陈宇　张明昭　李正

【摘要】 目的：探讨足太阳经筋型膝骨关节炎采取经筋辨证外治法治疗的疗效。方法：选取本院2018年1-6月接收的膝骨关节炎患者100例，按照随机数字表法将其分为对照组（采取常规推拿手法治疗）和观察组（采取经筋手法治疗），各50例。比较两组治疗前后损伤程度（Lequsene指数）、膝关节功能、生存质量评分及疗效。结果：观察组总有效率高于对照组（P<0.05）;治疗后，观察组疼痛或不适、行走距离、每日活动能力及Lequsene指数总评分均低于对照组，膝关节功能及生活质量评分均高于对照组，比较差异均有统计学意义（P<0.05）。结论：对足太阳经筋型膝骨关节炎患者采取经筋辨证外治法治疗，疗效显著，能显著改善患者的临床症状，值得推广。

【关键词】 膝骨关节炎; 足太阳经筋型; 经筋辨证外治法; Lequsene指数

Controlled Study of External Meridian Sinew Differentiation Therapy in Musculature Bladder Meridian Type of Knee Osteoarthritis/CHEN Yu，ZHANG Mingzhao，LI Zheng.//Medical Innovation of China，2019，16（06）：0-080

【Abstract】 Objective：To study the effect of external meridian sinew differentiation therapy in musculature bladder meridian type of knee osteoarthritis.Method：A total of 100 patients with knee osteoarthritis treated in our hospital from January to June 2018 were selected.According to the method of random number table，they were divided into control group（treated by conventional manipulative therapy）and observation group（treated by external meridian sinew differentiation therapy），50 cases in each group.The degree of injury（Lequsene index），knee joint function，quality of life score before and after treatment，and curative effect of two groups were compared.Result：The total effective rate of observation group was higher than that of control group（P<0.05）.After treatment，the total scores of pain or discomfort，walking distance，daily activity ability and overall scores in observation group were lower than those of control group，the scores of knee joint function and quality of life in observation group were higher than those of control group，the differences were statistically significant（P<0.05）.Conclusion：The external meridian sinew differentiation therapy in treatment of musculature bladder meridian type of knee osteoarthritis has remarkable curative effect and can significantly improve the clinical symptoms of patients，which is worthy of promotion.

【Key words】 Knee osteoarthritis; Musculature bladder meridian type; External meridian sinew differentiation therapy; Lequsene index

First-authors address：Shenzhen Luohu District Peoples Hospital，Shenzhen 518000，China

doi：10.3969/j.issn.1674-4985.2019.06.020

膝骨關节炎是一种最常见的关节疾病，临床特征为骨质增生、关节软骨的变性、破坏。关于其发病原因尚未明确，现代生物学研究表明，生长因子、细胞因子、免疫因素等均可能与骨关节炎的发病有关，除以上因素外，下肢力线改变、下肢稳定性异常、关节负重增加等也是骨关节炎发生的重要原因[1]。临床治疗包括营养软骨、非甾体抗炎药、关节润滑等，但治疗疗效欠佳。近年来，中医疗法在膝骨关节炎的治疗中发挥重要作用，且疗效及安全性较好。本研究中选取2018年1-6月本院接收的膝骨关节炎患者，探讨足太阳经筋型膝骨关节炎采取经筋辨证外治法治疗的疗效。现报道如下。

1 资料与方法

1.1 一般资料 选取本院2018年1-6月接收的膝骨关节炎患者100例，患者均符合《骨关节炎诊治指南》中相关诊断标准[2]，参照《黄帝内经·灵枢》中足太阳经筋证型诊断标准[3]。纳入标准：患者均符合膝骨关节炎的诊断标准;试验前2周内未经过任何手法治疗和贴敷。排除标准：合并有脏器衰竭、严重造血系统及心脑血管、肝、肾疾病、精神疾病、正在接受其他治疗、有出血倾向等患者。……