摘要
目的研究末端按压法在膝关节骨性关节炎中的临床疗效。方法纳入2022年7月至2023年2月北京市丰盛中医骨伤专科医院推拿科收治的80例Ⅱ级膝关节骨性关节炎患者,按照随机数表法分为推拿治疗组(观察组)和外用扶他林组(对照组),每组各40例,定期复诊、复查,分析膝关节功能(WOMAC)评分、膝关节活动度(ROM)、膝关节评分系统(HSS)评分、安全性评价及临床疗效。结果治疗前,两组WOMAC评分、ROM、HSS评分比较,差异均无统计学意义(P>0.05)。治疗4周后、第1次随访及第2次随访时,观察组WOMAC评分低于对照组,ROM及HSS评分均高于对照组,差异有统计学意义(P<0.05)。两组治疗过程中均无不良反应发生。观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。结论末端按压法能有效减轻膝关节骨性关节炎患者症状,且安全、简便,值得临床推广。
Objective To explore the clinical efficacy of end compression method in knee osteoarthritis.Methods A total of 80 cases of gradeⅡknee osteoarthritis admitted to Department of Massage of Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics from July 2022 to February 2023 were included and divided into two groups according to the random number table method,namely the massage treatment group(the observation group)and the external application of voltaren group(the control group),with 40 cases in each group.Regular follow-up and re-examination were conducted to analyze the score of Western Ontario and McMaster University osteoarthritis index(WOMAC),range of motion(ROM)of the knee joint,hospital for special surgery knee score(HSS),and statistical processing results of safety evaluation and clinical efficacy.Results There was no statistically significant difference in WOMAC score,ROM,and HSS knee score between the two groups of patients before treatment(P>0.05).After 4 weeks of treatment,as well as at the first and second follow-ups,the WOMAC score of the observation group was lower than that of the control group,the ROM and HSS knee score of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).No adverse reactions occurred in both groups.The therapeutic effect of the observation group was significantly better than that of the control group,with statistically significant difference(P<0.05).Conclusion The end compression method can effectively alleviate the symptoms of patients with knee osteoarthritis,and is safe,simple,and worthy of clinical promotion.
作者
王红杰
谢克波
孟达
李论
王法利
井伽因
戴禹润
于海川
张伟
WANG Hongjie;XIE Kebo;MENG Da;LI Lun;WANG Fali;JING Jiayin;DAI Yurun;YU Haichuan;ZHANG Wei(Department of Massage,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics,Beijing 100033,China;Department of Spine and Arthrology,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics,Beijing 100033,China;Department of Rehabilitation,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics,Beijing 100033,China;Department of Bonesetting,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics,Beijing 100033,China;Department of Emergency,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopedics,Beijing 100033,China)
出处
《中国医药科学》
2024年第1期165-169,共5页
China Medicine And Pharmacy
基金
北京市西城区财政科技专项项目(可持续发展类)(XCSTS-SD2022-12)。
关键词
膝关节
骨性关节炎
末端
按压法
Knee joint
Osteoarthritis
End
Compression method
