中国中西医结合杂志2024，Vol.44Issue(11)：1307-1313,7.DOI:10.7661/j.cjim.20240710.148
三种中医理筋正骨手法治疗膝骨关节炎随机对照研究
Treatment of Knee Osteoarthritis with Three Traditional Chinese Medicine Tendon Boning Techniques:A Randomized Controlled Trial
摘要
Abstract
Objective To observe the differences in efficacy among three kinds of traditional Chinese medicine tendon boning techniques,knee-around manipulation,lumbar and hip joint treatment,and lumbar-hip-knee joint treatment,in treating patients with knee osteoarthritis(KOA).Methods A total of 385 KOA patients admitted to the First Affiliated Hospital,Hebei University of Traditional Chinese Medicine from July 2022 to May 2023 were screened,and 296 patients met the inclusion criteria.They were randomly assigned to four groups using random digit table:the knee-around manipulation group(84 cases),the lumbar and hip joint treatment group(84 cases),the lumbar-hip-knee joint treatment group(84 cases),and the blank control group(44 cases).The three treatment groups received health education,while the knee-around manipulation group received knee joint local manipulation and adjustment techniques(twice a week for 2 weeks).Patients in the lumbar and hip joint treatment group received hip joint pushing and rocking manipulation combined with spinal fixed rotation and repositioning techniques(twice a week for 2 weeks).And patients in the lumbar-hip-knee joint treatment group received knee-around manipulation and lumbar and hip joint treatment techniques(twice a week for 2 weeks).Patients in the blank control group received health education alone.The Visual Analogue Scale(VAS)and Western Ontario and McMaster Universities(WOMAC)Osteoarthritis Index of the four groups were observed before treatment and at week 2 after treatment.VAS,WOMAC,and quality of life scorey(SF-12)of the three treatment groups were compared before treatment,post-treatment 2 weeks,and post-treatment 3 months(follow-up).Results Compared with the same group before treatment,the VAS and WOMAC scores of the blank control group decreased,but with no statistical differences(P＞0.05).VAS and WOMAC significantly decreased,and SF-12 scores significantly increased in the three treatment groups at post-treatment week 2 and follow-up(all P＜0.05).VAS and WOMAC significantly decreased,and SF-12 scores significantly increased in the lumbar and hip joint treatment group and lumbar-hip-knee joint treatment group at post-treatment week 2 and follow-up(all P＜0.05).However,there were no statistically significant differences between the lumbar and hip joint treatment group or the lumbar-hip-knee joint treatment group at post-treatment week 2 and follow-up(P＞0.05).Conclusions The knee-around,lumbar and hip joint treatment,and lumbar-hip-knee joint treatment techniques had certain effects in attenuating pain,improving knee joint function,and enhancing quality of life in KOA patients.The lumbar-hip-knee joint treatment technique was more effective than the knee-around technique,but showed similar efficacy to the lumbar and hip joint treatment group.关键词
膝骨关节炎/中医正骨/膝周手法/腰髋同调/腰髋膝共治/随机对照研究Key words
knee osteoarthritis/Chinese bone setting/knee-around manipulation/lumbar and hip joint treatment/lumbar-hip-knee joint treatment/randomized controlled trial引用本文复制引用
李锡,齐立卿,杜双庆,杨立英,张永旺,尹世林,陈连伟,王静西,刘路,颜运涛,王响..三种中医理筋正骨手法治疗膝骨关节炎随机对照研究[J].中国中西医结合杂志,2024,44(11):1307-1313,7.基金项目
河北省重点研发计划项目——中医药创新专项(No.223777125D) （No.223777125D）
河北省中医药管理局科研计划项目(No.2023319) （No.2023319）
