揉髌屈膝法治疗膝骨关节炎期髌骨高位疗效分析
1. 中国中医科学院, 广安门医院推拿科, 北京 100053
2. 中国中医科学院, 广安门医院影像科, 北京 100053
| 摘 要： | 目的：观察揉髌屈膝法治疗膝骨关节炎患者的髌骨高位疗效分析。方法：研究对象来自中国中医科学院广安医院推拿科与骨科门诊，本次研究入组病例2018年3月-2019年10月，根据符合纳入标准，筛选入组76例，采用随机信封形式，随机分为试验组38例给予推拿手法为揉髌屈膝法，对照组38例给予扶他林软膏外用。治疗前后观察MRI影像中TL、TL/PL比值、髌骨高位个数WOMAC评分的总分、亚项中的疼痛程度总分、僵硬程度总分、困难程度总分变化。结果：治疗后发现TL（t=-4.065, p=0.000）、TL/PL比值（t=-2.745, p=0.008）、髌骨高位个数（t=-2.066, p=0.042）、WOMAC评分的总分（t=-2.952, p=0.004）、困难程度16项总分（t=-2.191, p=0.032），疼痛程度5项总分（t=-2.965, p=0.004）、通过统计学分析后，差异有统计学意义（P<0.05）。试验组疗效高于对照组疗效。但是其中亚项中的僵硬程度2项总分（t=-1.451, p=0.151），差异无统计学意义（P>0.05）。结论：试验组指标TL长度明显比对照组有所缩短，手法治疗髌骨高位存在一定的疗效。 |
| 关 键 词： | 膝骨关节炎; 手法; 髌骨; 点穴; 韧带 |
| DOI： | 10.57237/j.cmrd.2023.01.003 |
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收稿日期: 2023-01-27
接受日期: 2023-02-16
在线出版日期: 2023-03-02
An Exploratory Analysis of the Therapeutic Effect of Kneading the Patella and Bending the Knee on High Patella in Knee Osteoarthritis
1. Department of Massage, Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
2. Department of Imaging, Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
| Abstract: | Objective To observe the therapeutic effect of kneading the patella and bending the knee on knee osteoarthritis. Methods The study subjects were from the Massage Department and the Orthopedic Clinic of Guang'an Hospital, Chinese Academy of Traditional Chinese Medicine. From March 2018 to October 2019, 76 patients were selected into the study group according to the inclusion criteria. They were randomly divided into the test group (38 cases) and the control group (38 cases). Before and after treatment, observe the changes of TL, TL/PL ratio in MRI images, the total score of WOMAC score for the number of high patella, the total score of pain degree in sub items, the total score of stiffness degree, and the total score of difficulty degree. Results After treatment, TL (t=-4.065, p=0.000), TL/PL ratio (t=-2.745, p=0.008), number of high patella (t=-2.066, p=0.042), total score of WOMAC score (t=-2.952, p=0.004), total score of 16 items of difficulty (t=-2.191, p=0.032), and total score of 5 items of pain degree (t=-2.965, p=0.004) were found. After statistical analysis, the difference was statistically significant (P<0.05). The efficacy of the test group was higher than that of the control group. However, there was no significant difference in the total score of stiffness of the two sub items (t=-1.451, p=0.151) (P>0.05). Conclusion: The length of TL in the test group was significantly shorter than that in the control group, and there was a certain effect in the treatment of patella elevation with manipulation. |
| Keywords: | Knee Osteoarthritis; Fat Pad; Patella; Acupoint; Ligament |
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