正骨散外用结合功能锻炼治疗膝关节骨性关节炎的疗效观察  

Observation of clinical effectiveness of external use of Zhenggu Powder combined with functional exercise for the treatment of knee osteoarthritis

作　　者：王强[1] 

机构地区：[1]北京市丰盛中医骨伤专科医院骨科,北京100032

出　　处：《北京中医药》2016年第11期1014-1017,共4页Beijing Journal of Traditional Chinese Medicine

摘　　要：目的观察正骨散外用结合功能锻炼治疗膝关节骨性关节炎(KOA)的疗效。方法 60例KOA患者采用简单随机化法分为治疗组和对照组各30例,治疗组接受外用正骨散结合功能锻炼疗法,对照组仅外用正骨散,2组均治疗4周,比较2组治疗前后膝关节屈伸肌力、JOA评分、VAS评分、大腿肌容积及膝关节活动范围。结果治疗后2组JOA评分提高,VAS评分减低,膝关节屈伸肌力增加,与治疗前比较差异均有统计学意义(P<0.01);治疗后治疗组JOA评分提高、VAS评分降低、膝关节屈伸肌力增加均较对照组明显,差异有统计学意义(P<0.05)。治疗组大腿肌容积治疗前后比较差异无统计学意义(P>0.05),对照组治疗后大腿肌容积减小,差异有统计学意义(P<0.01);组间治疗后大腿肌容积比较差异有统计学意义(P<0.01)。治疗后2组膝关节活动度均提高,差异有统计学意义(P<0.01),组间比较差异无统计学意义(P>0.05)。结论 KOA患者于病变早期以正骨散外用结合功能锻炼治疗,能提高患者膝关节肌力,预防或延缓肌肉萎缩,缓解疼痛,加大膝关节运动范围,改善膝关节功能。Objective To observe the clinical effectiveness of external use of Zhenggu Powder combined with functional exercise for the treatment of knee osteoarthritis（KOA） . Methods 60 KOA patients were randomly divided into the treatment group and the control group. The treatment group patients received the treatment using Zhenggu Powder externally combined with functional exercise. The control group patients received the treatment of Zhenggu Powder externally only. Both two groups of patients received the therapy for four weeks. Before and after the treatment, the muscle strength of flexion and extension of the knee joint, JOA scores, VAS scores, the thigh＇ s muscle volume and the range of motion of knee joint were measured. Results After the treatment, JOA scores of two groups were increased, VAS scores lowered, the muscle strength of flexion and extension of the knee joint improved. There were significant differences（P 〈0. 01 ） in these changes. To compare the situation between the two groups, the changes of JOA scores, VAS scores and the muscle strength of flexion and extension of the knee joint in the treatment group improved more than that of the control group and there was statistical significance （ P 〈 O. 05 ） . Before and after the treatment, the thigh＇ s muscle volume of the treatment group had no statistical difference（P 〉0. 05） . The thigh＇s muscle volume of the control group was decreased after the treatment and there was statistical significance in difference（P 〈 0. 01 ）, and there were statistical significance in differences between the two groups（P 〈 0. 01 ） . It showed that the functional exercise could stop or relieve muscular atrophy due to knee osteoarthritis during short time. Mter the treatment, the motion range of the knee joint of two groups both increased and the difference was statistical significance（P 〈 0.01 ） . But there was no statistical significance in difference between the two groups （ P 〉 0. 05 ） . Conclusion KOA patients should receive

关 键 词：膝关节骨性关节炎 功能锻炼 正骨散 外用法 中医药疗法 

分 类 号：R274.9[医药卫生—中西医结合]