中医推拿治疗膝关节骨关节炎临床研究

Clinical Study of Chinese Massage Treatment on Knee Osteoarthritis

目的：探讨中医推拿治疗膝关节骨关节炎（KOA）临床效果。方法：56例患者随机分为观察组和对照组，各28例。2组患者均给予加强休息、营养、指导患者功能锻炼等常规治疗。对照组加用针刺治疗，观察组加用中医推拿治疗。结果：（1）观察组痊愈率、显效率及有效率分别为32．1％（9／28）、42．9％（12／28）及25．0％（7／28），对照组分别为17．9％（5／28）、35．7％（10／28）及28．6％（8／28），观察组明显优于对照组（P〈0．05）；（2）观察组总有效率为100％（28／28），对照组为82．1％（23／28）。2组对比差异有统计学意义（P〈0．05）；（3）2组治疗后视觉模拟评分（VAS）及Lysholm评分均明显改善，观察组改善更明显（P〈0．01）；（4）观察组治疗后VAS及Lysholm评分均明显改善，优于治疗前（P〈0．01）。结论：中医推拿治疗KOA可以明显改善患者膝关节疼痛、僵硬、肿胀等临床症状，改善VAS及Lysholm评分，具有操作简便、痛苦小、疗效好等优点，值得临床推广使用。

Objective： ： To explore the clinical effect of Chinese medicine massage on knee osteoarthritis（KOA）. Methods： 56 pa- tients were randomly divided into the observation group and the control group, 28 cases each. Two groups of patients were given routine treatment such as strengthening the rest, nutrition and instructing the patients＇functional exercise. The control group was treated with acu- puncture, and the observation group was treated with traditional Chinese medicine massage. Results： ①The cure rate, effective rate and effective rate of the observation group were 32. 1% （9/28）, 42.9% （12/28） and 25.0% （7/28）, respectively, the control group was 17.9% （5/28）, 35.7% （10/28） and 28.6% （8/28）, the observation group was significantly better than the control group（P 〈 0.05） ; ②The total effective rate of the observation group was 100% （28/28）, while the control group was 82.1% （23/28）, the difference be- tween the two groups was statistically significant（ P 〈 0.05 ） ; ③The visual analogue scale and Lysholm score of the two groups were im- proved obviously after treatment, and the improvement in the observation group was more obvious （P 〈 0.01 ） ; ④The observation group after treatment visual analogue scale and Lysholm score were significantly improved, better than before treatment （ P 〈 0. 01 ）. Conclu- sion： Chinese massage treatment of knee osteoarthritis can significantly improve the patients with knee joint pain, stiffness, swelling and other symptoms, improve visual analogue scale and Lysholm score, has the advantages of simple operation, little pain, good curative effect, worthy of clinical use.