| 运动针法与整骨疗法治疗创伤性膝关节炎的疗效观察 |
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投稿时间：2019-03-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 瞿晓东 |
QU Xiao-dong |
南京中医药大学附属徐州市中心医院康复科, 江苏 徐州 221000 |
Department of Rehabilitation, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou Rehabilitation Hospital, Xuzhou 221000, Jiangsu, China |
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| 周敬杰 |
ZHOU Jing-jie |
徐州市康复医院, 江苏 徐州 221000 |
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| 翟宏伟 |
ZHAI Hong-wei |
南京中医药大学附属徐州市中心医院康复科, 江苏 徐州 221000 |
Department of Rehabilitation, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou Rehabilitation Hospital, Xuzhou 221000, Jiangsu, China |
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| 陈伟 |
CHEN Wei |
南京中医药大学附属徐州市中心医院康复科, 江苏 徐州 221000 |
Department of Rehabilitation, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou Rehabilitation Hospital, Xuzhou 221000, Jiangsu, China |
chenwei2339@163.com |
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| 期刊信息：《中国骨伤》2019年，第32卷，第6期，第493-497页 |
| DOI：10.3969/j.issn.1003-0034.2019.06.002 |
| 基金项目: |
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中文摘要:
目的：探究运动针法与整骨疗法治疗创伤性膝关节炎的临床疗效。
方法：将51例创伤性膝关节炎患者分为3组，即常规组、运动针法组和整骨疗法组。常规组17例，男12例，女5例；年龄（49.4±8.9）岁；病程（4.89±1.52）年；治疗前WOMAC总评分100.77±15.48。运动针法组17例，男11例，女6例；年龄（48.6±10.1）岁；病程（4.21±1.37）年；治疗前WOMAC总评分106.16±14.95。整骨疗法组17例，男8例，女9例；年龄（52.3±8.4）岁；病程（4.79±1.50）年；治疗前WOMAC总评分103.87±10.14。常规组予常规康复治疗，运动针法组采用常规康复治疗方法加运动针法，整骨疗法组采用整骨疗法加常规康复治疗。比较治疗前及治疗4周后3组患者的WOMAC评分及膝关节活动度变化情况。
结果：整骨疗法组整体疗效优于常规治疗组（Z=3.151，P=0.005）。治疗前后WOMAC评分，常规组：疼痛23.84±4.66、11.98±2.66，僵硬10.44±1.71、6.42±0.74，日常活动困难程度66.49±11.85、35.80±4.44；运动针法组：疼痛22.64±3.22、8.90±2.19，僵硬11.82±2.57、6.03±1.06，日常活动困难程度71.72±13.59、32.94±4.73；整骨疗法组：疼痛22.38±3.68、10.66±2.75，僵硬11.81±2.08、5.63±1.69，日常活动困难程度69.69±8.96、28.84±5.76。治疗后组间比较，在疼痛得分方面运动针法组优于其他两组，僵硬得分3组间差异无统计学意义，日常活动困难程度整骨疗法组优于其他两组，WOMAC总分运动针法与整骨疗法组均优于常规组，但两者间差异无统计学意义。
结论：在常规康复治疗基础上加用运动针法与整骨疗法，对于创伤性膝关节炎患者关节疼痛、关节活动障碍等方面的改善具有积极意义，值得推广。 |
| 【关键词】骨关节炎 膝 针刺疗法 手法 整骨 中药疗法 |
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| Therapeutic effect of exercise acupuncture and osteopathy on traumatic knee arthritis |
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ABSTRACT
Objective:To explore the clinical efficacy of exercise acupuncture and osteopathy in the treatment of traumatic knee arthritis.
Methods:Fifty-one patients with traumatic knee arthritis were divided into three groups:routine group,exercise acupuncture group and osteopathy group. In the routine group,there were 17 cases,12 males and 5 females,with a mean age of (49.4±8.9) years old;the averaged course of disease was (4.89±1.52) years;total WOMAC score before treatment was 100.77±15.48. Seventeen patients (11 males and 6 females) in the exercise acupuncture group were aged (48.6±10.1) years old;the course of disease was (4.21±1.37) years;and the total WOMAC score before treatment was 106.16±14.95. In the osteopathy group,there were 17 cases,8 males and 9 females,with a mean age of (52.3±8.4) years old;the average course of disease was (4.79±1.50) years;total WOMAC score before treatment was 103.87±10.14. The patients in the routine group were treated with routine rehabilitation;the patients in the exercise acupuncture group were treated with routine rehabilitation combined with exercise acupuncture,and the patients in the osteopathy group were treated with osteopathy combined with routine rehabilitation. The changes of WOMAC score and ROM in three groups were compared before treatment and 4 weeks after treatment.
Results:The overall effect of osteopathy group was better than that of routine group (Z=3.151,P=0.005). The scores of WOMAC before and after treatment:pain of 23.84±4.66,11.98±2.66,stiffness of 10.44±1.71,6.42±0.74,daily life of 66.49±11.85,35.80±4.44 in the routine group;pain of 22.64±3.22,8.90±2.19,stiffness of 11.82±2.57,6.03±1.06,daily life of 71.72±13.59,32.94±4.73 in the exercise acupuncture group;pain of 22.38±3.68,10.66±2.75,stiffness of 11.81±2.08,5.63±1.69,daily life of 69.69±8.96,28.84±5.76 in the osteopathy group. Compared with the other two groups after treatment,the improvement of pain score in the exercise acupuncture group was better than those in the other two groups. There were no significant differences in stiffness score among the three groups. The degree of difficulty in daily life in the osteopathy group was better than that in the other two groups. The total score of WOMAC in the exercise acupuncture group and the osteopathy group were better than that in the conventional group,but there was no significant difference between the two groups.
Conclusion:On the basis of routine rehabilitation treatment,exercise needling and osteopathy have positive significance for the improvement of joint pain and dysfunction of joint movement in patients with traumatic knee arthritis,with certain popularlized value in the treatment of traumatic knee arthritis. |
| KEY WORDS Osteoarthritis knee Acupuncture therapy Manipulation osteopathic Drug therapy(TCD) |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 瞿晓东,周敬杰,翟宏伟,陈伟.运动针法与整骨疗法治疗创伤性膝关节炎的疗效观察[J].中国骨伤,2019,32(6):493~497 |
| 英文格式: | QU Xiao-dong,ZHOU Jing-jie,ZHAI Hong-wei,CHEN Wei.Therapeutic effect of exercise acupuncture and osteopathy on traumatic knee arthritis[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(6):493~497 |
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