崔氏软伤洗剂联合推拿治疗缓解期膝骨关节炎患者的临床疗效  

Clinical Efficacy of Cui′s Ruanshang Lotion Combined with Massage in the Treatment of Knee Osteoarthritis in Remission Period

作　　者：刘大鹏 王海波 陈晨 胡海[3] 闫泽明 史晓伟 那坤 王东峰 LIU Da-peng;WANG Hai-bo;CHEN Chen;HU Hai;YAN Ze-ming;SHI Xiao-wei;NA Kun;WANG Dong-feng(Department of Massage,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029;Preventive Treatment Center Dong fang Hospital Beijing University of Chinese Medicine,Beijing 100078;Department of Acupuncture and Moxibustion,Huguosi Hospital of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100035)

机构地区：[1]北京中医药大学第三附属医院推拿科,北京100029 [2]北京中医药大学东方医院治未病中心,北京100078 [3]北京中医药大学附属护国寺中医医院针灸科,北京100035

出　　处：《世界中西医结合杂志》2024年第10期2067-2071,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：2021年度基本科研业务费项目(2021-JYB-XJSJJ-082)。

摘　　要：目的评价崔氏软伤洗剂联合推拿治疗缓解期膝骨关节炎(Knee osteoarthritis,KOA)患者的临床疗效。方法选取2021年8月——2023年8月期间北京中医药大学第三附属医院推拿科收治的缓解期KOA患者60例,采用随机数表法分为治疗组和对照组,每组各30例。对照组接受常规推拿治疗,每周2次,持续4周;治疗组接受常规推拿联合崔氏软伤洗剂热敷治疗,推拿治疗同对照组,热敷治疗每晚1次,20 min/次,持续4周。观察比较两组患者治疗前、治疗2、4周后西安大略和麦克马斯特大学骨关节炎指数量表(Western ontario and mcMaster universities osteoarthritis index,WOMAC)评分、疼痛视觉模拟评分(Visual analog scale,VAS)、Lysholm膝关节评分量表和膝关节肿胀症状评分,并比较两组治疗的临床疗效。结果治疗后治疗组临床总有效率89.66%(26/29)明显高于对照组65.38%(17/26)(P<0.05)。两组患者治疗前WOMAC量表评分、VAS量表评分和Lysholm膝关节量表评分比较,差异无统计学意义(P>0.05);治疗2、4周后两组患者Lysholm膝关节量表评分均较治疗前升高,WOMAC量表评分、VAS量表评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗4周后治疗组WOMAC量表评分中疼痛评分、日常功能评分、总评分及VAS量表评分均明显低于对照组同期,差异有统计学意义(P<0.05);两组患者Lysholm膝关节量表评分、WOMAC量表僵硬评分同期比较,差异无统计学意义(P>0.05)。两组患者治疗前关节肿胀症状评分比较,差异无统计学意义(P>0.05);治疗2、4周后治疗组患者关节肿胀症状评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗4周后治疗组关节肿胀症状评分明显低于对照组同期,差异有统计学意义(P<0.05);对照组患者治疗前后关节肿胀症状评分无明显变化(P>0.05)。结论崔氏软伤洗剂热敷可明显减轻膝关节疼痛、缓解膝关节肿胀、提高膝关节日常功能和临床总有效率Objective To evaluate the clinical efficacy of Cui′s Ruanshang Lotion combined with massage in patients with knee osteoarthritis(KOA)in the remission period.Methods Sixty patients with KOA in the remission period treated at the Department of Massage,the Third Affiliated Hospital of Beijing University of Chinese Medicine from August 2021 to August 2023 were selected and randomly divided into a treatment group and a control group according to a random number table,with 30 patients in each group.The control group received conventional massage therapy twice a week for four weeks.The treatment group received the same massage therapy combined with Cui′s Ruanshang Lotion hot compress treatment,applied every night for 20 min for four weeks.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Visual Analog Scale(VAS),Lysholm Knee Score,and knee swelling symptom scores in both groups were compared before treatment and at two and four weeks after treatment.The clinical efficacy of the two groups were also compared.Results After treatment,the total clinical effective rate in the treatment group was 89.66%(26/29),significantly higher than 65.38%(17/26)in the control group(P<0.05).There were no significant differences in WOMAC,VAS,and Lysholm scores between the two groups before treatment(P>0.05).After two and four weeks,both groups showed increased Lysholm scores and decreased WOMAC and VAS scores compared to those before treatment(P<0.05).Additionally,after four weeks,the treatment group had significantly lower WOMAC pain,daily function,total scores,and VAS scores than the control group(P<0.05).However,there were no significant differences in Lysholm scores and WOMAC stiffness scores between the two groups at the same time points(P>0.05).There were no significant differences in knee swelling symptom scores between the two groups before treatment(P>0.05).After two and four weeks,the treatment group showed reduced swelling scores(P<0.05);after four weeks,swelling scores were significantly lower in the

关 键 词：膝骨关节炎 崔氏软伤洗剂 中药热敷 推拿治疗 疗效特点 

分 类 号：R684.3[医药卫生—骨科学]