[1]李锡,刘郭辉,刘云昊,等.踝关节推摇拔伸手法治疗内翻型膝骨关节炎的随机对照试验[J].中国中医骨伤科杂志,2025,33(04):39-45.[doi:10.20085/j.cnki.issn1005-0205.250408 ]
　LI Xi,LIU Guohui,LIU Yunhao,et al.A Randomized Controlled Trial of the Treatment of Varus Knee Osteoarthritis with Ankle Joint Pushing,Shaking,Pulling and Reaching[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):39-45.[doi:10.20085/j.cnki.issn1005-0205.250408 ]
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踝关节推摇拔伸手法治疗内翻型膝骨关节炎的随机对照试验()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
39-45
栏目:
临床研究
出版日期:
2025-04-10

文章信息/Info

Title:
A Randomized Controlled Trial of the Treatment of Varus Knee Osteoarthritis with Ankle Joint Pushing,Shaking,Pulling and Reaching
文章编号:
1005-0205(2025)04-0039-07
作者:
李锡1; 刘郭辉2; 刘云昊2; 祁佳乐2; 张泽坤1; 高天慈3; 王静西1; 张健1; 齐立卿1; 杜双庆1△
1河北中医药大学第一附属医院(石家庄,050051); 2河北医科大学; 3河北中医药大学
Author(s):
LI Xi1; LIU Guohui2; LIU Yunhao2; QI Jiale2; ZHANG Zekun1; GAO Tianci3; WANG Jingxi1; ZHANG Jian1; QI Liqing1; DU Shuangqing1△
1The First Affiliated Hospital of Hebei University of Chinese Medicine,Shijiazhuang 050051,China; 2Hebei Medical University,Shijiazhuang 050017,China; 3Hebei University of Chinese Medicine,Shijiazhuang 050051,China.
关键词:
膝骨关节炎;  下肢力线;  踝关节;  推摇拔伸;  手法治疗
Keywords:
knee osteoarthritis;  lower limb alignment;  ankle joint;  push; shake; pull and reach;  manual therapy
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.250408
文献标志码:
A
摘要:
目的:观察踝关节推摇拔伸手法治疗内翻型膝骨关节炎(KOA)患者的临床疗效。方法:165例膝骨关节炎患者均采用计算机随机生成数字,分为观察组(110例,采用踝关节推摇拔伸手法,间隔2 d 1次,疗程为2周)和对照组(55例,口服塞来昔布胶囊,1次/d,疗程为2周)。比较两组受试者治疗前、治疗后2周及14周(随访)时的骨关节炎指数评分(WOMAC总评分及其子项)和生活质量评分(SF-12评分)。结果:与治疗前相比,两组患者治疗后2周及14周WOMAC总评分均较治疗前降低,差异有统计学意义(P<0.05); SF-12评分较治疗前升高,差异有统计学意义(P<0.05)。组间比较,在WOMAC总评分及其子项评分差值方面,观察组治疗后2周及14周均较对照组差异无统计学意义(P>0.05); 在SF-12评分方面,观察组治疗后2周较对照组差异无统计学意义(P>0.05),治疗后14周较对照组降低,差异有统计学意义(P<0.05)。结论:用踝关节推摇拔伸手法治疗内翻型膝骨关节炎,对缓解临床症状、减轻疼痛程度、改善膝关节功能、提升患者生活质量效果显著,与单纯口服塞来昔布胶囊疗效相当,其操作规范、较易掌握且安全性良好,值得临床推广应用。
Abstract:
Objective:To observe the clinical efficacy of ankle joint pushing,shaking,pulling and reaching method in the treatment of varus knee osteoarthritis(KOA).Methods:A total of 165 KOA patients were randomly divided into the observation group(110 cases)and the control group(55 cases).The observation group was treated with ankle joint pushing,shaking,pulling and reaching method(once every 2 d,2 weeks of treatment).The control group was treated with oral celecoxib capsules(once a day for 2 weeks).The osteoarthritis index score(WOMAC total score and its subitems)and quality of life score(SF-12)were compared between the two groups before treatment,2 weeks after treatment and 14 weeks after treatment(follow-up).Results:Compared before treatment,the WOMAC total scores at 2 weeks and 14 weeks after treatment were decreased(P<0.05)and the SF-12 scores were increased(P<0.05)in the two groups.There was no significant difference in WOMAC total score and sub-item score difference between the two groups at 2 weeks and 14 weeks after treatment(P>0.05).In terms of SF-12 score,there was no significant difference between the observation group and the control group at 2 weeks after treatment(P>0.05),and the observation group was lower than the control group at 14 weeks after treatment(P<0.05).Conclusion:The application of ankle joint pushing,shaking,pulling and reaching method in the treatment of varus KOA has significant effects on relieving clinical symptoms,reducing pain,improving knee joint function and improving the quality of life of patients,which is equivalent to the effect of oral celecoxib capsule.Its operation is standard,easy to master,and has good safety.It is recommended for clinical consideration.

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备注/Memo

备注/Memo:
基金项目:河北省重点研发计划项目——中医药创新专项(223777125D) 河北省中医药管理局科研计划项目(2023319) △通信作者 E-mail:szdushuangqing@sina.com
更新日期/Last Update: 2025-04-10