[1]陈朝蔚 魏贤振 丁超 李飞跃 樊天佑△.电针联合魏氏手法治疗膝骨关节炎临床疗效观察[J].中国中医骨伤科杂志,2018,26(01):17-20.
 CHEN Chaowei WEI Xianzhen DING Chao LI Feiyue FAN Tianyou.Clinical Efficacy of Electroacupuncture Combined with Wei's Manipulation for Treating Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(01):17-20.
点击复制

电针联合魏氏手法治疗膝骨关节炎临床疗效观察()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年01期
页码:
17-20
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Clinical Efficacy of Electroacupuncture Combined with Wei's Manipulation for Treating Knee Osteoarthritis
文章编号:
1005-0205(2018)01-0017-04
作者:
陈朝蔚1 魏贤振1 丁超1 李飞跃2 樊天佑1△
1上海中医药大学附属市中医医院骨伤科(上海,200071) 2上海交通大学医学院附属瑞金医院骨伤科 通信作者 E-mail:7117@szy.sh.cn
Author(s):
CHEN Chaowei1 WEI Xianzhen1 DING Chao1 LI Feiyue2 FAN Tianyou1△
1Department of Orthopedics and Traumatology,Shanghai Municipal Hospital of Traditional Chinese Medicine(Affiliated to Shanghai University of Traditional Chinese Medicine),Shanghai 200071,China; 2Department of Traumatology,Ruijin Hospital Shanghai Jiaotong University School of Medicine,Shanghai 200025,China.
关键词:
膝骨关节炎 电针 魏氏手法 疗效观察
Keywords:
Keywords: knee osteoarthritis electroacupuncture Wei's manipulation clinical efficacy
分类号:
R684.3
文献标志码:
A
摘要:
目的:探索电针联合魏氏手法治疗膝骨关节炎的治疗方案,并观察其临床疗效。方法:将62例符合纳入标准的膝骨关节炎患者随机分为治疗组(31例)与对照组(31例)。治疗组予电针联合魏氏手法,对照组单纯予电针治疗,治疗6周。比较两组患者胫股冠状角改变、膝关节HSS评分及有效率,进行疗效评估。结果:两组患者治疗后胫股冠状角均较治疗前改善,差异有统计学意义(P<0.05); 两组患者HSS评分在治疗后显著提高,与治疗前比较差异均有统计学意义(P<0.05); 治疗6周后,治疗组的胫股冠状角及HSS评分差异,与对照组比较差异均有统计学意义(P<0.05)。治疗组有效率为90.32%,对照组为77.42%,两组比较差异有统计学意义(P<0.05)。结论:电针联合魏氏手法治疗膝骨关节炎可有效缓解疼痛、关节活动障碍等症状,有较好的临床疗效。
Abstract:
Abstract Objective:To observe the clinical efficacy and explore the therapeutic schemes of electroacupuncture combined with Wei's manipulation for treating knee osteoarthritis.Methods:All 62 patients who were chosen according to the inclusion and exclusion criteria were randomly divided into treatment group(n=31)and control group(n=31).The treatment group was treated by electroacupuncture only,and the control group was treated by the electroacupuncture combined with Wei's manipulation.After 6 weeks of continuous treatment,the changes of coronal tibiofemoral angle and the HSS score and efficiency of knee joint of the two groups were evaluated.Results:After the treatment the coronal tibiofemoral angle of two groups all improved significantly(P<0.05).The HSS scores of two groups were increased significantly after the treatment(P<0.05).After 6 weeks of continuous treatment,the differences of coronal tibiofemoral angle and the HSS scores were statistical significance(P<0.05).The effective rates were 90.32% and 77.42% in the treatment group and control group respectively.The differences between the two groups were statistically significant(P<0.05).Conclusion:The therapy of electroacupuncture combined with Wei's manipulation which can alleviate pain and relieve articular dyskinesia effectively has reliable and definite therapeutic effect on knee osteoarthritis.

参考文献/References:

[1] Stan G,Orban H,Orban C.Cost Effectiveness Analysis of Knee Osteoarthritis Treatment[J].Chirurgia,2015,110(4):368-374.
[2] 刘献祥.中医药治疗膝骨性关节炎的研究现状[J].中医正骨,2012,24(1):3-7.
[3] 周光辉.电针疗法缓解膝关节骨关节炎疼痛的疗效[J].中国临床康复,2004,8(20):4082-4082.
[4] 吴文虎,汤俊,吴云鹏,等.电针膝眼穴治疗膝骨关节炎疗效的现代康复学评估[J].上海中医药杂志,2015,49(6):63-65.
[5] 薛彬,李飞跃,王玮,等.魏氏伤科“悬足压膝”手法的运动学规律和机制研究[J].中国中医骨伤科杂志,2016,24(10):5-8.
[6] 胡劲松,李飞跃.论魏氏伤科理筋手法之补泻[J].中国中医骨伤科杂志,2014,22(7):67-68.
[7] Wenham CY,Grainger AJ,Conaghan PG.The role of imaging modalities in the diagnosis,differential diagnosis and clinical assessment of peripheral joint osteoarthritis[J].Osteoarthritis Cartilage,2014,22(10):1692-1702.
[8] 王强,苟海昕,曹月龙,等.膝骨关节炎X线分级与疼痛程度的相关性分析[J].中国中医骨伤科杂志,2015,23(6):18-21.
[9] 王清玉,王佳佳,李良华,等.膝关节骨关节炎不同分期与膝关节轴线角的相关性分析[J].中国中医骨伤科杂志,2016,24(11):24-29.
[10] Goodman SM,Ramsden-Stein DN,Huang WT,et al.Patients with rheumatoid arthritis are more likely to have pain and poor function after total hip replacements than patients with osteoarthritis[J].J Rheumatol,2014,41(9):1774-1780.
[11] 娄玉钤,娄玉州.浅谈痹病的分类[J].中医正骨,2000,12(9):21-22.
[12] 申延清,刘凤霞,曹红,等.膝骨关节炎患者的临床表现及相关影响因素[J].中国组织工程研究与临床康复,2011,15(9):1643-1646.
[13] 蔡立民,叶伟洪,骆家伟,等.中药内外兼治治疗膝关节骨性关节炎的临床研究[J].中国中医骨伤科杂志,2003,11(3):33-36.
[14] 郑欣,施荣庭.魏氏伤科手法配合蒸敷治疗冻结肩临床观察[J].新中医,2017,49(1):93-94.
[15] 李飞跃.魏氏伤科治疗学:治伤手法,导引疗法及用药[M].1版.上海:上海科学技术出版社,2015:23-24.
[16] 杜炯,李飞跃.魏氏薰洗方治疗膝关节骨关节炎的临床研究[J].时珍国医国药,2012,23(9):2280-2284.
[17] 谢贤斐,张昊,李飞跃.李飞跃治疗腰椎滑脱症经验特色浅析[J].中医文献杂志,2016,34(4):39-41.
[18] 龚利,邵盛,李建华,等.名老中医手法治疗膝骨关节炎的经验荟萃[J].中国中医骨伤科杂志,2017,25(1):66-68.

备注/Memo

备注/Memo:
基金项目:上海市名老中医学术经验研究工作室建设项目 (SHGZS-2017010) 国家自然科学基金项目(81302987)
更新日期/Last Update: 2018-01-15