基于虚实辨证的补泻平衡手法治疗膝骨关节炎临床研究

目的观察补泻平衡手法治疗膝骨关节炎的疗效及对患者临床症状、体征的影响。方法采用随机数字表法将220例单膝骨关节炎患者分为治疗组和对照组各110例。治疗组予补泻平衡手法,对照组予常规推拿手法,均每次20 min,每日2次,1周为1个疗程,连续治疗2个疗程。观察2组治疗前后及治疗后3、6个月全身临床症状、体征及中医证候评分,比较2组临床疗效及不良反应。结果与本组治疗前比较,2组治疗后全身临床症状、体征评分明显降低(P<0.05),治疗组中医证候评分明显降低(P<0.05);2组治疗后比较,治疗组全身临床症状、体征改善程度优于对照组(P<0.05);与本组治疗后比较,2组治疗后3、6个月全身临床症状、体征评分升高。治疗组治疗后3、6个月中医证候评分升高,仍低于治疗前(P<0.05)。治疗组总有效率为91.8%(101/110),对照组为78.2%(86/110),2组比较差异有统计学意义(P<0.05)。2组均未见不良反应。结论补泻平衡手法与常规推拿手法治疗膝骨关节炎均有效,前者疗效优于后者,且中远期疗效更佳。

Clinical Study on Buxie Balance Therapy for Treatment of Knee Osteoarthritis Based on Syndrome Differentiation of Deficiency and Excess

Objective To observe the efficacy of difference Buxie balance therapy for the treatment of knee osteoarthritis and its effects on clinical symptoms and signs of patients.Methods Totally 220 patients with osteoarthritis of one knee were divided into treatment group and control group,with 110 cases in each group,according to random number table method.Treatment group received Buxie balance therapy,while the control group received routine tuina therapy,20 mins per time,twice a day,one week as a treatment course,for consecutive two courses.The systemic clinical symptoms,signs and TCM symptom scores of the two groups before and after treatment and 3,6 months after treatment were observed.The clinical efficacy and adverse reactions of the two groups were compared.Results Compared with before treatment,the systemic clinical symptoms and physical signs scores of the two groups were significantly lower(P<0.05),TCM symptom scores in the treatment group were significantly lower(P<0.05);After treatment,the improvement of systemic clinical symptoms and signs in the treatment group was better than that in the control group(P<0.05).Compared with before treatment,the systemic clinical symptoms and physical signs scores of the two groups increased at 3 and 6 months after treatment.TCM symptom scores in the treatment group increased 3 and 6 months after treatment,which were still lower than before treatment(P<0.05).The total effective rate was 91.8%(101/110)in the treatment group and 78.2%(86/110)in the control group,with statistical significance(P<0.05).There were no adverse reactions of the two groups.Conclusion Both Buxie balance therapy and routine tuina therapy are effective in the treatment of knee osteoarthritis;the efficacy of Buxie balance therapy is better than that of routine tuina therapy,with better medium-and long-term efficacy.