;Department of Rehabilitation, Anhui Provincial Hospital, Hefei, Anhui 230036, China;The First Clinical Medical College, Anhui University of Chinese Medicine, Hefei, Anhui 230038, China) |
| Abstract: |
| Objective To evaluate the clinical efficacy of sinew-regulating and bone-aligning manipulation on patients with knee osteoarthritis (KOA) by ultrasonography. Methods A total of 60 KOA patients admitted to the First Affiliated Hospital of Anhui University of Chinese Medicine from October 2024 to May 2025 were enrolled and randomly divided into control and observation groups, with 30 cases in each group. The control group received sinew-regulating manipulation alone combined with daily exercise, while the observation group received sinew-regulating and bone-aligning manipulation combined with daily exercise. The intervention period for both groups was four consecutive weeks. The scores of visual analogue scale (VAS), Western Ontario and McMaster Universities osteoarthritis index (WOMAC), Tampa scale for kinesiophobia-11 item version (TSK-11), the depth of suprapatellar bursa effusion, the thickness of synovial hyperplasia and articular cartilage were compared between two groups before and after treatment. Results After treatment, the total efficacy of observation group was higher than that of control group (P<0.05). Compared with pre-treatment levels, both groups showed decreased scores of VAS, WOMAC, and TSK-11, as well as the depth of suprapatellar bursa effusion, and the thickness of synovial hyperplasia after treatment (P<0.05), with observation group consistently lower than control group (P<0.05). Compared with control group, observation group showed increased thickness of medial cartilage (P<0.05). Conclusion Sinew-regulating and bone-aligning manipulation can effectively alleviate synovitis, relieve knee joint pain, improve joint function, and reduce kinesiophobia in KOA patients. Its therapeutic efficacy is superior to that of sinew-regulating manipulation alone. |
| Key words: knee osteoarthritis sinew-regulating and bone-aligning manipulation musculoskeletal ultrasound sinew off-position bone misalignment visual analogue scale Western Ontario and McMaster Universities osteoarthritis index Tampa scale for kinesiophobia |
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