手法联合中药外敷治疗膝骨关节炎75例临床观察  

Clinical Observation on 75 Cases of Knee Osteoarthritis Treated with Manipulation Combined with External Application of Chinese Medicine

作　　者：刘彦璐 管恩福[1] 杨明会[1] LIU Yan-lu;GUAN En-fu;YANG Ming-hui

机构地区：[1]中国人民解放军总医院,北京100853

出　　处：《风湿病与关节炎》2018年第9期18-21,共4页Rheumatism and Arthritis

基　　金：军队中医药科研专项课题(10ZYZ242)

摘　　要：目的:观察手法联合中药外敷治疗膝骨关节炎的临床疗效。方法:将149例膝骨关节炎患者按照简单数字随机表法随机分为治疗组75例和对照组74例,对照组采用中药外敷治疗,治疗组在对照组基础上联合正骨手法治疗。2组均以1周为1个疗程,共治疗4个疗程。根据膝关节功能Lysholm评价标准评定2组临床疗效,观察2组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分。结果:治疗组痊愈11例,显效35例,有效21例,无效8例,总有效率为89.33%;对照组痊愈9例,显效32例,有效20例,无效13例,总有效率为82.43%。2组比较,差异有统计学意义(P<0.05)。治疗1周、1个月及随访3个月,2组WOMAC各项评分较治疗前均有改善(P<0.05),且治疗组优于对照组(P<0.05)。结论:手法联合中药外敷作为一种绿色治疗方案,具有良好的疗效和优势,值得在基层医院推广运用。Objective：To observe the clinical effect of manipulative therapy combined with external application of Chinese medicine on knee osteoarthritis.Methods：One hundred and forty-nine patients with knee osteoarthritis were randomly divided into a treatment group（75 cases）and a control group（74 cases）according to the random number table.The control group was treated with external application of Chinese medicine.The treatment group was treated with bone-setting manipulation on the basis of the treatment for the control group.The two groups were treated with 1 week as a course ,and 4 courses were treated.The clinical efficacy of the two groups was evaluated according to Lysholm criteria for knee function,and the scores of WOMAC were observed.Results：In the treatment group,11 cases were cured,35 cases were markedly effective,21 cases were effective,8 cases were ineffective,and the total effective rate was 89.33%;while in the control group,9 cases were cured,32 cases were markedly effective,20 cases were effective,13 cases were ineffective,and the total effective rate was 82.43%.The difference between the two groups was statistically signifcant（P 〈 0.05）.After 1 week,1 month and 3 months’ follow-up,the WOMAC scores of the two groups were improved（P 〈 0.05）,and the treatment group was better than the control group（P 〈 0.05）.Conclusion：Manipulation combined with external application of Chinese medicine as a green treatment program has good effcacy and advantages,worthy of being popularized and applied in grass-root hospitals.

关 键 词：骨关节炎 膝 手法 中药外敷 临床疗效 

分 类 号：R244[医药卫生—针灸推拿学]