中医四维疗法治疗早中期膝关节骨性关节炎临床观察

Clinical Observation on the Treatment of Early and Middle Stage Knee Osteoarthritis with Fourdimensional Therapy of Traditional Chinese Medicine

目的:探讨中医四维疗法治疗早中期膝关节骨性关节炎的临床疗效。方法:将沈阳市骨科医院2015年6月至2016年9月收治的140例早中期膝关节骨性关节炎患者随机分为治疗组及对照组,各70例,治疗组采用中药、针灸推拿、腾疗、针刀结合治疗,对照组采用常规西医关节腔注射玻璃酸钠和口服盐酸氨基葡萄糖治疗。对2组治疗效果进行比较。结果:治疗组总有效率明显优于对照组,差异有统计学意义(P<0.05);2组患者的WOMAC评分均显著低于治疗前,且治疗组的临床效果更为显著,差异有统计学意义(P<0.05)。结论:中医四维疗法治疗早中期膝关节骨性关节炎的临床疗效显著,值得临床推广。

Objective： To investigate the clinical curative effect of four-dimensional therapy of traditional Chinese medicine on the treatment of early and middle stage knee osteoarthritis. Methods： A total of 140 patients treated in Shenyang Orthopaedic Hospital from Jun 2015 to Sep 2016 were randomly divided into treatment group and control group, each of 70 cases. The treatment group received traditional Chinese medicine, acupuncture and massage, Tengliao and acupotomy therapy. The control group received conventional western medicine including sodium hyaluronate and glucosamine hydrochloride. The curative effect was compared. Results ： The total effective rate in the treatment group were significantly higher than those in the control group （ P 〈0.05 ）. WOMAC scores in both groups after treatment were significantly lower than those before treatment, while the curative effect of treatment group was significantly better than that of the control group （P〈0.05） . Conclusion： Application of four-dimensional therapy of traditional Chinese medicine in the treatment of early and middle stage knee osteoarthritis is effective and is worthy of clinical promotion.