CAJ | 학술논문

目的：探讨中医骨科康复治疗膝骨性关节炎的临床疗效及安全性。方法将100例膝骨性关节炎患者随机分为对照组和治疗组各50例。对照组予布洛芬口服治疗，而治疗组采用中医骨科综合康复治疗，其中主要包括手法推拿、中药熏洗以及内服等。两组均治疗4个疗程后评价临床疗效，并进行VAS、JOA评分比较。结果治疗组总有效率为94%，对照组为74%，治疗组明显高于对照组，差异有统计学意义（P<0.01）。治疗组治疗后的VAS评分低于对照组，JOA评分高于对照组，两组的比较差异具有统计学意义。治疗组患者未出现不良反应。结论中医骨科康复治疗膝骨性关节炎的疗效优于西药组，能够有效缓解患者的疼痛，安全可靠。
목적：탐토중의골과강복치료슬골성관절염적림상료효급안전성。방법장100례슬골성관절염환자수궤분위대조조화치료조각50례。대조조여포락분구복치료，이치료조채용중의골과종합강복치료，기중주요포괄수법추나、중약훈세이급내복등。량조균치료4개료정후평개림상료효，병진행VAS、JOA평분비교。결과치료조총유효솔위94%，대조조위74%，치료조명현고우대조조，차이유통계학의의（P<0.01）。치료조치료후적VAS평분저우대조조，JOA평분고우대조조，량조적비교차이구유통계학의의。치료조환자미출현불량반응。결론중의골과강복치료슬골성관절염적료효우우서약조，능구유효완해환자적동통，안전가고。
Objective To observe the clinical efficacy and safety of Chinese Medicine Department of Orthopedics rehabilitation therapy in the treatment of knee osteoarthritis. Methods 100 cases with knee osteoarthritis were randomly divided into the control group and the treatment group with 50 cases in each. The control group was treated by ibuprofen orally, while the treatment group was treated by Chinese Medicine Department of Orthopedics rehabilitation therapy, mainly including massage, Chinese herbal fu-migation and washing and oral administration and so forth. After 4 courses of treatment, the clinical efficacies of the groups were evaluated, and the VAS, JOA scores of the two groups were compared. Results The total effective rate of the treatment group was 94%, significantly higher than 74%of the control group (P<0.01). After treatment, compared with the control group, the VAS score of the treatment group was lower but JOA score was higher, the differences between the two groups were statistically significant. The patients in the treatment group had no adverse reactions. Conclusion Compared with the western medicine group, the effect of Chinese Medicine Department of Orthopedics rehabilitation therapy is better, which can effectively relieve the pain of the patients, and is safe and reliable.