CAJ | 학술논문

目的：观察中药烘熏配合松膝六式手法治疗膝关节骨性关节炎的临床疗效。方法采用随机分组将80例膝关节骨性关节炎患者分为两组各40例。治疗组采用中药烘熏配合六步松膝手法治疗，对照组采用手法推拿治疗，均治疗20 d为1个疗程。治疗1个疗程后，观察患者主要症状、体征、膝关节X线检查等指标以确定疗效。结果①临床疗效比较：治疗组治疗后总有效率为92.5%，对照组为70.0%，两组总有效率比较，差异有统计学意义（χ2＝11.087，P＜0.01）。② HSS评分比较：除肌力外（t＝2.082， P＞0.05），治疗组疼痛、功能、活动范围、固定畸形、不稳定、减分、总分与对照组比较，差异均有统计学统学意义（t值分别为8.081、10.977、3.846、9.450、9.611、9.450、15.984，P＜0.01）。结论中药烘熏配合松膝六式手法可缓解治疗膝关节骨性关节炎患者的关节疼痛、晨僵、屈伸不利。
목적：관찰중약홍훈배합송슬륙식수법치료슬관절골성관절염적림상료효。방법채용수궤분조장80례슬관절골성관절염환자분위량조각40례。치료조채용중약홍훈배합륙보송슬수법치료，대조조채용수법추나치료，균치료20 d위1개료정。치료1개료정후，관찰환자주요증상、체정、슬관절X선검사등지표이학정료효。결과①림상료효비교：치료조치료후총유효솔위92.5%，대조조위70.0%，량조총유효솔비교，차이유통계학의의（χ2＝11.087，P＜0.01）。② HSS평분비교：제기력외（t＝2.082， P＞0.05），치료조동통、공능、활동범위、고정기형、불은정、감분、총분여대조조비교，차이균유통계학통학의의（t치분별위8.081、10.977、3.846、9.450、9.611、9.450、15.984，P＜0.01）。결론중약홍훈배합송슬륙식수법가완해치료슬관절골성관절염환자적관절동통、신강、굴신불리。
Objective To observe effectiveness of Chinese herbal fumigation therapy combined with six-step knee-release massage on patients with knee osteoarthritis. Methods 80 cases with knee osteoarthritis were randomly divided into a treatment group and a control group, 40 in each. The treatment group was given Chinese herbal fumigation therapy combined with six-step knee-release massage, while the control group was treated only by six-step knee-release massage. 20 days of treatment was considered as 1 course, after which major symptoms and signs were observed and X-ray examination was applied to determine the curative effect. Results① As for clinical effectiveness, the total effective rate was 92.5%in the treatment group and 70%in the control group. There was statistical difference between two groups(χ2=11.087, P<0.01). ② HSS scores showed that , except quadriceps strength(t=2.082, P>0.05),there was statistical difference in terms of pain, functionality, motion, fixed deformity, stability, subtractions and total score between two groups(t values were 8.081, 10.977, 3.846, 9.450, 9.611, 9.450, 15.984 respectively, P<0.01). Conclusion Chinese herbal fumigation therapy combined with six-step knee-release massage could effectively relieve clinical symptoms like joint pain, morning stiffness and inflexibility. It is worth popularizing in clinical treatment of knee osteoarthritis.