摘要
目的观察穴位按摩联合八段锦锻炼在改善肝肾不足、瘀血内阻型膝骨关节炎中的应用效果。方法选取2019年2月至2020年1月河北省唐山市中医医院骨伤疼痛科收治的82例肝肾不足、瘀血内阻型膝骨关节炎患者,根据随机数字表法将其分为对照组和观察组,每组各41例。对照组予以穴位按摩治疗,观察组在对照组基础上予以八段锦锻炼治疗。治疗8周后,比较两组临床疗效,分析两组治疗前、治疗8周后西安大略和麦克马斯特大学关节炎指数评分、中医症状评分、膝关节核磁共振成像评分情况。结果治疗8周后,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。两组西安大略和麦克马斯特大学关节炎指数评分、中医症状评分、膝关节核磁共振成像评分均较治疗前降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论穴位按摩联合八段锦锻炼治疗肝肾不足、瘀血内阻型膝骨关节炎患者的效果显著,可明显降低西安大略和麦克马斯特大学关节炎指数评分、中医症状评分、膝关节核磁共振成像评分。
Objective To observe the application effect of acupoint massage combined with Baduanjin exercise in improving knee osteoarthritis of liver and kidney deficiency and blood stasis internal resistance.Methods A total of 82 patients with knee osteoarthritis with liver and kidney insufficiency and blood stasis and internal resistance were selected from February 2019 to January 2020 in the Department of Bone Injury and Pain,Tangshan Hospital of Traditional Chinese Medicine,Hebei Province,according to random number table method,they were divided into control group and observation group,with 41 cases in each group.The control group was given acupoint massage treatment,and the observation group was given Baduanjin exercise treatment based on the control group.After eight weeks of treatment,the clinical efficacy of the two groups were compared,and the scores of Western Ontario and McMaster University arthritis index,Chinese medicine symptom score and knee MRI score were analyzed before and after eight weeks of treatment.Results After eight weeks of treatment,the total effective rate of observation group was higher than that of control group,the difference was statistically significant(P<0.05).Western Ontario and McMaster University arthritis index score,Chinese medicine symptom score and knee MRI score were all lower than those before treatment,and the observation group was lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Acupoint massage combined with Baduanjin exercise has a remarkable effect on the treatment of knee osteoarthritis with liver and kidney insufficiency and blood stasis.Significantly reduced Western Ontario and McMaster University arthritis index scores,Chinese medicine symptom scores,and knee MRI scores.
作者
高超
石志敏
李雪青
GAO Chao;SHI Zhimin;LI Xueqing(Department of Surgery,Zhaogezhuang Hospital,Kailuan General Hospital,Hebei Province,Tangshan 063000,China;Department of Bone Injury and Pain,Tangshan Hospital of Traditional Chinese Medicine,Hebei Province,Tangshan 063000,China;Traditional Chinese Medicine College,North China University of Science and Technology,Hebei Province,Tangshan 063210,China)
出处
《中国医药导报》
CAS
2022年第7期181-185,共5页
China Medical Herald
基金
河北省中医药管理局中医药类科研计划课题(2019206)。
关键词
穴位按摩
八段锦
膝骨关节炎
肝肾不足、瘀血内阻型
疗效
Acupoint massage
Baduanjin
Knee osteoarthritis
Deficiency of liver and kidney,blood stasis and internal resistance
Curative effect
作者简介
通讯作者:石志敏(1978.6-),男,硕士,主任中医师,研究方向:膝骨关节炎的中西医结合治疗。
