| 推刮手法配合股四头肌功能锻炼治疗退行性膝关节炎的临床疗效观察 |
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投稿时间：2008-07-29
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| 作者 | Author | 单位 | Address | E-Mail |
| 王家林 |
WANG Jia-lin |
平阳县中医院骨科，浙江 平阳 325401 |
Department of Orthopaedics, the Pingyang County Hospital of TCM,Pingyang 325401,Zhejiang,China |
wangjl3@sohu.com |
| 柴春红 |
CHAI Chun-hong |
平阳县中医院骨科，浙江 平阳 325401 |
Department of Orthopaedics, the Pingyang County Hospital of TCM,Pingyang 325401,Zhejiang,China |
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| 许裔敏 |
XU Yi-min |
平阳县中医院骨科，浙江 平阳 325401 |
Department of Orthopaedics, the Pingyang County Hospital of TCM,Pingyang 325401,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第12期，第887-889页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨推刮手法配合股四头肌功能锻炼治疗退行性膝关节炎的临床疗效。
方法：纳入符合退行性膝关节炎诊断标准病例48例(60膝),随机分为治疗组和对照组，治疗组采用推刮手法配合股四头肌功能锻炼的方法，10 d为1个疗程，治疗3个疗程；对照组采用《推拿学》上治疗退行性膝关节炎的手法，10 d为1个疗程，治疗3个疗程。分别于治疗前后观察患者疼痛、关节活动度、功能和肌力的情况，判定其疗效。
结果：治疗后治疗组治愈7膝，好转21膝，无效2膝；对照组治愈8膝，好转19膝，无效3膝，组间比较差异无统计学意义。两种方法均能有效改善退行性膝关节炎的临床症状，患者治疗前后疼痛、关节活动度、功能、肌力均明显改善(P<0.05);两组间比较，治疗组对于膝关节功能和股四头肌肌力的改善优于对照组，差异有统计学意义(P<0.05),而对疼痛和活动度的改善方面与对照组比较差异无统计学意义(P>0.05).
结论：推刮手法配合股四头肌功能锻炼能有效改善退行性膝关节炎的临床症状和体征，提高患者的生活质量，减缓关节软骨的退变，防止病情进一步加重，疗效显着，值得临床推广。 |
| 【关键词】骨关节炎,膝 临床对照试验 肌肉骨骼手法 功能恢复 |
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| Clinical observations on the effect of Tuigua manipulation combined with quadriceps exercise for the treatment of degenerative gonarthritis |
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ABSTRACT
Objective: To investigate the effect of Tuigua manipulation combined with quadriceps exercise for treating degenerative gonarthritis.
Methods: In the study,48 patients(60 knees) meeting diagnostic criteria of degenerative gonarthritis were randomly divided into two groups:treatment group and control group. The patients in the treatment group were treated with Tuigua manipulation combined with quadriceps exercise;while the patients in the control group were treated with manipulation for osteoarthritis in Tuina Xue. All the patient in the control and treatment group were treated for 3 courses of treatment,and 10 days were one course of treatment. The index such as pain,joint range of motion,function and muscle power were observed and compared before and after treatment.
Results: After treatment,in the treatment group,7 knees were cured,21 knees got a good result and 2 knees had no effect;while in the control group,the above data were 8,19,3 respectively. There was no statistically differences between the therapeutic effects of the two groups. Both methods were effective to improve clinical symptoms of degenerative gonarthritis,and the index such as the pain,joint range of motion,function and muscle power of the patients in two groups were improved after the treatment(P<0.05). Comparison between the two groups,the improvement of knee function and quadriceps muscle power of patients in treatment group was better than that of control group(P<0.05);but the improvement of pain and joint range of motion in two groups had no statistically differences(P>0.05).
Conclusion: The method of Tuigua manipulation combined with quadriceps exercise is effective to improve clinical signs and symptoms of patients with degenerative gonarthritis,to improve quality of life of patients,slow down degenerative of arthrodial cartilage,prevent the disease aggravating,which is worth spreading. |
| KEY WORDS Osteoarthritis,knee Controlled clinical trials Musculoskeletal manipulation Habilitation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王家林,柴春红,许裔敏.推刮手法配合股四头肌功能锻炼治疗退行性膝关节炎的临床疗效观察[J].中国骨伤,2008,21(12):887~889 |
| 英文格式: | WANG Jia-lin,CHAI Chun-hong,XU Yi-min.Clinical observations on the effect of Tuigua manipulation combined with quadriceps exercise for the treatment of degenerative gonarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(12):887~889 |
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