从应力学说论治膝关节骨性关节炎的临床随机对照研究

Randomized Controlled Trail of Treating Knee Joint Osteoarthritis from the Stress Theory

目的:根据应力学说理论观察应用松筋止痛手法结合院内制剂柔筋补脾丸治疗膝关节骨性关节炎的临床疗效。方法:将82例膝关节骨性关节炎患者依据就诊号的末尾数,分为试验组42例、对照组40例,试验组在给予松筋止痛推拿手法治疗的基础上结合口服我院院内制剂柔筋补脾丸治疗;对照组予以《推拿治疗学》中所述推拿手法治疗结合复方氯唑沙宗片治疗。观察两组在治疗结束后不同时期英国牛津大学(Oxford)膝关节功能评估问卷的变化。结果:两组在治疗结束后至90天随访时Oxford问卷结果均较治疗前有明显改变,差异与治疗前有统计学意义,至治疗后30天时两组间疗效比较无统计学意义;在治疗后60天、90天时两组间Oxford问卷结果比较,差异有统计学意义。结论:从应力学说论治膝关节骨性关节炎能有效缓解疼痛,改善膝关节功能。

Objective ： According to the stress theory to observe the clinical curative effect of tendon-loosening and pain-reliveing manipulation and Roujin Bupi pill in the treatment of knee osteoarthritis. Methods：82 cases of patients with knee, according to the clinical number, were divided into trial group（42 cases）and control group （40 cases）. The trail group was given tendon-loosening and pain-relieving manipulation based on the combination of oral administration of Roujin Bupi pill ; control group was given manipulation taught in the Tuina Therapy teaching material combined with compound Chlorzoxazone tablets. Observation of British University of Oxford（Oxford） knee function evaluation questionnaire changes of the two groups at the end of treatment after differ- ent periods was made. Results ： There were both obvious changes of Oxford questionnaire results from the end of the treatment to 90 days follow-up in the two groups. The differences had statistical significance compared with that before treatment. 30 days after treatment, between the two groups there was no significant difference in efficacy of treatment ;60 days and 90 days later, between the two groups, Oxford questionnaire results was statistically significant. Conclusion：Treating knee osteoarthritis from stress theory can effectively relieve pain and improve the function of knee joint.