[1]金光一 李放.腰髋膝综合手法治疗膝关节骨性关节炎60例[J].中国中医骨伤科杂志,2021,29(05):56-58.
 JIN Guangyi LI Fang.60 Cases of Lumbar Hip and Knee Joint ManipulationTreatment for Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(05):56-58.
点击复制

腰髋膝综合手法治疗膝关节骨性关节炎60例()
分享到:

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

卷:
第29卷
期数:
2021年05期
页码:
56-58
栏目:
临床报道
出版日期:
2021-05-15

文章信息/Info

Title:
60 Cases of Lumbar Hip and Knee Joint ManipulationTreatment for Knee Osteoarthritis
文章编号:
1005-0205(2021)05-0056-03
作者:
金光一1 李放1
1辽宁中医药大学附属第二医院(沈阳,110034)
Author(s):
JIN Guangyi1 LI Fang1
1The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,China.
关键词:
手法治疗 膝关节骨性关节炎 筋骨失衡
Keywords:
manipulation therapy osteoarthritis of knee joint tendon and bone imbalance
分类号:
R684.3
文献标志码:
B
摘要:
目的:探讨腰髋膝关节综合手法治疗早中期膝关节骨性关节炎的临床疗效。方法:选取本院2018年6月至2019年6月入院的早中期膝关节骨性关节炎患者60例,腰髋膝关节行综合手法治疗1个疗程并随访1个月。根据西安大略和麦克马斯特大学骨关节炎指数(WOMAC)及临床疗效评价进行统计处理分析。结果:患者治疗前后及随访WOMAC评分比较差异有统计学意义(P<0.05)。总有效率为86.67%,随访1个月的复发率为3.85%。结论:腰髋膝关节综合手法治疗早中期膝关节骨性关节炎能明显改善关节症状、增加活动度及降低复发率,值得临床推广应用。
Abstract:
To explore the clinical efficacy of lumbar hip and knee joint manipulation treatment for early and middle knee osteoarthritis.Methods:60 patients with early and middle stage knee osteoarthritis admitted to our hospital from June 2018 to June 2019 were selected and given lumbar hip and knee joint manipulation treatment for one course of treatment and followed up for one month.The osteoarthritis index(WOMAC)and clinical efficacy evaluation of Western Ontario and McMaster University were used.Results:There were significant differences in WOMAC score before and after treatment and follow-up(P<0.05).The total effective rate was 86.67%.The recurrence rate was 3.85% during the follow-up for 1 month.Conclusion:Lumbar hip and knee joint manipulation treatment can significantly improve the joint symptoms,increase the mobility and reduce the recurrence rate for early and middle stage knee osteoarthritis,which is worthy of widespread clinical application.

参考文献/References:

[1] 雷光华,王坤正.骨关节炎诊疗指南(2018年版)解读[J].中华骨科杂志,2018(12):716-717.
[2] 元唯安,詹红生,杜国庆.论“筋主骨从”观念在慢性筋骨病损诊疗中的临床意义[J].上海中医药杂志,2019,53(9):12-15.
[3] 许云腾,丽梅,李慧,等.从筋骨的力学特性探讨膝关节软骨-软骨下骨稳态失衡的生物力学机制[J].风湿病与关节炎,2019,8(12):43-45.
[4] 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.
[5] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:31.
[6] 郭汝松,吴晓庆,范志勇,等.基于半脱位复合体内涵探讨中医脊柱推拿治疗脊柱筋伤病的理论基础[J].广州中医药大学学报,2017,7(4):598-601.
[7] 谢平金,史桐雨,柴生颋,等.“骨、筋、肌肉”三位一体对膝骨关节炎的防治作用[J].中国骨质疏松杂志,2018,24(7):959-965.
[8] 丁呈彪,周云.膝骨性关节炎患者滑膜炎的发病机制及研究进展[J].中国组织工程研究,2015,19(51):8327-8332.
[9] 范华雨,张荣,蔡尚欢,等.基于筋滞骨错理论探讨膝骨关节炎的临床诊疗[J].中医研究,2018,31(10):5-7.
[10] 翁文水.“筋出槽”——中医对软组织错位的认识[J].中国中医骨伤科杂志,2017,25(9):71-72.
[11] 谢冰,林金玉,邹俊峰.针刺配合整脊手法治疗膝关节骨性关节炎疗效观察[J].广西中医药大学学报,2017,20(3):28-29.

更新日期/Last Update: 2021-05-15