中药熏洗并股四头肌肌力锻练治疗膝关节骨性关节炎

Clinical Research on Fumigation and Washing with Traditional Chinese Drug in Combination with Physical Training of Quadriceps Femoris Muscle for the Treatment of Knee Osteoarthritis

目的:研究中药熏洗并股四头肌肌力锻练治疗膝关节骨性关节炎的疗效。方法:100例膝关节骨性关节炎患者随机分为治疗组、对照组各50例,治疗组采用中药熏洗剂活血止痛散水煎熏洗,同时进行股四头肌多点间歇等长的功能锻炼。对照组仅进行相同的股四头肌的肌力训练。治疗24 d后,随访观察比较两组患者的临床治疗效果。结果:两组治疗后的膝关节功能的评分值均较治疗前明显升高(P<0.01),治疗组的评分值高于对照组(P<0.01);治疗组总有效率为98%,对照组为86%,治疗组疗效优于对照组(P<0.01)。结论:中药熏洗并股四头肌肌力锻练治疗膝关节骨性关节炎取得良好的临床效果,且优于单纯股四头肌肌力锻练疗法。

Objective：To evaluate the curative effects of fumigation and washing with traditional Chinese drug in combination with physical training of quadriceps femoris muscle on knee osteoarthritis（KOA）.Methods：One hundred patients with KOA were randomized into treatment group and control group,50 patients in each group.The patients in treatment group were treated with fumigation and washing with Huoxue Zhitong powder in combination with physical training,while the patients in control group only received physical training. After the treatment of 24 day, clinical effect of each group was ob served. Results： After the treatment, the score of knee function was significantly increased than before the treatment （P〈0.01）. The score of treatment group was remarkably higher than that of control group （P〈0.01）. The total effective rate of treatment group （98%） was also markedly higher than that of control group （86%） （P〈0.01）. Conclusion： The fumigation and washing with traditional Chinese drug in combination with physical training of quadriceps femoris muscle is an effective method for KOA.