“五步”揉膝手法结合中药熏蒸治疗膝骨关节炎的临床观察

Clinical Observation on Five-step-knee-kneading Manipulation Combined with Chinese Herb Fumigation in Treating Knee Osteoarthritis

目的:运用"五步"揉膝手法配合中药熏蒸治疗膝骨关节炎,探讨其治疗效果。方法:将43例患者随机分为治疗组23例和对照组20例,治疗组采用手法配合中药熏蒸治疗,对照组单用中药熏蒸治疗,并运用相关积分评定标准及疗效评定标准予以疗效评定。结果:治疗组患者中,临床控制:4例,显效:10例,有效:7例,无效:2例,愈显率:60.8%,总有效率91.3%;对照组患者中,临床控制:2例,显效:5例,有效:8例,无效:5例,愈显率:35%,总有效率:75%。2组总有效率比较差异有统计学意义(P<0.05)。结论:手法配合中药熏蒸治疗能明显改善膝骨关节炎患者的临床症状,是治疗老年性膝骨关节炎的有效方法。

Objective：To investigate the curative effect of five-step-knee-kneading manipulation （FSKKM） combined with Chinese herb fumigation on knee osteoarthritis （KOA）.Methods：Forty-three KOA patients were randomized into treatment group （23 cases） and control group （20 cases）. Patients in treatment group were treated with FSKKM combined with Chinese herb fumigation, while patients in control group were only treated with Chinese herbs fumigation. According to the standard norm of the integral assessment and the standard norm of the curative effect, the results were evaluated.Results：There was significant difference of curative effect between the treatment group and the control group （P0.05）. After treatment, the result of treatment group was better than that of the control group. Among the treatment group, clinical control was observed in 4 cases, remarkable effectiveness in 10 cases, effectiveness in 7 cases, and ineffectiveness in 2 cases. The healing and remarkably effective rate was 60.8%, and the total effective rate was 91.3%. Among the control group, clinical control was found in 2 cases, remarkable effectiveness in 5 cases, effectiveness in 8 cases, and ineffectiveness in 5 cases. The healing and remarkably effective rate was 35%, and the total effective rate was 75%.Conclusion：FSKKM combined with Chinese herb fumigation can greatly ameliorate the patients＇ clinical symptoms. It is an effective method for the treatment of KOA.