[1]胡安华 李征宇△ 徐颖佳.朱氏一指禅推法联合电针治疗膝骨关节炎临床疗效观察[J].中国中医骨伤科杂志,2020,28(04):10-14.
　HU Anhua LI Zhengyu XU Yingjia.Clinical Observation on the Treatment of Knee Osteoarthritis with Zhu's One-finger Pushing Manipulation Combined with Electro-acupuncture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(04):10-14.
点击复制

朱氏一指禅推法联合电针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28卷
期数:
2020年04期
页码:
10-14
栏目:
临床研究
出版日期:
2020-04-06

文章信息/Info

Title:
Clinical Observation on the Treatment of Knee Osteoarthritis with Zhu's One-finger Pushing Manipulation Combined with Electro-acupuncture
文章编号:
1005-0205(2020)04-0010-05
作者:
胡安华1; 2 李征宇1△ 徐颖佳3
1上海中医药大学(上海,201203) 2上海市静安区静安寺街道社区卫生服务中心 3上海市同仁医院
Author(s):
HU Anhua1; 2 LI Zhengyu1△ XU Yingjia3
1Shanghai University of Traditional Chinese Medicine, Shanghai 201203,China; 2Health Service Center of Jing'an-Temple Community,Jing'an District,Shanghai 200040,China; 3Tongren Hospital,Shanghai 200336,China.
关键词:
膝骨关节炎;  朱氏一指禅推法;  电针治疗
Keywords:
knee osteoarthritis;  Zhu's one-finger pushing manipulation;  electro-acupuncture
分类号:
R684.3
文献标志码:
A
摘要:
目的:对比朱氏一指禅推法联合电针与单纯电针治疗膝骨关节炎的疗效差异。方法:将100例入组患者随机分为观察组和对照组,观察治疗前、治疗3周后及治疗后3个月随访VAS评分、WOMAC量表评分及测量膝关节活动度(ROM)。结果:两组患者治疗3周后及治疗后3个月随访,VAS和WOMAC量表评分及膝关节活动度均较治疗前明显改善,差异有统计学意义(P<0.01); VAS评分两组间差异无统计学意义(P>0.05),观察组改善WOMAC量表评分及膝关节活动度均优于对照组,差异有统计学意义(P<0.01); 观察组总有效率均优于对照组,差异有统计学意义(P<0.05)。结论:朱氏一指禅推法联合电针对膝骨关节炎治疗具有显著作用,尤其在改善关节僵硬、躯体功能障碍及恢复膝关节活动度方面更为明显。
Abstract:
Objective:To compare the therapeutic effect of Zhu's one-finger pushing manipulation combined with electro-acupuncture and simple electro-acupuncture on knee osteoarthritis. Methods:100 patients were randomly divided into observation group and control group. VAS score, WOMAC score and ROM of knee joint were observed before treatment, 3 weeks after treatment and 3 months after treatment. Results:VAS score, WOMAC score and ROM of knee joint were significantly improved after 3 weeks and 3 months of treatment in both groups(P<0.01); There was no difference in VAS score between the two groups(P>0.05); After 3 weeks and 3 months of treatment, the improvement of WOMAC score and ROM of knee joint in the observation group were better than those in the control group(P<0.01); After 3 weeks and 3 months of treatment, the total effective rate of the observation group was better than that of the control group(P<0.05). Conclusion:Zhu's one-finger pushing manipulation combined with electro-acupuncture has significant therapeutic effect on knee osteoarthritis, especially in improving joint stiffness, physical dysfunction and restoring knee joint mobility.

参考文献/References:

[1] 冯佳,夏燕,袁林,等.类风湿性关节炎及骨关节炎患者外周血单个核细胞及滑膜成纤维细胞中白细胞介素27水平增高[J].细胞与分子免疫学杂志,2015,31(12):1673-1676.
[2] 韦贵康,施杞.实用中医骨伤科学[M].上海:上海科学技术出版社,2006:624-627.
[3] 钱忠信.中国医学百科全书·骨科学[M].上海:上海科学技术出版社,1982:186.
[4] 李宁华,张耀南,张毅,等.国内六大行政区域六城市中老年人群膝关节骨性关节炎患病危险因素比较[J].中国组织工程研究与临床康复,2007,11(39):7758-7760.
[5] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中国矫形外科杂志,2014,22(3):287-288.
[6] 张钰敏,陈志伟,方晓明,等.火龙灸配合电针治疗寒湿型退行性膝骨关节炎临床观察[J].上海针灸杂志,2019,38(3):322-326.
[7] 胡安华,程少丹.热针治疗肾虚寒凝型膝骨性关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):16-20.
[8] 石向东,吕瑛,洪春荣,等.针刺联合朱氏一指禅推拿治疗失眠症临床观察[J].上海针灸杂志,2017,36(10):1203-1206.
[9] 石向东,朱鼎成,卢新刚,等.朱氏一指禅推拿结合桑枝棒防治中风先兆临床研究[J].按摩与康复医学,2018,9(1):39-41.
[10] 刘玉秀.没有分配隐蔽则没有随机化[J].医学研究生学报,2016,29(6):561-565.
[11] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.
[12] 上海市卫生局.上海市中医病证诊疗常规[M].上海:上海中医药大学出版社,2003:83.
[13] 马浩哲,黄奎.补肾活血方对肾虚血瘀证膝关节骨性关节炎患者的疗效及其对血清细胞因子的影响[J].世界中医药,2019,14(3):696-699.
[14] SCHTT J,HUSKISSON E C.Graphic representation of pain[J].Pain,1976,2(2):175-184.
[15] STRATFORD P W,KENNEDY D M.Does parallel item content on WOMAC's pain and function subscales limit its ability to detect change in functional status[J].BNC Musculoskelet Disord,2004,5:17.
[16] 卓春萍.温针灸与针刺治疗老年性膝骨关节病的临床疗效对比[J].医学信息,2018,31(11):148-150.
[17] 国家食品药品监督管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:150-151.
[18] 张蕾,王立生,张睿,等.两种不同假体对全膝关节置换术后ROM、HSS评分和高屈曲活动能力的影响对比[J].临床和实验医学杂志,2018,17(18):1983-1986.
[19] 李中伟,许勇,刘苗苗.三七断骨膏治疗膝骨关节炎的临床观察[J].上海中医药大学学报,2014,28(6):44-47.
[20] 李上庆,董爱爱,胡芷君,等.冀来喜针灸优势技术组合治疗膝痹经验举隅[J].中国针灸,2018,38(1):71-74.
[21] 王文波,董建文,杨振国,等.加味阳和汤对早期膝骨关节炎兔关节软骨的影响[J].中医正骨,2015,27(1):1-4.
[22] 李婵,江波,金捷.中医药治疗膝骨性关节炎的研究进展[J].湖南中医杂志,2013,29(1):136-137.
[23] 蒋科卫,温建民,焦权明,等.中西医对膝骨关节炎的认识和治疗[J].中医正骨,2016,28(4):59-61.
[24] 董璐,宋花玲,车文,等.超声中频同步电疗法联合朱氏一指禅推拿治疗老年慢性功能性便秘的效果[J].中国医药导报,2016,13(28):40-43.
[25] 邓佳南,龚利,李建华,等.“以痛为输”手法对早中期膝骨关节炎患者等速肌力的影响[J].中国中医骨伤科杂志,2015,23(6):35-38.
[26] 洪文学,刘海燕.电针镇痛的原理及仪器[J].医疗卫生装备,2006,27(10):52-54.
[27] 刘兵.“溪谷”与腧穴内涵探讨[J].中国针灸,2014,34(8):772-774.
[28] 朱鼎成,陈斌.一指禅推拿力透溪谷——朱春霆学术思想浅识[J].按摩与导引,2004,20(5):55-59.

备注/Memo

备注/Memo:
基金项目:2017年上海市静安区医学科研课题(中医2017ZY09) △通信作者 E-mail:LZY1855@aliyun.com(收稿日期:2019-08-17)
更新日期/Last Update: 2020-04-06