中医推拿手法治疗膝关节骨性关节炎的临床效果观察(1)
【摘要】 目的：探究采用中医推拿手法治疗膝关节骨性关节炎的临床效果。方法：选取本院2013年2月-2015年5月收治的膝关节骨性关节炎患者90例为研究对象，随机将其分为两组，每组45例。对照组采用内服双氯芬酸钠肠溶片，外涂骨友灵搽剂。试验组采用中医推拿膝关节三步法。对两组患者的临床疗效及治疗前后膝关节骨性关节炎指数(WOMAC)的变化情况进行观察比较。结果：试验组治疗3个疗程后的总有效率为93.3%(42/45)，对照组为75.6%(34/45)，比较差异有统计学意义(P<0.05)。两组患者治疗前WOMAC各指标评分比较差异均无统计学意义(P>0.05)，治疗后两组各指标均显著改善，且试验组均优于对照组，差异均有统计学意义(P<0.05)。结论：采用中医推拿手法治疗膝关节骨性关节炎患者的效果确切，能够显著缓解患者疼痛，可作为一种有效的物理疗法在临床上推广。
【关键词】 中医推拿手法； 膝关节骨性关节炎； 临床效果
中图分类号 R244.1 文献标识码 B 文章编号 1674-6805(2016)16-0017-03
, 百拇医药
【Abstract】 Objective：To investigate the clinical efficacy of traditional Chinese massage in the treatment of knee osteoarthritis.Method：Ninety patients with knee osteoarthritis admitted to our hospital from February 2013 to May 2015 were randomly divided into two groups，45 patients in each group.The control group was treated with Diclofenac Sodium Enteric-coated Tablets for oral administration and Guyouling liniment for external use.The experimental group was treated with knee three-step method of traditional Chinese massage.The clinical efficacy and WOMAC changes before and after the treatment between the two groups were observed and compared.Result：After 3 courses of treatment，the total effective rate of the experimental group was 93.3%(42/45)，which was higher than 75.6%(34/45) of the control group，the difference was statistic significant(P<0.05).The difference had no statistic significant on the socres of WOMAC in each indexes between the two groups before the treatment(P>0.05)，and the scores of above indexes of both two groups were improved after treatment，while those of the experimental group were better than the control group，the differences were statistically significant(P<0.05).Conclusion：Using the traditional Chinese massage for the treatment of knee osteoarthritis has a definite therapeutic effect，which can effectively reduce the pain of patients，it can be used as an effective physical therapy in clinical practice.
, http://www.100md.com
【Key words】 Traditional Chinese massage； Knee osteoarthritis； Clinical efficacy
First-author’s address：Zhongguancun Hospital of Beijing，Beijing 100190，China
doi：10.14033/j.cnki.cfmr.2016.16.008
随着国内老龄化的加剧，膝关节骨性关节炎(KOA)的发病率逐年上升。KOA又被称为退行性骨关节病，多发于中老年人，是临床上较为常见的骨科疾病，以继发性骨质增生、关节软骨的退行性改变、破坏为主要特征[1]。国内相关研究表明，KOA也是引起老年人致残的主要原因之一，其发病率为3%～9%[2]。目前，西医主要采用西药和手术治疗此病，口服西药由于副作用较大，不建议长期服用；手术治疗不仅会给患者带来痛苦，且效果不稳定。而中医推拿手法因具有疗效稳定、不良反应少和治疗多样化等优势，逐渐被广泛应用，已成为临床上常用的物理疗法之一。在本文中，本院采用中医推拿手法治疗45例膝关节骨性关节炎的患者，取得了显著疗效，现汇报如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(蔡永涛)
【关键词】 中医推拿手法； 膝关节骨性关节炎； 临床效果
中图分类号 R244.1 文献标识码 B 文章编号 1674-6805(2016)16-0017-03
, 百拇医药
【Abstract】 Objective：To investigate the clinical efficacy of traditional Chinese massage in the treatment of knee osteoarthritis.Method：Ninety patients with knee osteoarthritis admitted to our hospital from February 2013 to May 2015 were randomly divided into two groups，45 patients in each group.The control group was treated with Diclofenac Sodium Enteric-coated Tablets for oral administration and Guyouling liniment for external use.The experimental group was treated with knee three-step method of traditional Chinese massage.The clinical efficacy and WOMAC changes before and after the treatment between the two groups were observed and compared.Result：After 3 courses of treatment，the total effective rate of the experimental group was 93.3%(42/45)，which was higher than 75.6%(34/45) of the control group，the difference was statistic significant(P<0.05).The difference had no statistic significant on the socres of WOMAC in each indexes between the two groups before the treatment(P>0.05)，and the scores of above indexes of both two groups were improved after treatment，while those of the experimental group were better than the control group，the differences were statistically significant(P<0.05).Conclusion：Using the traditional Chinese massage for the treatment of knee osteoarthritis has a definite therapeutic effect，which can effectively reduce the pain of patients，it can be used as an effective physical therapy in clinical practice.
, http://www.100md.com
【Key words】 Traditional Chinese massage； Knee osteoarthritis； Clinical efficacy
First-author’s address：Zhongguancun Hospital of Beijing，Beijing 100190，China
doi：10.14033/j.cnki.cfmr.2016.16.008
随着国内老龄化的加剧，膝关节骨性关节炎(KOA)的发病率逐年上升。KOA又被称为退行性骨关节病，多发于中老年人，是临床上较为常见的骨科疾病，以继发性骨质增生、关节软骨的退行性改变、破坏为主要特征[1]。国内相关研究表明，KOA也是引起老年人致残的主要原因之一，其发病率为3%～9%[2]。目前，西医主要采用西药和手术治疗此病，口服西药由于副作用较大，不建议长期服用；手术治疗不仅会给患者带来痛苦，且效果不稳定。而中医推拿手法因具有疗效稳定、不良反应少和治疗多样化等优势，逐渐被广泛应用，已成为临床上常用的物理疗法之一。在本文中，本院采用中医推拿手法治疗45例膝关节骨性关节炎的患者，取得了显著疗效，现汇报如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(蔡永涛)