摘要
目的:探讨壮医经筋“髌骨松动术”治疗早中期膝骨关节炎(KOA)的临床疗效。方法:选取广西壮族自治区某医院收治的早中期KOA患者60例,按照SPSS 27.0软件将患者分为观察组和对照组各30例。对照组实施中医推拿手法+电针+火罐治疗,观察组选择壮医经筋“髌骨松动术”治疗,共治疗1个疗程,观察两组患者治疗前后KOA的临床症状和体征的变化。结果:观察组治疗后的KOA的临床症状和体征优于对照组(P<0.05)。观察组总有效率为96.67%,对照组总有效率为93.33%,两组对比有统计学意义(P<0.01)。两组均能减轻患者膝关节的疼痛和改善患者的行走功能和日常活动功能,但观察组效果优于对照组,两组对比有显著统计学意义(P<0.01)。结论:壮医经筋“髌骨松动术”在减轻KOA患者的疼痛感觉,以及改善患者的症状体征方面效果更优,值得临床推广应用。
Objective:To explore the clinical efficacy of the“patella mobilization technique”of Zhuang medical meridian sinews in the treatment of early and middle-stage knee osteoarthritis(KOA).Methods:Sixty patients with early and middle-stage KOA admitted to a hospital in Guangxi Zhuang autonomous region were selected.Using SPSS 27.0 software,the patients were divided into an observation group and a control group,with 30 cases in each group.The control group was treated with traditional Chinese medicine massage techniques,electro acupuncture and cupping therapy,while the observation group was treated with the“patella mobilization technique”of Zhuang medical meridian sinews.A total of one course of treatment was carried out,and the changes in the clinical symptoms and signs of KOA before and after treatment in the two groups were observed.Results:The clinical symptoms and signs of KOA in the observation group after treatment were better than those in the control group(P<0.05).The total effective rate in the observation group was 96.67%,and that in the control group was 93.33%.There was a statistically significant difference between the two groups(P<0.01).Both groups could relieve the pain of patients'knee joints and improve patients'walking function and daily activity function,but the effect of the observation group is better than that of the control group.There was a significant statistical difference between the two groups(P<0.01).Conclusion:The“patella mobilization technique”of Zhuang medical meridian sinews has a better effect in relieving the pain of KOA patients and improving the symptoms and signs of patients,and it is worthy of clinical promotion and application.
作者
吕计宝
吴家杏
陈蓉蓉
罗珊珊
梁树勇
韦英才
Lyu Jibao;Wu Jiaxing;Chen Rongrong;Luo Shanshan;Liang Shuyong;Wei Yingcai(International Zhuang Medical Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530021,China;Graduate College,Guangxi University of Chinese Medicine,Nanning 530200,China;College of Zhuang Medicine,Guangxi University of Chinese Medicine,Nanning 530001,China)
出处
《亚太传统医药》
2025年第3期78-82,共5页
Asia-Pacific Traditional Medicine
基金
广西医疗卫生适宜技术开发与推广应用项目(S2019007)
广西重点研发计划项目(桂科AB21196035)
韦英才广西名中医工作室(GZY2024025)
广西中医药重点学科建设项目(GZXK-Z-20-61)
广西中医药大学附属国际壮医医院“青苗工程”人才培育项目资助(2022001)。
关键词
膝骨关节炎
壮医经筋“髌骨松动术”
火针
Knee Osteoarthritis
The“Patella Mobilization Technique”of Zhuang Medical Meridian Sinews
Fire-Acupuncture
作者简介
吕计宝(1985-),男,硕士,广西中医药大学附属国际壮医医院副主任医师,研究方向为壮医经筋疗法临床研究;通讯作者:梁树勇(1968-),男,广西中医药大学附属国际壮医医院主任医师,研究方向为壮医经筋疗法临床研究。E-mail:lshynn@163.com。
