推拿结合运动训练治疗膝关节骨性关节炎的临床研究

Knee osteoarthritis treated by exercise training combined with massage

目的:观察推拿结合运动训练治疗膝关节骨性关节炎的临床效果。方法:将92例患者分为治疗I组(32例)、治疗II组(30例)及对照组(30例),3组患者均给予关节腔内注射玻璃酸钠,治疗I组增加超短波及超声波治疗,治疗II组则增加推拿及运动训练。于治疗前,治疗5周后采用目测类比评分(VAS)和lysholm膝关节功能量表(LKSS)进行疗效评定。结果:3组患者治疗后的VAS及LKSS评分与组内治疗前相比,差异均有统计学意义(P<0.001);治疗II组与对照组及治疗I组比较,组间差异有统计学意义(P<0.05),治疗I组与对照组比较,差异有统计学意义(P<0.05)。结论:推拿结合运动训练能显著提高膝骨性关节炎的治疗效果。

Objective：To investigate the effects of exercise training combined with massage in the treatment of knee osteoarthritis .Methods ：Ninety‐two patients with knee osteoarthritis were randomly divided into treatment group I （n=32） ,treatment group II （n=30） and a control group （n=30） .All the patients received sodium hyaluronate intrasyno‐vial injection of knee joint .Treatment group I was given ultrasonic and ultrashort wave therapy in addition .On the basis of medicine and physical therapy ,exercise training combined with massage was added to treatment group II .All the pa‐tients were assessed with visual analogous scale and lysholm knee score before treatment and after 5 weeks .Results：After 5 weeks of treatment ,three groups showed significant improvement in pain relief and knee function .Treatment group II had significantly better scores than the other two groups .Treatment group Ihad significantly better scores than the control group .Conclusion ：Exercise training combined with massage can significantly improve the therapeutic effect of knee os‐teoarthritis .