中药热熨联合穴位按摩在膝骨关节炎患者中的应用

Application of Chinese herbal medicine hot pressing combined with acupoint massage in patients with knee osteoarthritis

目的探讨中药热熨联合穴位按摩对风寒湿痹型膝骨性关节炎(KOA)患者的临床疗效。方法选取非手术治疗的KOA患者40例,随机分为实验组22例和对照组18例,对照组辨证施护,仅进行中药热熨,实验组在对照组的基础上给予穴位按摩。观察2组患者临床疗效,治疗前后疼痛视觉模拟评分法(VAS)评分、膝关节活动度及膝关节径围。结果实验组临床疗效有效率为95.45%(21/22),对照组为88.89%(16/18),2组临床疗效差异无统计学意义(P>0.05)。治疗后,2组VAS评分、膝关节径围较治疗前降低,膝关节活动度较治疗前增加,差异均具有统计学意义(P<0.01);实验组各指标改善均优于对照组,差异有统计学意义(P<0.01)。结论对风寒湿痹型KOA患者实施中药热熨联合穴位按摩,能有效降低患者疼痛程度,改善膝关节活动度和膝关节径围,值得临床借鉴。

Objective To evaluate the traditional Chinese medicine hot compress combined with acupoint massage on curative effect of anemofrigid damp arthralgia in patients with knee osteoarthritis （KOA） . Methods A total of 40 cases of hospitalized KOA patients were randomly divided into two groups. The 22 cases in experimental group were treated with traditional Chinese medicine hot compress massage combined with acupoint, and 18 cases in the control group were treated with Chinese medicine hot ironing. The curative effect of two groups of patients after treatment was compared. The visual analog scale （VAS） , knee-joint activities angle and knee-joint diameter were assessed in both two groups. Results The overall efficacy rate of control group was 88. 89% （ 16 /18 ） and was 95. 45% （21/22） in experimental group, but with no significant differen ce（P 〈0. 05） . the VAS score and knee-joint diameter were decreased and knee-joint activities angle was increased in both two groups after intervention, wiht a significant d if feren ce（P 〈 0. 01） . The experimental group achieved a better improvement in all indicators compared with the control group, with a significant difference （ P 〈 0. 01） . Conclusion Application of Chinese medicine hot ironing combined with acupoint massage to wind cold dampness arthralgia of KOA can significantly improve osteoarthritis clinical symptoms, improve efficacy and patient satisfaction.