[1]张成,贾新燕,孟庆森,等.辨构论治指导下骨伤推拿手法治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2024,32(05):31-35+40.[doi:10.20085/j.cnki.issn1005-0205.240506]
　ZHANG Cheng,JIA Xinyan,MENG Qingsen,et al.Clinical Study of Bone Injury Massage Technique in the Treatment of Knee Osteoarthritis under the Guidance of Structural Differentiation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(05):31-35+40.[doi:10.20085/j.cnki.issn1005-0205.240506]
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辨构论治指导下骨伤推拿手法治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年05期
页码:
31-35+40
栏目:
临床研究
出版日期:
2024-05-15

文章信息/Info

Title:
Clinical Study of Bone Injury Massage Technique in the Treatment of Knee Osteoarthritis under the Guidance of Structural Differentiation
文章编号:
1005-0205(2024)05-0031-05
作者:
张成1; 贾新燕1; 孟庆森1; 刘剑宏1; 周钰健1; 刘家邑1; 齐伟1△
1深圳市宝安纯中医治疗医院(广东 深圳,518101)
Author(s):
ZHANG Cheng1; JIA Xinyan1; MENG Qingsen1; LIU Jianhong1; ZHOU Yujian1; LIU Jiayi1; QI Wei1△
1Shenzhen Bao'an Pure Traditional Chinese Medicine Treatment Hospital,Shenzhen 518101,Guangdong China.
关键词:
膝骨关节炎;  辨构论治;  骨伤推拿;  中医思维;  诊疗理念
Keywords:
knee osteoarthritis;  differential structure-based treatment;  bone injury massage;  TCM thinking;  diagnosis and treatment philosophy
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.240506
文献标志码:
A
摘要:
目的:探讨辨构论治指导下骨伤推拿手法对膝骨关节炎(KOA)的临床疗效。方法:采用前瞻性随机对照研究设计,选择符合纳入标准的膝骨关节炎患者72例,按随机数字表法分为治疗组和对照组,各36例。治疗组接受辨构论治指导下的骨伤推拿治疗,对照组采用常规推拿治疗。两组治疗前后,应用视觉模拟量表(VAS)、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分量表和健康状况调查简表(SF-36)评分对两组患者的临床疗效进行评价。结果:治疗组治疗后VAS评分由(5.74±1.12)分降至(2.23±0.85)分,差异有统计学意义(P<0.001); WOMAC评分中膝关节僵硬评分由(5.07±1.22)分降至(1.73±0.62)分,差异有统计学意义(P<0.001); 关节疼痛评分由(9.32±1.51)分降至(3.57±0.71)分,差异有统计学意义(P<0.001); 活动功能评分由(38.90±5.48)分降至(15.44±3.92)分,差异有统计学意义(P<0.001); SF-36评分由(69.28±7.90)分升至(88.39±9.02)分,差异有统计学意义(P<0.001)。治疗组以上结局指标改善均优于对照组,差异有统计学意义(P<0.05)。结论:辨构论治思想可以明确指导骨伤推拿治疗膝骨关节炎的方向,骨伤推拿手法可以准确实施辨构论治的治疗原则,两者联合应用可发挥各自优势,实现协同增效,显著改善膝骨关节炎患者的症状和生活质量,为膝骨关节炎的中医治疗提供新的证据。
Abstract:
Objective:To explore the clinical efficacy of bone injury massage under the guidance of differential structure-based treatment in the treatment of knee osteoarthritis(KOA).Methods:A prospective randomized controlled research design was employed,wherein 72 patients with KOA who met the inclusion criteria were selected.These patients were randomly allocated into two groups using a random number table:the treatment group(36 cases)and the control group(36 cases).The treatment group received bone injury massage under the guidance of differential structure-based treatment,while the control group received conventional massage therapy.Before and after the treatment,clinical efficacy was assessed in both groups using visual analogue scale(VAS),Western Ontario and McMaster Universities(WOMAC)osteoarthritis index,and SF-36 scores.Results:In the treatment group,the VAS scores decreased from(5.74±1.12)points before treatment to(2.23±0.85)points after treatment(P<0.001).The WOMAC scores exhibited significant improvements,with knee joint stiffness scores decreasing from(5.07±1.22)points to(1.73±0.62)points(P<0.001),joint pain scores decreasing from(9.32±1.51)points to(3.57±0.71)points(P<0.001),and activity function scores decreasing from(38.90±5.48)points to(15.44±3.92)points(P<0.001).Additionally,SF-36 scores increased from(69.28±7.90)points to(88.39±9.02)points(P<0.001).All of these outcome measures showed significantly better improvements compared to the control group(P<0.05).Conclusion:The philosophy of differential structure-based treatment can effectively guide the direction of bone injury massage in the treatment of KOA.Bone injury massage techniques can be precisely aligned with the principles of differential structure-based treatment.The combined application of these approaches leverages their respective advantages and achieves synergistic effects,significantly improving the symptoms and quality of life for KOA patients.This provides new evidence for the Chinese medicine treatment of KOA.

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备注/Memo

备注/Memo:
基金项目:深圳市宝安区科技计划-基础研究项目(2020JD544)
△通信作者 E-mail:shaoyao4580@163.com
更新日期/Last Update: 2024-05-15