摘要
目的:评价理筋提髌手法治疗早中期髌股关节炎的临床效果。方法:于2018年1月至2020年12月共收治190例早中期髌股关节炎患者,将患者随机分为对照组与观察组,对照组采用关节腔注射玻璃酸钠(治疗5次),观察组采用理筋提髌手法(每周治疗2次),治疗时间为4周。分别记录治疗前、治疗3周后和治疗结束1周后患者膝关节的VAS评分、压痛指数、关节活动度、Lysholm膝关节评分、总体疗效评价等数据。结果:与治疗前比较,在治疗3周后和治疗结束1周后两组患者的VAS评分、Lysholm膝关节评分、压痛指数方面差异均有统计学意义(P<0.05),治疗3周后、治疗结束1周后观察组VAS评分、Lysholm膝关节评分、压痛指数与对照组比较差异有统计学意义(P<0.05);在关节活动度方面,组间及组内比较差异均无统计学意义(P>0.05);两组优良率比较,观察组为90%,对照组为58%,差异有统计学意义(P<0.05)。结论:理筋提髌手法治疗早中期髌股关节炎在缓解疼痛、改善功能方面均优于关节腔注射玻璃酸钠。
Objective:To evaluate the clinical efficacy of relieving tendons and moving patella under the guidance of tendon bundle bone theory on the treatment of early and middle patellofemoral arthritis.Methods:A total of 190 patients with patellofemoral arthritis in early and middle stage from January 2018 to December 2020 were treated.They were randomly divided into control group and observation group.The control group was treated with intraarticular injection of sodium hyaluronate(5 treatments for 4 weeks),and the observation group was treated with tendon lifting manipulation(twice a week).The treatment time was 4 weeks and the observation period was 5 weeks.VAS score,tenderness index,ranges of motion of the knee,Lysholm score and the overall curative efficacy evaluation were recorded before,at 3 weeks later and 1 week after the end of treatment.Results:Compared with before treatment,VAS score,tenderness index and Lysholm score in two groups were improved after 3 weeks and 5 weeks of treatment(P<0.05).Compared with control group,VAS score,tenderness index and Lysholm score in observation group were improved significantly after 3 weeks and 5 weeks of treatment(P<0.05).But there were no statistical differences of ranges of motion of the knee(P>0.05).The excellent-effective rate of observation group was higher than that in control group.Conclusion:Relieving tendons and moving patella combined with sodium hyaluronate on the treatment of early and middle patellofemoral arthritis is better than sodium hyaluronate injection in relieving pain and improving knee function.
作者
赵勇
班林强
韦俊余
魏光成
张宽
秦伟凯
ZHAO Yong;BAN Linqiang;WEI Junyu;WEI Guangcheng;ZHANG Kuan;QIN Weikai(Department of Orthopedics,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中国中医骨伤科杂志》
CAS
2022年第1期30-34,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
中国中医科学院基本科研业务费自主选题项目院内联合创新专项(ZZ11-034)
北京中医药科技发展资金项目(JJ2016-67)。
关键词
髌股关节炎
手法
玻璃酸钠
疼痛
随机对照试验
patellofemoral arthritis
massotherapy
sodium hyaluronate
pain
randomized controlled trial(RCT)
