| 引用本文: |
刘源,郭珈宜,范仪铭,李峰,郭艳幸.平乐正骨手法治疗膝骨关节炎的临床疗效观察[J].湖南中医药大学学报,2020,40(9):1147-1151[点击复制] |
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| 平乐正骨手法治疗膝骨关节炎的临床疗效观察 |
| 刘源,郭珈宜,范仪铭,李峰,郭艳幸 |
| (湖南中医药大学, 湖南 长沙 410208;河南省洛阳正骨医院/河南省骨科医院, 河南 洛阳 471002) |
| 摘要: |
| 目的 观察平乐正骨手法治疗膝骨关节炎（knee osteoarthritis，KOA）患者的临床疗效及对股二头肌、股四头肌肌群硬度、关节屈伸活动度的影响。方法 将120例KOA患者随机分为试验组和对照组，每组60例。对照组患者给予中药熏洗及口服筋骨痛消丸治疗，试验组患者在对照组治疗的基础上给予平乐正骨手法治疗，疗程为3周。治疗结束后对比两组患者的临床疗效、股二头肌及股四头肌肌群硬度、西安大略和麦克马斯特大学骨关节炎指数（Western Ontario and McMaster Universities Osteoarthirtis Index，WOMAC）评分、视觉模拟评分（visual analogue scale，VAS）、关节屈伸活动度。结果 试验组总有效率为90.0%，对照组为75.0%，两组差异有统计学意义（P<0.05）。两组患者治疗后股二头肌、股四头肌肌群硬度、WOMAC指数评分、VSA评分、关节屈伸活动度均明显改善（P<0.05），且试验组股二头肌、股四头肌肌群硬度、WOMAC指数评分、关节屈曲活动度的改善优于对照组（P<0.05）。结论 平乐正骨手法联合中药熏洗、口服筋骨痛消丸治疗方案治疗KOA能明显改善患者关节功能，并且能够改善关节周围肌肉硬度。 |
| 关键词: 膝骨关节炎 平乐正骨手法 肌肉硬度 剪切波弹性成像 |
| DOI：10.3969/j.issn.1674-070X.2020.09.020 |
| 投稿时间：2020-06-01 |
| 基金项目:国家中医药管理局建设项目（〔2012〕228）；河南省科技厅项目（112102310008）；河南省中医药管理局项目（HNZYLJ20131009）；河南省中医药科学研究专项（2017ZY2085）。 |
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| Clinical Effect Observation on Pingle Zhenggu Manipulation in the Treatment of Knee Osteoarthritis |
| LIU Yuan,GUO Jiayi,FAN Yiming,LI Feng,GUO Yanxing |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Luoyang Orthopedic Traumatological Hospital, Orthopedic Hospital of Henan Province, Luoyang, Henan 471002, China) |
| Abstract: |
| Objective To observe the clinical effects of Pingle Zhenggu manipulation in the treatment of patients with knee osteoarthritis (KOA), and to observe the effects of this therapy on the hardness of biceps femoris and quadriceps femoris muscle group and the degree of joint flexion and extension. Methods A total of 120 patients with KOA were randomly divided into an experimental group and a control group, with 60 cases in each group. The patients in the control group were treated with fumigating and washing with Chinese materia medica and taking Jingu Tongxiao Pills orally. On the basis of the treatment in the control group, the patients in the experimental group were treated with Pingle Zhenggu manipulation, and the treatment ended in 3 weeks. At the end of treatment, the clinical effect, biceps femoris, quadriceps femoris muscle group hardness, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, visual analogue Scale (VSA) score, joint flexion and extension activity of the 2 groups were compared. Results The total effective rate of the experimental group and the control group was 90.0% and 75.0%, and the difference was statistically significant (P<0.05). After treatment, the hardness of biceps femoris and quadriceps femoris, WOMAC index score, VSA score and joint flexion and extension activity were significantly improved (P<0.05). The improvement of indexes of biceps femoris, quadriceps femoris muscle group hardness, WOMAC index score and joint flexion activity in the experimental group was better than that in the control group (P<0.05). Conclusion The treatment of KOA with Pingle Zhenggu manipulation combined with Chinese materia medica fumigating and washing and oral administration of Jinggu Tongxiao Pills can obviously improve the joint function and the muscle hardness around the joint. |
| Key words: knee osteoarthritis Pingle Zhenggu manipulation muscle hardness shear wave elastography |
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