以关节松动术为主治疗膝关节骨关节炎疗效观察.pdfVIP

10·30 · 中国康复理论与实践 2006 年 12 月第 12 卷第 12 期 Chin J Rehabil Theory Practice , Dec . 2006 ,Vol . 12 , No . 12 ·专题 · 以关节松动术为主治疗膝关节骨关节炎的疗效观察 杨闯 ,周贤刚 [摘要] 目的 观察以关节松动术为主的综合康复疗法治疗膝关节骨关节炎的疗效和安全性 。方法 将 120 例膝关节骨关节 炎患者随机分为治疗组和对照组各 60 例 。治疗组以关节松动术为主再辅以综合康复疗法 ;对照组仅采用综合康复疗法 。结果 两 ( ) ( ) 组的总有效率意向性分析 IT T 显示 ,治疗组为 90 . 00 % 、对照组为 76 . 67 % ;方案数据分析 PP 显示 ,治疗组为 92 . 73 % 、对照组为 ( ) 80 . 77 % ,治疗组疗效优于对照组 P 0 . 05 。治疗期间 ,治疗组患者未见任何毒副作用和不 良反应 。结论 以关节松动术为主的 综合康复疗法治疗膝关节骨关节炎安全有效 。 [ 关键词] 关节松动术 ;膝关节 ;骨关节炎 ;随机对照试验 Effect of Joint Mobilization Therapy on Osteoarthritis of Knee Joint YA N G Chuang , Z H O U X i ang ang . The D ep a rtment of R eha bi l i t ation , t he Peop le’s H osp i t al of L ong chang , L ong chang 642 150 , S ich uan , Chi na Abstract : Objective To ob serve t he efficacy and safet y of j oint mobilization t herap y for o st eoart hriti s of knee j oint . Methods 120 p atient s wit h o st eoart hriti s of knee j oint were randomly divided into t he t reat ment group and cont rol group wit h 60 ca ses in each group . The t reat ment group were t reat ed wit h j oint mobilization and synt hesi s rehabilit ation t herap y , and cont rol group only wit h synt hesi s rehabilit ation t herap y . Results The tot al effective rat e wa s 90 . 00 % in t he t reat ment group and 76 . 67 % in t he cont rol group accor ding to analy si s of int entiontot reat , and 92 . 73 % in t he t reat ment group and 80 . 77 % in t he cont rol group based on analysi s of p erp rotocol pop ulation . There wa s a significant difference between t he two group s ( P 0 . 05) . No adver se effect wa s found in t he t reat ment