张氏推拿法治疗膝关节软骨退行性疾病临床疗效评价.doc

张氏推拿法治疗膝关节软骨退行性疾病临床疗效评价 张氏推拿法治疗膝关节软骨退行性疾病的临床疗效评价 更新日期：2009-07-13 点击： 谢利民　张涛 提要　为评价张氏推拿法治疗膝关节软骨退行性疾病的临床疗效，将303例 膝关节软骨退行 性疾病患者随机分为两组，推拿组152例应用张氏推拿法进行治疗；对照组151组应用理疗、 针灸 和消炎镇痛药物等疗法治疗。采用改良膝关节评分法评定临床疗效，结果推拿组有效 率89%，优良率60%；对照组有效率79%，优良率46%。经Ridit对比分析，两组疗效有非常显 著差异(P＜0.01)。认为张氏推拿法不失为目前治疗膝关节软骨 退行性疾病的一种较好的方法。 主题词　膝关节软骨退性疾病/治疗　推拿手法　临床研究　张涛　中医师 中图分类号：R681.3　文献标识码：A　文章编号：1001-6015(2000)04-0008-02 THE TREATMENT OF KNEE CARTILAGE RETROGRADE DISEASE BY ZHANG’S MASSAGE MANIPULATION: A Therapeutic-effect Evaluation Xie Limin，Zhang Tao Guang-anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing 100053 In order to evaluate the clinical therapeutic effect of Zhang’s massage manipulation on retrograde disease of knee cartilage, 303 cases of the disease were randomly divided into two groups: the massaged (n=152) and the control (n=151), which were treated by Zhang’s massage manipulation and by physiotherapy, acupuncture, moxibustion, anti-inflammatory and analgesic agents, etc, respectively, and the clinical therapeutic effects were evaluated by the modified scoring method of the knee joint. The results showed that the effective and excellent-good rates of the massaged and control groups reached 89% and 60%, and 79% and 46%, respectively with a very significant difference in the therapeutic-effect comparison of the two groups (P 0.01), suggesting that Zhang’s massage manipulation has proved itself to be a good method for treating knee cartilage retrograde diseases at the present. Key Words:　retrograde disease of knee cartilage　massage manipulation　clinical study 　　膝关节软骨退行性疾病是骨伤科的常见多发病，严重影响患者的工作和生活，其发病原因不明，目前尚无确切有效的疗法。张涛研究员是第二届全国名老中医师承教育导师，在推拿治疗膝关节软骨退行性疾病方面有极丰富的经验〔1〕，作者自1997年起师从张涛研究员临证学习，受益匪浅。为评价张氏推拿法的疗效，我们进行了对比观察，现总结报告如下。 1　临床资料 1.1　一般资料　本组共303例，其中采用张氏推拿疗法者152例(以下简称推拿组)，男性23例，女性129例。对照组151例，男性20例，女性131例。年龄13～78岁，平均46岁。病程1～132个月，平均18个月。职业工人170例，干部60例，农民31例，技术人员28例，学生7例，运动员7例。各组之年龄、性别、病程和职业分布无显著差异。 1.2　临床症状　髌骨软化症146例，其中推拿组73例，对照组73例；膝关节骨性关节炎157例，其中推拿组79例，对照组78例。