Effects of Nine-step Tuina in Eight Minutes on Ultrasound Perfusion Imaging of Rectus Femoris in Women with Knee Osteoarthritis

Lunxue QING; Yi AN; Changxin LIU; Junxiu ZHAI; Lan FENG; Xianzong LIU; Yang ZHANG; Junming GUO; Xiyou WANG; Changhe YU

doi:10.13288/j.11-2166/r.2022.09.011

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Effects of Nine-step Tuina in Eight Minutes on Ultrasound Perfusion Imaging of Rectus Femoris in Women with Knee Osteoarthritis

更新时间：2022-04-25

- Effects of Nine-step Tuina in Eight Minutes on Ultrasound Perfusion Imaging of Rectus Femoris in Women with Knee Osteoarthritis
- Journal of Traditional Chinese Medicine Vol. 63, Issue 9, Pages: 851-855(2022)
- 作者机构：
  
  1.北京中医药大学第一临床医学院，北京市朝阳区北三环东路11号，100029
  2.北京中医药大学东直门医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2022.09.011
  CLC：
- Received：05 September 2021，
  
  Revised：2021-12-31，
  
  Published：02 May 2022
- 稿件说明：
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卿伦学,安易,刘长信等.九步八分推拿法对膝关节骨性关节炎女性患者股直肌超声灌注成像的影响[J].中医杂志,2022,63(09):851-855.

QING Lunxue,AN Yi,LIU Changxin,et al.Effects of Nine-step Tuina in Eight Minutes on Ultrasound Perfusion Imaging of Rectus Femoris in Women with Knee Osteoarthritis[J].Journal of Traditional Chinese Medicine,2022,63(09):851-855.
卿伦学,安易,刘长信等.九步八分推拿法对膝关节骨性关节炎女性患者股直肌超声灌注成像的影响[J].中医杂志,2022,63(09):851-855. DOI： 10.13288/j.11-2166/r.2022.09.011.

QING Lunxue,AN Yi,LIU Changxin,et al.Effects of Nine-step Tuina in Eight Minutes on Ultrasound Perfusion Imaging of Rectus Femoris in Women with Knee Osteoarthritis[J].Journal of Traditional Chinese Medicine,2022,63(09):851-855. DOI： 10.13288/j.11-2166/r.2022.09.011.

摘要

目的

观察九步八分推拿法治疗女性膝关节骨性关节炎的临床疗效，并分析其可能作用机制。

方法

纳入20例女性膝关节骨性关节炎患者，选取疼痛程度重的单侧患膝进行为期2周6次的推拿治疗，推拿方案按照九步八分法方案进行。在第1次治疗前、第1次治疗后及第6次治疗后分别使用疼痛数字评分法（NRS）及西部安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分以评价疼痛改善情况，采用股直肌超声灌注成像检测增强达峰时间（TTP）、造影峰值强度（PI）。

结果

20例受试者脱落1例，最终19例患者纳入统计分析。NRS评分治疗前后三个时间点比较差异均有统计学意义（

=0.001）。WOMAC总分治疗前后三个时间点比较差异均有统计学意义（

=0.007），WOMAC疼痛维度评分（

=0.027）、功能维度评分（

=0.010）治疗前后三个时间点比较差异均有统计学意义，僵硬维度评分治疗前后三个时间点比较差异均无统计学意义（

=0.378）。治疗前后三个时间点TTP比较差异均无统计学意义（

=0.449）。治疗前后三个时间点PI比较差异均有统计学意义（

=0.039）。各时间点两两比较，第1次治疗后较第1次治疗前PI增加（

=0.02），第6次治疗后PI与第1次治疗前比较差异无统计学意义（

=1.000），第6次治疗后PI与第1次治疗后比较差异亦无统计学意义（

=0.200）。

结论

九步八分推拿法可显著改善女性膝关节骨性患者的关节疼痛和关节功能，其作用机制可能与改善股直肌微循环、调整关节代谢状态有关。

Abstract

Objective

To explore the clinical effect of and possible mechanism of nine-step tuina in eight minutes in the treatment of women with knee osteoarthritis （KOA）.

Methods

A total of 20 women with KOA were included， whose unilateral knee with more severe pain was given six times of nine-step tuina in eight minutes within 2 weeks. Pain improvement was evaluated using the numerical pain scale （NRS） and Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC）， and the time-to-peak （TTP） and peak intensity （PI） were detected by ultrasound perfusion imaging of the rectus femoris before treatment， after the first treatment and the sixth treatment.

Results

Except for one drop-out， 19 patients were included in the statistical analysis. When comparing the results measured at the three time points， there were statistically significant differences in the NRS score （

= 0.001）. The total WOMAC score （

= 0.007）， pain domain score （

= 0.027） and function domain score （

= 0.010） were significantly different except for the stiffness domain score （

= 0.378）. The results of TTP value measured at the three time points were also not significantly different （

= 0.449）. There was significantly difference in PI when comparing the results measured at three time points （

= 0.039）； the PI significantly increased after first treatment than before treatment （

= 0.02）， while no significant difference was found when comparing the results after sixth treatment than before treatment （

= 1.000） and than after first treatment （

= 0.200）.

Conclusion

Nine-step tuina in eight minutes can significantly improve joint pain and joint function in women with KOA， and its mechanism may be related to the improvement of the rectus femoris microcirculation and adjustment of the joint metabolic status.

关键词

Keywords

references

TANG X ， WANG SF ， ZHAN SY ， et al . The prevalence of symptomatic knee osteoarthritis in China results from the China health and retirement longitudinal study ［J］. Arthritis Rheumatol ， 2016 ， 68 （ 3 ）： 648 - 653 .

张芷齐，王金贵，徐昭，等 . 推拿治疗膝关节骨性关节炎研究述评［J］. 河南中医， 2019 ， 39 （ 1 ）： 146 - 149 .

曹龙军，章礼勤，周石，等 . 膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的研究［J］. 中国康复医学杂志， 2012 ， 27 （ 1 ）： 30 - 34 .

董徽徽，高炳宏，朱欢 . 下肢间歇负压疗法对优秀赛艇运动员股四头肌皮肤微循环血流灌注量的急性效应［J］. 南京体育学院学报， 2019 ， 2 （ 9 ）： 47 - 52 .

王锡友，王福，孟祥奇，等 . 孙呈祥教授治疗膝骨性关节炎经验［J］. 现代中西医结合杂志， 2012 ， 21 （ 36 ）： 4063 - 4064 .

中华医学会骨科学分会 . 骨关节炎诊治指南（2007年版）［J］. 中华关节外科杂志（电子版）， 2007 （ 4 ）： 281 - 285 .

KELLGREN JH ， LAWRENCE JS . Radiological assessment of rheumatoid arthritis ［J］. Ann Rheum Dis ， 1957 ， 16 （ 4 ）： 485 - 493 .

中华人民共和国国家质量监督检验检疫总局，中国国家标准化管理委员会 . 腧穴名称与定位［S］. 北京：中国标准出版社， 2006 .

奚达 . 刘寿山正骨经验［M］. 北京：人民卫生出版社， 1985 .

DOWNIE WW ， LEATHAM PA ， RHIND VM ， et al . Studies with pain rating scales ［J］. Ann Rheum Dis ， 1978 ， 37 （ 4 ）： 378 - 381 .

BELLAMY N ， BUCHANAN WW ， GOLDSMITH CH ， et al . Validation study of WOMAC： a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee ［J］. J Rheumatol ， 1988 ， 15 （ 12 ）： 1833 - 1840 .

葛伟韬，高云，刘珍珠，等 . 膝骨关节炎中医病名辨识［J］. 中医杂志， 2016 ， 57 （ 23 ）： 1989 - 1992 .

“中医推拿治疗膝骨关节炎技术规范研究”课题组 . 膝骨关节炎中医推拿治疗技术规范专家共识［J］. 中医杂志， 2020 ， 61 （ 16 ）： 1469 - 1472 .

王先滨 . 中国古代推拿按摩史研究［D］. 哈尔滨：黑龙江中医药大学， 2009 .

胡炳麟，龚利，李建华，等 . 滚法对膝骨性关节炎患者股四头肌肌张力的影响［J］. 中国医药导报， 2016 ， 13 （ 25 ）： 118 - 121 .

戴国钢 . 从生物力学角度探析筋的特性及慢性筋骨病损的病理过程与临床处理策略［J］. 上海中医药杂志 . 2021 ， 55 （ 12 ）： 12 - 16 .

王锡友，高雁冰，李洋，等 . 孙氏九步八分推拿法治疗膝关节骨性关节炎30例临床观察［J］. 北京中医药， 2014 ， 33 （ 7 ）： 522 - 525 .

申屠伟慧 . 实时心肌造影超声心动图及再充盈参数成像评价心肌梗死后存活心肌和左室重构［D］. 武汉：华中科技大学， 2009 .

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