CAJ | 학술논문

目的：观察探讨独活寄生汤联合股四头肌训练治疗膝关节骨性关节炎（ KOA）的临床疗效。方法将60例KOA患者随机分为2组，每组30例。对照组单纯予独活寄生汤治疗，治疗组在对照组的基础上联合股四头肌训练。2组均治疗4周后比较膝关节功能Lysholm评分量表（ LKSS）评分变化及临床疗效。结果2组治疗后LKSS评分与本组治疗前均有明显增加（P＜0．05），且治疗组较对照组增加更明显（P＜0．05）；治疗组总有效率96．7％，对照组86．7％，治疗组疗效优于对照组（ P＜0．05）。结论独活寄生汤联合股四头肌训练治疗KOA可以提高临床疗效，改善患者膝关节功能。
목적：관찰탐토독활기생탕연합고사두기훈련치료슬관절골성관절염（ KOA）적림상료효。방법장60례KOA환자수궤분위2조，매조30례。대조조단순여독활기생탕치료，치료조재대조조적기출상연합고사두기훈련。2조균치료4주후비교슬관절공능Lysholm평분량표（ LKSS）평분변화급림상료효。결과2조치료후LKSS평분여본조치료전균유명현증가（P＜0．05），차치료조교대조조증가경명현（P＜0．05）；치료조총유효솔96．7％，대조조86．7％，치료조료효우우대조조（ P＜0．05）。결론독활기생탕연합고사두기훈련치료KOA가이제고림상료효，개선환자슬관절공능。
Objective To study the clinical effects of Duhuojisheng decoction combined with quadriceps femoris muscle exercises on knee osteoarthritis ( KOA) .Methods 60 KOA patients were randomly divided into two groups, 30 cases in each group.The control group received simple Duhuo Jisheng decoction.The treatment group re-ceived quadriceps femoris muscle exercises on the basis of control group treatment.The course was 4 weeks in two groups.The changes of Lysholm knee scoring score ( LKSS) and clinical effects before and after treatment were com-pared in two groups.Results The score of LKSS after treatment was obviously increased as compared with that in before treatment in two groups (P<0.05).The increase in treatment group was more obvious (P<0.05).The total effective rate in treatment group (96.7%) was superior to that in control group (86.7%, P<0.05).Conclusion The application of Duhuojisheng decoction combined with quadriceps femoris muscle exercises on knee osteoarthritis can enhance curative effect and improve patient's knee joint function.