实用医学杂志2024，Vol.40Issue(17)：2495-2502,8.DOI:10.3969/j.issn.1006-5725.2024.17.024
脊柱-骨盆-下肢力线正骨手法治疗膝骨关节炎的疗效评价
Evaluation of the curative effect of traditional Chinese medicine bone-setting technique in the treatment of knee osteoarthritis
摘要
Abstract
Objective To observe the clinical effect of traditional Chinese medicine bone-setting technique using spinal,pelvi-lower extremity line to treat patients with knee osteoarthritis(KOA).Methods 426 patients with KOA were all from the First Affiliated Hospital of Hebei University of Traditional Chinese Medicine.They were randomly divided into experimental group(384 cases,57 cases of elimination,shedding and termination)by computer generated sequence.Traditional Chinese bone setting techniques were applied with spinal-pelvic-lower limb force line(divided into three parts:lumbar fixed point reduction method,hip joint push-pull and extension method and knee peripheral tendon recovery method every 3 days.2 weeks)treatment;The control group was the waiting treatment group(48 cases,6 cases were eliminated,abscission,termination),which was only used for clinical observation for 2 weeks.The main outcome index was WOMAC pain score.Secondary outcome measures were WOMAC stiffness score,functional score,standardized score and quality of life score(SF-12).The test time points were baseline,2 weeks after enrollment,and follow-up(14 weeks after enrollment).The control group was at baseline and 2 weeks after enrollment.Results Compared with baseline,WOMAC pain score,stiffness score,functional score and standardized score were all decreased in 2 groups 2 weeks after enrollment(P<0.05),but the experimental group was significantly decreased compared with the control group(P<0.001).SF-12 quality of life scores were all higher than before(P<0.001),but the experimental group was significantly higher than the control group(P<0.001).At follow-up,compared with 2 weeks after enrollment,WOMAC pain scores were increased(P<0.001),WOMAC stiffness,joint function and standardized scores were decreased(P<0.001),and SF-12 scores were increased(P<0.001).Conclusion The use of spinal-pelvi-lower extremity line of traditional Chinese medicine bone-setting technique in the treatment of KOA is effective in improving the knee joint function and improving the quality of life of patients,but the short-term effect of pain relief is good,and the long-term effect is not good.Its safety is good,and it can be considered in clinical application for KOA patients with joint dysfunction as the main manifestation.关键词
膝骨关节炎/脊柱-骨盆-下肢力线/手法治疗Key words
knee osteoarthritis/spine-pelvi-lower limb force line/manual therapy分类
医药卫生引用本文复制引用
李锡,刘路,齐立卿,杜双庆,张健,刘郭辉,刘云昊,张泽坤,高天慈,王静西,张永旺,尹世林..脊柱-骨盆-下肢力线正骨手法治疗膝骨关节炎的疗效评价[J].实用医学杂志,2024,40(17):2495-2502,8.基金项目
河北省重点研发计划项目—中医药创新专项(编号:223777125D) （编号:223777125D）
河北省中医药管理局科研计划项目(编号:2023319) （编号:2023319）
