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[1]梅其杰,袁長深,段戡,等.壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):27-30.
　MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(07):27-30.
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壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關(guān)節(jié)炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年07期
頁碼:
27-30
欄目:
膝骨關(guān)節(jié)炎
出版日期:
2015-07-31

文章信息/Info

Title:
Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis
作者:
梅其杰1; 袁長深1; 段戡1; 黃肖華1; 陳勁1; 姚弘毅2
1.廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院,廣西 南寧 530023;
2.華中科技大學(xué)附屬梨園醫(yī)院,湖北 武漢 430077
Author(s):
MEI Qijie1; YUAN Changshen1; DUAN Kan1; HUANG Xiaohua1; CHEN Jin1; YAO Hongyi2
1.The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530023,Guangxi,China
2.Liyuan Hospital Affiliated to Huazhong University of Science and Technology,Wuhan 430077,Hubei,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  壯藥;  熨法;  運動療法;  治療; 臨床研究性
Keywords:
osteoarthritis; knee;  ZHUANG DRUGS;  hot packet therapy;  exercise therapy;  therapies; investigational
摘要:
目的:觀察壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關(guān)節(jié)炎的臨床療效。方法:將60例膝骨關(guān)節(jié)炎患者隨機(jī)分為4組,每組15例,分別采用壯藥骨痹方燙熨聯(lián)合運動療法、運動療法、口服雙氯芬酸鈉聯(lián)合運動療法、壯藥骨痹方燙熨治療。分別于治療前、治療2周后及治療8周后,記錄并比較4組患者徒手肌力檢查(manual muscle testing,MMT)評分和美國膝關(guān)節(jié)協(xié)會評分(knee society score,KSS)。結(jié)果:治療前后不同時間點間MMT評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=5.068,P=0.004); 4組患者M(jìn)MT評分比較,組間差異有統(tǒng)計學(xué)意義,存在分組效應(yīng)(F=2.086,P=0.033); 治療前4組患者M(jìn)MT評分比較,組間差異無統(tǒng)計學(xué)意義[(70.0±16.9)分,(70.0±19.4)分,(71.7±16.0)分,(71.7±18.6)分,F=2.086,P=0.100]; 治療2周后和治療8周后,壯藥骨痹方燙熨聯(lián)合運動療法組MMT評分均高于運動療法組、口服雙氯芬酸鈉聯(lián)合運動療法組、壯藥骨痹方燙熨組[(90.0±12.7)分,(88.0±14.8)分,(88.3±12.9)分,(86.1±13.4)分,F=3.846,P=0.014;(95.0±10.4)分,(90.0±10.4)分,(91.3±11.4)分,(88.3±14.8)分,F=12.570,P=0.000]; 時間因素和分組因素存在交互效應(yīng)(F=5.016,P=0.002)。治療前后不同時間點間KSS評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=53.860,P=0.000); 4組患者KSS評分比較,組間差異有統(tǒng)計學(xué)意義,存在分組效應(yīng)(F=528.816,P=0.000); 治療前4組患者KSS評分比較,組間差異無統(tǒng)計學(xué)意義[(144.0±5.6)分,(143.0±6.3)分,(144.0±5.7)分,(143.0±6.1)分, F=0.048,P=0.986]; 治療2周后和治療8周后,壯藥骨痹方燙熨聯(lián)合運動療法組KSS評分均高于運動療法組、口服雙氯芬酸鈉聯(lián)合運動療法組、壯藥骨痹方燙熨組[(253.0±5.5)分,(238.0±6.8)分,(243.0±5.7)分,(233.0±6.0)分,F=528.816,P=0.000;(263.0±5.7)分,(234.0±6.5)分,(234.0±3.7)分,(225.0±6.6)分,F=125.620,P=0.000]; 時間因素和分組因素存在交互效應(yīng)(F=5.008,P=0.002)。結(jié)論:壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關(guān)節(jié)炎,能夠改善膝關(guān)節(jié)功能,提高股四頭肌肌力,療效優(yōu)于單純運動療法、單純壯藥骨痹方燙熨和口服雙氯芬酸鈉聯(lián)合運動療法,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the curative effect of hot compressing and rubbing with packet of a sort of ZHUANG drug named Gubi Fang(骨痹方,GBF)combined with exercise therapy in the treatment of knee osteoarthritis(KOA).Method:Sixty patients with KOA were randomly divided into 4 groups,15 cases in each group.The patients were treated with the combination of hot compressing and rubbing with packet of GBF and exercise therapy(GBF and exercise group),exercise monotherapy(exercise group),combination of oral administration of diclofenac sodium and exercise therapy(DFN and exercise group)and monotherapy of hot compressing and rubbing with packet of GBF(GBF group)respectively.Manual muscle testing(MMT)score and American knee society score(KSS)of the 4 groups were recorded and compared with each other before the treatment,at 2 and 8 weeks after the treatment respectively.Results:There was statistical difference in MMT score between different time points,in other words,there was time effect(F=5.068,P=0.004).There was statistical difference in MMT score between the 4 groups,in other words,there was grouping effect(F=2.086,P=0.033).No statistical difference was found between the 4 groups in MMT score before the treatment(70.0+/-16.9,70.0+/-19.4,71.7+/-16.0,71.7+/-18.6 points,F= 2.086,P=0.100).At 2 and 8 weeks after the treatment,MMT score was higher in GBF and exercise group compared to exercise group,DFN and exercise group and GBF group(90.0+/-12.7,88.0+/-14.8,88.3+/-12.9,86.1+/-13.4 points,F=3.846,P=0.014; 95.0+/-10.4,90.0+/-10.4,91.3+/-11.4,88.3+/-14.8 points,F=12.570,P=0.000),and there was interaction between time factor and grouping factor(F=5.016,P=0.002).There was statistical difference in KSS between different time points,in other words,there was time effect(F=53.860,P=0.000).There was statistical difference in KSS between the 4 groups,in other words,there was grouping effect(F=528.816,P=0.000).No statistical difference was found in KSS between the 4 groups before the treatment(144.0+/-5.6,143.0+/-6.3,144.0+/-5.7,143.0+/-6.1 points,F=0.048,P=0.986).At 2 and 8 weeks after the treatment,KSS was higher in GBF and exercise group compared to exercise group,DFN and exercise group and GBF group(253.0+/-5.5,238.0+/-6.8,243.0+/-5.7,233.0+/-6.0 points,F=528.816,P=0.000; 263.0+/-5.7,234.0+/-6.5,234.0+/-3.7,225.0+/-6.6 points,F=125.620,P=0.000),and there was interaction between time factor and grouping factor(F=5.008,P=0.002).Conclusion:Hot compressing and rubbing with packet of GBF combined with exercise therapy can improve the knee function and strengthen the quadriceps femoris,and it has a better curative effect on KOA compared to exercise monotherapy,GBF monotherapy and combination of oral administration of diclofenac sodium with exercise therapy,so it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

[1] Hochberg MC,Altman RD,Brandt KD,et al.Guidelines for the medical management of osteoarthritis.PartⅡ.Osteoarthritis of the knee.American College of Rheumatology[J].Arthritis Rheum,1995,38(11):1541-1546.
[2] Kellgren JH,Lawrence JS.Radiological assesment of osteoarthritis[J].Ann Rheum Dis,1957,16(4):494-502.
[3] 國家中醫(yī)藥管理局醫(yī)政司.22個專業(yè)95個病種中醫(yī)診療方案(合訂本)[M].北京:中國中醫(yī)藥出版社,2012:131-132.
[4] 中華醫(yī)學(xué)會風(fēng)濕病學(xué)分會.骨關(guān)節(jié)炎診斷及治療指南[J].中華風(fēng)濕病學(xué)雜志,2010,14(6):416-419.
[5] 南登崑.康復(fù)醫(yī)學(xué)[M].北京:人民衛(wèi)生出版社,2004:35-50.
[6] 袁長深,梅其杰,段戡,等.雙醋瑞因聯(lián)合股四頭肌鍛煉改善中老年膝骨關(guān)節(jié)炎癥狀的療效[J].廣東醫(yī)學(xué),2011,32(20):2707-2709.
[7] Insall JN,Dorr LD,Scott RD,et al.Rationale of the knee society clinical rating system[J].Clin Orthop Relat Res,1989,(248):13-14.
[8] 譚福柱,張樂鑫,任樹軍.針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(1):20-22.
[9] 袁長深,梅其杰,段戡,等.中藥燙熨加貼敷療法治療膝骨關(guān)節(jié)炎的療效及安全性研究[J].時珍國醫(yī)國藥,2013,24(11):2698-2700.
[10] Van Der Esch M,Holla JF,Van Der Leeden M,et al.Decrease of muscle strength is associated with increase of activity limitations in early knee osteoarthritis:3-Year results from the cohort hip and cohort knee study[J].Arch Phys Med Rehabil,2014,95(10):1962-1968.
[11] Sanchez-Ramirez DC,Van der Leeden M,Knol DL,et al.Association of postural control with muscle strength,proprioception,self-reported knee instability and activity limitations in patients with knee osteoarthritis[J].J Rehabil Med,2013,45(2):192-197.
[12] 楊藝,林劍浩.運動療法治療膝關(guān)節(jié)炎的現(xiàn)狀及研究進(jìn)展[J].中國臨床醫(yī)生,2010,38(7):14-16.
[13] 張世明.運動療法在骨科康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2014,26(9):3-5.
[14] 蔣春國,崔瑞花,李社玲.神經(jīng)肌肉電刺激結(jié)合康復(fù)療法治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的療效觀察[J].中國康復(fù)醫(yī)學(xué)雜志,2014,29(4):354-356.
[15] Zhang SL,Liu HQ,Xu XZ,et al.Effects of exercise therapy on knee joint function and synovial fluid cytokine levels in patients with knee osteoarthritis[J].Mol Med Rep,2013,7(1):183-186.
[16] 陳小朋.股四頭肌功能鍛煉配合骨痹舒片治療膝骨關(guān)節(jié)炎30例[J].風(fēng)濕病與關(guān)節(jié)炎,2013,2(5):24-25.
[17] 常智躍.電針配合康復(fù)訓(xùn)練對30例膝關(guān)節(jié)術(shù)后股四頭肌肌力恢復(fù)影響的研究[J].世界中醫(yī)藥,2012,7(6):523-524.
[18] 高丕明,羅小兵,何栩,等.運動干預(yù)防治膝骨關(guān)節(jié)炎的研究進(jìn)展[J].中醫(yī)正骨,2014,26(9):70-74.

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[18]帥波,沈霖,楊艷萍,等.加味青娥丸治療膝骨關(guān)節(jié)炎的作用機(jī)制研究[J].中醫(yī)正骨,2015,27(07):15.
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備注/Memo

備注/Memo:
2015-01-14收稿 2015-03-19修回
基金項目:華中科技大學(xué)自主創(chuàng)新基金項目(2014QN070)
通訊作者:姚弘毅 E-mail:[email protected]
更新日期/Last Update: 2015-07-30