手法配合中药熏洗治疗膝骨性关节炎的临床研究

Clinical Research on Technique Combined with Chinese Herbal Fumigation in the Treatment of Knee Osteoarthritis

目的探讨手法配合中药熏洗治疗膝骨性关节炎的临床疗效。方法回顾性分析2005年2月至2007年5月我院骨科收治的100例膝骨性关节炎患者的临床资料,根据随机对照的原则将患者分为观察组和对照组各50例。对照组患者口服扶他林片、外擦双氯芬酸钠凝胶进行治疗,观察组患者采用手法配合中药(骨洗方)熏洗进行治疗。比较两组患者疼痛、活动范围、主动伸展受限、步行能力、日常活动及关节水肿等指标的变化情况,并观察比较两组的临床疗效。结果治疗前,两组患者的疼痛和步行能力得分、日常活动得分、主动伸展受限得分和关节水肿得分相比无显著差异(P>0.05)。治疗后,两组患者以上指标得分均有所改善,且观察组疼痛和步行能力、日常活动以及主动伸展受限改善程度均显著优于对照组,差异具有统计学意义(P<0.05)。观察组临床总有效率为96.0%,显著高于对照组的80.0%,差异具有统计学意义(P<0.05)。结论手法配合中药熏洗治疗膝骨性关节炎,治疗效果持久稳定,不良反应少,值得推广应用。

Objective To investigate the clinical efficacy of technique combined with Chinese herbal fumigation in the treatment of knee osteoarthritis. Methods Clinical data of 100 cases of patients with knee osteoarthritis admitted to our hospital from February 2005 to May 2007 were retrospectively analyzed. All patients were randomly divided into observation group and control group, with 50 cases in each group. The control group was treated with oral voltaren and external diclofenac sodium gel, the observation group was treated with technique combined with Chinese herbal fumigation. The change of pain, activity range, initiative stretch restrict, walking ability, daily activity and arthroedema in two groups were compared, and the clinical effect was observed and compared. Results The scores of pain and walking ability, daily activity, initiative stretch restrict and arthroedema of two groups before treatment had no statistical difference （P〉0.05）. After treatment, the above indices of the two groups were improved, and the improvement degree of pain and walking ability, daily activity and initiative stretch restrict in the observation group were significantly better than those in the control group, with statistical difference （P〈0.05）. The total effective rate of the observation group was 96.0%, significantly higher than 80.0%of the control group, with statistical difference （P〈0.05）. Conclusions The technique combined with Chinese herbal fumigation has persistent treatment effect in treating knee osteoarthritis, with fewer adverse reactions, which is worthy of promotion and application.